Journal of Mid-life Health

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 9  |  Issue : 4  |  Page : 191--194

Urogenital atrophy in 40–75 years women assessed with different scoring systems at tertiary care hospital of India


Maitri Shah1, Ankita Khandelwal1, Sangita Patel2 
1 Department of Obstetrics and Gynecology, Baroda Medical College, Baroda, Gujarat, India
2 Department of Community Medicine, Baroda Medical College, Baroda, Gujarat, India

Correspondence Address:
Maitri Shah
No. 30, Gulabchand Park, Opposite Ambalal Park, Karelibaug, Baroda - 390 018, Gujarat
India

Objective: The present study was conducted to assess the validity of symptom score and Genital Health Clinical Evaluation (GHCE) score as diagnostic tools for urogenital atrophy in females of 40–75 years of age group. Materials and Methods: A cross-sectional study including 600 females in the age group of 40–75 years attending gynecology outpatient department was conducted. They were given a symptom score based on their history. GHCE score and smears for vaginal maturation index (VMI) were taken and percentages of superficial cells were counted. Statistical tests of significance such as Karl Pearson's coefficient of correlation were applied. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy of GHCE score, and symptom score with VMI score were calculated. Results: The prevalence of urogenital atrophy in females of 40–75 years of age group using VMI scoring was 38.1%. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of total symptom score for diagnosing urogenital atrophy were 66.4%, 75.3%, 56.3%, 82.4%, and 72.5%, respectively. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of GHCE score for diagnosing urogenital atrophy were 43.4%, 80.7%, 75.3%, 51.3%, and 59.3%, respectively. Conclusion: Both symptom score and GHCE score can be used as valid alternatives to VMI as diagnostic tools for urogenital atrophy in females of 40–75 years of age group at least in resource-poor settings.


How to cite this article:
Shah M, Khandelwal A, Patel S. Urogenital atrophy in 40–75 years women assessed with different scoring systems at tertiary care hospital of India.J Mid-life Health 2018;9:191-194


How to cite this URL:
Shah M, Khandelwal A, Patel S. Urogenital atrophy in 40–75 years women assessed with different scoring systems at tertiary care hospital of India. J Mid-life Health [serial online] 2018 [cited 2019 May 21 ];9:191-194
Available from: http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2018;volume=9;issue=4;spage=191;epage=194;aulast=Shah;type=0