Correlation of vaginal PH and serum FSH in menopause.

Abstract

Introduction: Menopause is the physiological cessation of menstruation. It begins twelve months after the last menstruation and it is demonstrated by elevated levels of follicle-stimulating hormone (FSH). Materials and Methods: It’s a cross-sectional study which was done in RLJH from June 2019 to November 2019.A total of 80 women in the age group of 40 - 60 years who had their last menstrual period 1or more than one year back and presented with postmenopausal symptoms were included in the study. Results: The sample of present study comprised of women who had menopausal symptoms (N= 80). On the basis of results from this study, the mean age of patient was 44.4 (ranging from 41 to 60). All the women in this study had amenorrehea ranging from 1 to 15 years. The mean vaginal Ph for women was 5.7 (ranging from 3 to 6.5). The mean FSH levels was 66.65 (ranging from 14 miu/ml to 143miu/ml). According to this study, 68 patients were found to be menopausal on the basis of two criteria. FSH levels greater than 20Miu/ml and vaginal Ph being more than >/= 4.5. In this study, considering FSH levels >20Miu /ml and vaginal Ph >4.5, with the sensitivity of 97.14%, 85% patients were found to be menopausal. Conclusion: In our hospital, we use invasive and expensive test for prediction of menopause, that is serum FSH levels. We have done this study to conclude that Vaginal Ph is a simple, accurate, cost effective and noninvasive test. This suggests it as an alternative tool for serum FSH in diagnosing menopause, so that many people will be identified with perimenopausal symptoms and treated.