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Chronic Vulvovaginitis in Women Older Than 50 Years: Analysis of a Prospective Database
Journal article   Peer reviewed

Chronic Vulvovaginitis in Women Older Than 50 Years: Analysis of a Prospective Database

Paul Nyirjesy, Randi D. Leigh, Leny Mathew, Ahinoam Lev-Sagie and Jennifer F. Culhane
Journal of lower genital tract disease, v 16(1)
01 Jan 2012
PMID: 21964206

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Science & Technology
Objective. This study aimed to examine differences in symptoms and diagnoses between women 50 years and younger and women older than 50 years who have chronic vulvovaginal complaints. Methods. New patients of the Drexel University Vaginitis Center with chronic vulvovaginal complaints were eligible. Participants underwent a standardized medical evaluation and completed detailed questionnaires. Data were analyzed using the t test, chi(2) test, and the Fisher exact test. Results. Subjects were 469 women aged 18 to 79 years. Subjects 50 years and younger (group A) were more likely to complain of vaginal itching and were less likely to complain of burning, irritation, or soreness (p <= .05 for all). Subjects older than 50 years (group B) were more likely to be diagnosed with atrophic vaginitis (p = .000), desquamative inflammatory vaginitis (DIV; p = .001), lichen planus (LP; p = .000), and lichen sclerosus (p = .000). Diagnosis of LS, LP, or DIV was associated with increased likelihood of multiparity and decreased likelihood of a history of systemic estrogen use. Conclusions. Postmenopausal women are more likely than premenopausal women to be diagnosed with DIV, LP, or LS. Both childbirth and estrogen nonuse were associated with the occurrence of these latter 3 conditions.

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17 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Obstetrics & Gynecology
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