STUDY ON LOWER GENITAL TRACT INFECTIONS AND ASSOCIATED FACTORS AMONG POSTMENOPAUSAL WOMEN IN DA NANG CITY

Authors

  • Đình Phương Thảo Nguyễn Author
  • Thị Thúy Lê Author
  • Văn Nho Lê Author
  • Thị Kim Hoa Dương Author
  • Khắc Minh Nguyễn Author
  • Đình Trung Trần Author
  • Thị Minh Hòa Hoàng Author

Keywords:

Lower genital tract infections, Postmenopausal women, Da Nang city

Abstract

Objectives: To determine the prevalence of lower genital tract infections among postmenopausal women in Da Nang City and to identify factors associated with LGTIs in this population. Methods: A cross-sectional descriptive study was conducted among 850 women who had undergone natural menopause. Participants were interviewed and clinically examined at 17 primary healthcare stations in 17 wards of Da Nang City between August and October 2023. Data collection included a structured questionnaire, gynecological examination, vaginal pH measurement, and microbiological analysis of vaginal discharge to identify LGTIs and related factors. Multistage cluster sampling was applied. Results: The overall prevalence of lower genital tract infections among postmenopausal women was 27.1%. Bacterial infections accounted for 19.1% of cases, while Candida infections accounted for 8.0%. A statistically significant association was found between age group and menopausal duration with the type of lower genital tract infection (p < 0.05). Conclusion: LGTIs rate is relatively high among postmenopausal women in Da Nang City. Targeted screening, prevention, and management strategies are considered to improve quality of life in this population.

References

1. Dương TC. Tuổi mãn kinh. Trong: Bách khoa thư bệnh học. NXB Y Hà Nội; 2004:280-283.

2. Sarmento ACA, Baptista PV, Maia R, Oliveira C, Santos A, Almeida MC. Genitourinary syndrome of menopause: epidemiology, physiopathology, clinical manifestation and diagnostic. Front Reprod Health. 2021;3. doi:10.3389/frph.2021.779398

3. Angelou K, Grigoriadis T, Diakosavvas M, et al. The genitourinary syndrome of menopause: an overview of the recent data. Cureus. 2020;12(4):e7586. doi:10.7759/cureus.7586

4. Meeta M, Digumarti L, Agarwal N, Vaze N, Shah R, Malik S. Clinical practice guidelines on menopause: an executive summary and recommendations: Indian menopause society 2019-2020. J Midlife Health. 2020;11(2):55-95.

5. Nguyễn VQH, Cao NT, Lê MT, Trương QV. Tiền mãn kinh mãn kinh. Trong: Giáo trình Sản phụ khoa dành cho đào tạo sau đại học Huế. Nhà xuất bản Đại học Huế; 2022:362-372.

6. Nguyễn ĐPT, Cao NT, Nguyễn VQH. Nghiên cứu các rối loạn chức năng ở phụ nữ mãn kinh tại thành phố Huế và hiệu quả của một số biện pháp điều trị [Luận án Tiến sĩ y học]. Trường Đại học Y Dược Huế; 2017.

7. Henderson KD, Bernstein L, Henderson B, Kolonel LN. Predictors of the timing of natural menopause in the multiethnic cohort study. Am J Epidemiol. 2008;167(11):1287-1294.

8. Nayak M, Purohit P, Debta A, Swain SK. Prevalence of bacterial vaginosis in postmenopausal women in the state of Odisha, India. Al Ameen J Med Sci. 2020;13(4):266-272.

9. Baber RJ, Panay N. 2016 IMS Recommendations on women's midlife health and menopause hormone therapy. Climacteric. 2016;19(2):109-150.

10. Sun X, Zhang R, Wang L, Shen X, Lu Y, An J, et al. Association between parity and the age at menopause and menopausal syndrome in Northwest China. Asia Pac J Public Health. 2021;33(1):60-66.

11. Scavello I, Maseroli E, Di Stasi V, et al. Sexual health in menopause. Medicina (Kaunas). 2019;55(9):559.

12. Thornton K, Chervenak J, Neal-Perry G. Menopause and sexuality. Endocrinol Metab Clin North Am. 2015;44(3):649-661.

13. Hoffmann JN, You HM, Hedberg EC, Manhart LE. Prevalence of bacterial vaginosis and candida among postmenopausal women in the United States. J Gerontol B Psychol Sci Soc Sci. 2014;69(2):205-214.

14. Ebong IA, Wilson MD, Appiah D. Relationship between age at menopause, obesity, and incident heart failure: the atherosclerosis risk in communities study. J Am Heart Assoc. 2022;11(6):e024461. doi:10.1161/JAHA.121.024461

15. Su CL, Tsai YL, Nfor ON, et al. Relationship between BRSK1 rs12611091 variant and age at natural menopause based on physical activity. Menopause. 2019;26(10):1171-1177.

16. Donders GGG, Grinceviciene S, Ruban K, et al. Vaginal pH and microbiota during fluconazole maintenance treatment for recurrent vulvovaginal candidosis (RVVC). Diagn Microbiol Infect Dis. 2020;98(3):115024. doi:10.1016/j.diagmicrobio.2020.115024

17. Van Schalkwyk J, Yudin MH, Allen V, et al. Vulvovaginitis: screening for and management of trichomoniasis, vulvovaginal candidiasis, and bacterial vaginosis. J Obstet Gynaecol Can. 2015;37(3):266-274.

Published

31-12-2025

How to Cite

STUDY ON LOWER GENITAL TRACT INFECTIONS AND ASSOCIATED FACTORS AMONG POSTMENOPAUSAL WOMEN IN DA NANG CITY. (2025). DA NANG JOURNAL OF MEDICINE AND PHARMACY, 1(1), 117-123. https://tapchi.dhktyduocdn.edu.vn/index.php/yduoc/article/view/20

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