Efficacy of Traditional Kegels Versus Reverse Kegels on Vaginal Atrophy among Post Menopausal Women

Abstract

Background: Menopause leads to a dramatic drop in ovarian function which lower the oestrogen in the circulatingblood may cause atrophy of vaginal epithelium. Traditionally the atrophy of vaginal epithelium was managed byKegels exercise but not attempted using reverse Kegels exercise.Purpose: This present study attempted the reverse Kegels exercise and compares the effectiveness with traditionalKegels 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 atrophywere recruited and randomly assigned to one of the two groups: Traditional Kegels group (n=16) and ReverseKegels group (n=16). The vulvovaginal symptom questionnaire (VSQ) and vaginal pH test kit were used asoutcome 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 theVulvovaginal symptom questionnaire in post-test values between the groups was 0.0256 (p value < 0.05) whichwas statistically significant.Conclusion: Based on the outcome measures the participants in the traditional Kegels exercise found to be betterin reliving the vulvovaginal symptoms. However, the vaginal pH level in both the groups after intervention doesnot show any changes.