1 / 6

Gynecologic Challenges in Late Menopausal Women

Learn about life-threatening disorders like cancers and common gynecologic issues in post-menopausal women. Explore the physiology of "Geripause" and understand the gynecologic examination in elderly females.

bcynthia
Download Presentation

Gynecologic Challenges in Late Menopausal Women

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. GYNECOLOGIC ISSUES IN THE LATE POST MENOPAUSAL WOMAN Elaine E. Jolly, O.C., M.D., F.R.C.S.(C.) Medical Director Shirley E. Greenberg Women’s Health Centre Professor of Obstetrics and Gynaecology University of Ottawa

  2. GYNECOLOGIC ISSUES in the “Geripause” • Introduction • Life Threatening Disorders: Cancers • Most Common Gynecologic problems • Summary

  3. Physiology of the “Geripause” Decreased Estrogen Causes Progressive Atrophy • Thinning of vulvar tissue • Thinning, greying, loss of pubic hair • Diminution of labia minora • Presence of petechia • Vaginal walls are atrophic and pale • Shortening and narrowing of vagina • Atrophy of cervix / cervical stenosis • Decreased uterine size • Atrophic endometrium • Fibrous myometrium • Ovarian senescense

  4. Gynecologic Examination in the Elderly Female • Abdominal/inguinal exam • Vulvar/perineal inspection • Inspection of Vagina/Vault • Cervix (stenosis), Pap Smear (brush) • Bimanual exam (uterus/adnexa) • Pelvirectal exam Gently, slowly, sensitively Be innovative and accommodating Respect patient’s modesty Warm hands – warm instruments

  5. Gynecologic Issues • Life Threatening Disorders • Quality of Life Issues

  6. Life Threatening Disorders • Ovarian Cancer • Uterine Cancer • Cervical Cancer • Vulvar Cancer

More Related