title: [Urogenital symptoms and their resulting discomfort in non-institutionalized 50-to-75-year-old Dutch women].
abstract: OBJECTIVE
  To determine the prevalence of urogenital symptoms in non-institutionalized Dutch women, aged 50 to 75 years, and the degree of discomfort.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Nationwide investigation.
  
  
  METHODS
  A questionnaire was sent to 2157 non-institutionalized Dutch women aged 50 to 75 years. The survey sample was representative of the female population aged 50 to 75 years with respect to age, marital status, level of education and menopausal age.
  
  
  RESULTS
  The usable response was 81.6% (n = 1761). The overall prevalence of vaginal dryness, soreness and dyspareunia was 27%. The prevalence of micturition symptoms, urinary incontinence and recurrent urinary tract infections was 36%. The prevalence estimates for vaginal dryness and urinary incontinence showed a linear decrease with increasing age. Almost half of the symptomatic women reported moderate to severe discomfort. One-third of those affected received medical care. Previous hysterectomy had no effect on the reported prevalence estimates. Hysterectomized women reported moderate to severe complaints more often than non-hysterectomized ones.
  
  
  CONCLUSIONS
  The prevalence of urogenital symptoms in non-institutionalized Dutch women aged 50 to 75 years, was high: 47%. Of these women, 40% to 60% experienced discomfort, but only one-third had sought medical advice. These urogenital problems will probably increase in the coming decades.
authors.affiliation: Sint Anna Ziekenhuis, afd. Verloskunde en Gynaecologie, Oss.
authors.forename: J M
authors.initials: JM
authors.lastname: van Geelen
authors.forename: P H
authors.initials: PH
authors.lastname: van de Weijer
authors.forename: H T
authors.initials: HT
authors.lastname: Arnolds
mesh_terms: D000368:Aged; D001284:Atrophy; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D015995:Prevalence; D011788:Quality of Life; D012494:Sampling Studies; D014555:Urination Disorders / Q000453:epidemiology; D014621:Vagina / Q000473:pathology
vernacular_title: Urogenitale verschijnselen en hinder daarvan bij thuiswonende Nederlandse vrouwen van 50 tot 75 jaar.