Changes over thirty years in an index of gynaecological health

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Abstract
The gynaecological index (GYNDEX) was developed to facilitate observing differences in gynaecological health among and between groups of women. It takes into account menstrual characteristics, premenstrual changes, and gynaecological diagnoses and treatments. The objective of this study is to contribute to knowledge of the changes in gynaecological health at different times in the reproductive life cycles of women and to develop a measurement technique which can be used in future studies in women's health. In this investigation a GYNDEX is determined for each of the first three decades postmenarche in a sample of 54 women who have been followed in a longitudinal study since birth, and the characteristics of the changes in the GYNDEX over time are analysed. There is a significant increase in the GYNDEX (PPP<0,05) d'sune décade à la suivante. Des études supplémentaires sont en cours pour déterminer dans quelle mesure les facteurs qui sont intervenus durant l'enfance et l'adolescence fonctionnent comme prédicteurs de la santé gynécologique adulte. La connaissance de ces associations procurera une base rationnelle pour planifier les programmes sanitaires pour les femmes de tous áges.

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