Bone mineral density levels in natural menopausal women and surgical menopausal women: A comparative study

Abstract

Aim: comparison of bone mineral density levels in natural menopausal women with surgical menopausal women. Methods: The present analytical cross sectional study was conducted on patients (out patients and in patients) in Department of Obstetrics and Gynecology, Kamla Nehru Hospital, attached to IGMC Shimla. Group 1 (N=60): Women who had undergone hysterectomy with bilateral salphingoophorectomy at least 6 month ago. Group 2 (N=60): Women who have attained natural menopause at least 1 year ago. BMD measurements were measured by whole body dual energy X-ray absorptiometery (DEXA), with the help of Hologic Discovery QDR machine available in department of radiology. Results: In the present study maximum number of the patients 26 (43.3%) were in the age group of 46-50 years for the post surgical menopausal group and in the natural menopausal group maximum number of the patients were in the age group of 51-55 years 23 (38.3%). Maximum numbers of patients are multiparous in both groups. Total number of women having BMD less than 1.108 g/cm2 was 55 in which 18 were natural menopausal and 37 were postsurgical menopausal (p<0.05). Conclusions: Both natural and post- surgical menopausal women have lower levels of BMD. Bone mineral density (BMD) can be taken as a useful marker to assess and treat osteoporosis and also to prevent complications in post-menopausal women.