Efficacy of Traditional Kegels Versus Reverse Kegels on Vaginal Atrophy among Post Menopausal Women
Keywords:Genitourinary syndrome of menopause, pelvic floor muscle, Vulvovaginal atrophy, vaginal pH, Menopause, Reverse Kegels.
Background: Menopause leads to a dramatic drop in ovarian function which lower the oestrogen in the circulating
blood may cause atrophy of vaginal epithelium. Traditionally the atrophy of vaginal epithelium was managed by
Kegels exercise but not attempted using reverse Kegels exercise.
Purpose: This present study attempted the reverse Kegels exercise and compares the effectiveness with traditional
Kegels exercise on vaginal atrophy and vaginal pH among postmenopausal women.
Materials and Methods: 32 postmenopausal women in the age group between 40 to 60 years with vaginal atrophy
were recruited and randomly assigned to one of the two groups: Traditional Kegels group (n=16) and Reverse
Kegels group (n=16). The vulvovaginal symptom questionnaire (VSQ) and vaginal pH test kit were used as
outcome measures to assess the vulvovaginal symptoms and vaginal pH level before and after the intervention.
Results: The t-test analysis was used to analyse the comparison within and between the groups. The p value of the
Vulvovaginal symptom questionnaire in post-test values between the groups was 0.0256 (p value < 0.05) which
was statistically significant.
Conclusion: Based on the outcome measures the participants in the traditional Kegels exercise found to be better
in reliving the vulvovaginal symptoms. However, the vaginal pH level in both the groups after intervention does
not show any changes.
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