TITLE:
Overview of Gynecological and Breast Pathologies in Older Women: A Report of 176 Outpatient Cases at Angre Teaching Hospital in 2025
AUTHORS:
Ramata Bohrans Kouakou-Kouraogo, Ngolo Alassane Soro, Nguiemeni Blanche Carine Houphouët-Mwandji, Claudia Michelle Gadji, Souleymane Soumahoro, Kassoum Kone, Kouamé William Tano, Alistair Yao, Cassou Roland Adjoby
KEYWORDS:
Gynecological Pathology, Breast Pathology, Menopause, Older Women
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.10,
October
23,
2026
ABSTRACT: Objective: To evaluate the epidemiological and clinical aspects of gynecological and breast pathologies in older female patients at Angre Teaching Hospital. Patients and Methods: This was a retrospective, descriptive study conducted from January 1 to December 31, 2025, in the outpatient clinic of the Department of Obstetrics and Gynecology at Angre Teaching Hospital. The study included all female patients aged 60 years or older who consulted the clinic during the study period. Sociodemographic and clinical parameters were analyzed. Data analysis was performed using SPSS software. Results: Out of a total of 4226 patients seen in the gynecology outpatient clinic, 176 were female patients aged 60 years or older representing a prevalence of 4.2%. The mean age of the patients was 64 years (60 to 76 years). Grand multiparity was observed in 29.5% of cases. Patients presented via direct admission in 78.4% of cases and by referral in 21.6% of cases. A history of hysterectomy was noted in 5.7% of patients. The primary reasons for consultation were abnormal genital bleeding (13.1%), followed by leukorrhea (vaginal discharge) and vulvar pruritus (7.9% each), and breast masses (7.4%). The established diagnoses were non-malignant pathologies in 71% of cases (including 33.5% postmenopausal disorders) and malignant pathologies in 29% of cases (comprising 37.2% breast cancers and 62.8% gynecological cancers). Notably, 9.1% of the patients required transfer or specialist referral. Conclusion: The reasons for consultation in this demographic are highly varied. Malignancies, particularly cervical and breast cancers, are highly prevalent in the postmenopausal period. To improve prognoses and ensure appropriate management for postmenopausal women, we strongly advocate for the implementation of organized, large-scale screening campaigns.