Gynecologic Problems in Women Over 65 Years of Age

Due to increase in elderly population in recent years, we encounter more frequently with this patient group in gynecology departments. Patients older than 65 age years are named geriatric population. Most of the gynecologic problems emerging in reproductive period disappear in geriatric age. Issues due to hypoestrogenemic and gynecologic malignancies increasing with age, spurs in this age group. Vulvovaginal atrophy and vulvar dystrophy, genital prolapse, postmenopausal bleeding, disturbances in bladder functions, osteoporosis and genital cancers are common in this age group. Frequency and mortality of gynecologic cancers increases with age. Postmenopausal bleeding should be evaluated carefully because this could be a symptom of endometrial cancer and these patients should be applied endometrial sampling. Pelvic organ prolapse and urinary incontinence develops due to pelvic floor muscle relaxation and effects quality of life negatively. Vulvar dystrophies are commonly pruritic diseases and have various histologic types. Osteoporosis also effects quality of life highly and leads morbidity and mortality when caused fractures. Keeping in mind the age specific problems in geriatric patients who had gynecologic complaint, appropriate diagnose and therapeutic interventions could be established