Geriatric Gynaecology

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What Is Geriatric Gynaecology?

Geriatric gynaecology is a specialized field of women’s health that focuses on the unique medical, hormonal, and reproductive concerns of women aged 60 years and above. As women age, they experience physiological changes related to menopause, reduced hormone levels, weakening of pelvic tissues, and increased susceptibility to certain health conditions. Geriatric gynaecology aims to address these changes with a comprehensive, compassionate, and preventive approach.

Why Is Geriatric Gynaecology Important?
With increasing life expectancy, a significant portion of women now spend nearly one-third of their lives in the post-menopausal phase. Despite this, many age-related gynaecological symptoms often remain unspoken or overlooked due to social inhibitions, lack of awareness, or the assumption that these issues are a normal part of ageing.

Geriatric gynaecology ensures early detection and management of conditions like vaginal dryness, urinary incontinence, pelvic organ prolapse, osteoporosis related to hormonal decline, and increased risk of reproductive tract cancers. Timely care helps improve comfort, mobility, sexual health, and overall quality of life.

How Can Geriatric Gynaecology Help?
Geriatric gynaecologists support older women through:

· Comprehensive menopausal care including management of hot flashes, mood changes, and hormonal imbalance.

· Pelvic floor evaluation and treatment to manage urinary incontinence and prolapse.

· Cancer screening and prevention for breast, cervical, ovarian, and endometrial cancers.

· Sexual health counselling to address dryness, pain, low libido, and intimacy concerns.

· Bone health support through guidance on calcium, vitamin D, lifestyle, and fracture prevention.

· Individualized treatment plans considering co-existing conditions like diabetes, hypertension, and mobility limitations.

With proper guidance, older women can enjoy healthy, active, and dignified lives. Geriatric gynaecology empowers them with the right care, awareness, and support to maintain reproductive and overall well-being well into their later years.

Myths vs. Facts

Menopause ends all gynecological health concerns.

Myth: Menopause ends all gynecological health concerns.

Fact: Menopause marks the end of fertility but not of gynecological health issues. Older women can still develop urinary problems, pelvic organ prolapse, vaginal atrophy, infections, and even gynecologic cancers. Routine check-ups remain important.

Vaginal dryness and discomfort are inevitable and untreatable.

Myth: Vaginal dryness and discomfort are inevitable and untreatable.

Fact: Vaginal dryness, itching, and painful intercourse are common due to decreased estrogen, but effective treatments exist, including local estrogen therapy, lubricants, and moisturizers.

Hormone replacement therapy (HRT) is always dangerous for older women.

Myth: Hormone replacement therapy (HRT) is always dangerous for older women.

Fact: HRT is not universally harmful. When prescribed appropriately, it can relieve menopausal symptoms, prevent bone loss, and improve sexual health. Risks vary individually, so personalized medical guidance is key.

Sexual activity is unsafe after menopause.

Myth: Sexual activity is unsafe after menopause.

Fact: Many older women remain sexually active and healthy. Safe sexual activity is possible, and addressing vaginal health and libido concerns can improve intimacy and emotional well-being.

Urinary incontinence is a normal part of aging and cannot be treated.

Myth: Urinary incontinence is a normal part of aging and cannot be treated.

Fact: Urinary incontinence is common but not inevitable. Pelvic floor exercises, lifestyle modifications, medications, and surgical options can effectively manage or even cure it.

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