Vijayadevi^1*, Jayasabarinathan M²

{¹Assistant Professor, Department of Obstetrics and Gynecology} {²Professor, Department of Anatomy}

Mount Zion Medical College, Adoor, Kerala, INDIA.

Email: viji.mmc03@gmail.com

OBSERVATION AND RESULTS

TABLE 1: Study of Vagino – Vulvular disorder in the age group 16-24. (Total no of patients 32)

Figure 1: Study of vagino – vulvular disorder in the age group 16-24

TABLE 2: Study of Vagino-Vulvar disorders in different age groups of 25-45 years. (Total No.ofpatients-42)

Figure 2: Study of vagino-vaginal disorders in the age group of 25-45 years

TABLE 3 : Study of Vagino-Vulvular disorders age groups of 46-66 year (Total No.ofpatients-51)

Figure 3: Study of Vagino-Vulvular disorders in the age group of 46-66 years.

DISCUSSION

The present study of vaginal, vulvar disorders in Malayalam population in different age group. In the age groups between 16-24. The total number of patients were 3211(34.3%) had Bacterial infection, 9(28.1%) Fungal infection, 7(21.8%) had Allergic disorder,3(9.37%)had Herpes, 2(6.25%) had Malignancy. (Table-1) In the age group between 25-45 years the total number of patients were 42, 15(35.7%) had bacterial infection, 13(30.9%) Fungal infection, 6(14.2%) Allergic disorders, 5(11.9%) Herpes, 3(7.1%) had Malignancy. (Table-2) The patient aged between 46-66 years the total number of patients were 51, 20(39.2%) had Bacterial infection, 14(27.4%) had Fungal infection, 6(11.7%) had Allergic disorders, 4(7.84%) had Herpes, 7(13.7%). (Table-3) These findings were more or less in agreement with previous studies.^6,7,8 Bacterial infection includes Bacterial vaginosis, Human Papilloma virus, Molluscumcontagiosum, Trichomoniosis, Scabies and Atrophy of vaginalvulvular. Fungal infections due to vulvo vaginal candidiasis caused by Candida albicans quite comman in all age groups⁹Malignancy was higher in 46-66 age group (13.7%). Allergic condition was higher in 16-24 ahe group(21.8%) could be usage of soap, detergents, medications which irritate the vulva vaginal and allergic contact dermatitis too Herpes hiquest in 25-45 age group (11.9%) is most comman cause of vulvar ulcer, these are 2 sereo type of HSV₁ and HSV₂more commonly associated with genital outbreaks. It is associated with pyrexia, dysuria, burning and pruritis. Vesicles are seen on the vulva which are more painful often found on cluster patient was severe pain with retention of urine. Malignancy of vulva can be caused by human papilloma virus (HPV) and Bartholin glands which are lubricating glands may from cyst.This cyst may develop into malignancy. In addition to this psoriasis seborric dermatitis, squamous cell carcinoma, TeneaCruris, Lichen sclerosis’s associated with immune disorders like alopecia, vitiligo and hypothyroidism¹⁰ The present disorders are quite prevalent in lower or middle socio economic status who were poorly educated ⁽¹¹⁾ who were unaware of unhygienic diseases moreover such infections were also observed in the Indian Society where premarital or extra marital sexual contact was the history of patients, moreover BV, VVC, Trichomonas, Vaginalis was commonly observed in sexually active patients¹². Apart from this BV was commonly observed in females who were in the usage of Intra uterine contraceptive devices (IUCD) which was associated with increased menstrual flow and irregular vaginal bleeding. In addition to this, miscarriage had a history of Bacterial infection. VVC observed in females whose husband had extra marital relation or female herself had extra marital or pre-marital relation.  Atrophic vaginitis is common vaginal condition due to low estrogen states, such as menopause (natural or surgical), breast feeding and sometimes as a result of medications.

SUMMARY AND CONCLUSION

The present study of vaginal vulvular disorders at different age group will be useful to Gynecologist, Pathologist to classify the higher incidence as per their age group .Although vagina is lined by stratified squamous non-Keratinized epithelium with abundant hair to combat with infection. Hence female medico-social workers, Clinicians, Gynecologist must create awareness of hygiene among Indian women because majority of them illiterate. But this study demands further genetic, hormonal, nutritional, embryological, histo-pathological studies because exact pathogenesis of vagino-vulvular disorders still un-clear.

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