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Lichen sclerosus (LS) is a disease of unknown cause that results in white patches on the skin, which may cause scarring on and around genital skin1. Several risk factors have been proposed, including autoimmune diseases, infections and genetic predisposition2,3. There is evidence that LS can be associated with thyroid disease4. Women are more commonly affected than men (10 to 1 ratio), particularly prepubertal girls and after menopause. The condition most commonly occurs on the vulva and around the anus with ivory-white elevations that may be flat and glistening. There may be marked itching or the condition may be without any symptoms. There may also be thinning and shrinkage of the genital area. This condition is presented here as an younger woman presented with acute form of lichen sclerosus.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(1) : 47-50

Background: Menopause is a natural biological process, not a medical illness. Although it is associated with hormonal, physical and psychosocial changes in life, it is not the end of youth or of sexuality. Several generations ago, few women lived beyond menopause, Today, women may spend as much as half of their life after menopause. Hormone therapy (HT) has been widely used in recent decades to relieve the signs and symptoms of menopause and - doctors thought- to prevent disease associated with aging. However, new long term evidence has demonstrated that hormone therapy may actually increase risk of serious health conditions, such as heart disease , breast cancer and stroke. Oestrogen therapy is still a safe, short -term option for some women, but numerous other therapies also are available to help women manage menopausal symptoms and stay healthy during this important phase of life. DOI: 10.3329/bmj.v36i2.3612 Bangladesh Medical Journal 36(2) 2007 48-51

To compare the level of knowledge about menopause in terms of its cause, problems and care seeking pattern among the rural women after a health education intervention program. It was a cross sectional intervention type study. In the study, the outcome of intervention was obtained by comparing pre intervention and post intervention of same study population to test if there is any difference in knowledge level. The total intervention program was evaluated ranking their answers and found that before the intervention the only 27.8% respondents had some knowledge regarding menopause related problems and 72.2% had no such perception. After intervention it was observed that 49.27% respondents improved their knowledge, statistically it was found significant. The study was conducted to assess and compare the improvement of knowledge of rural women regarding menopause through educational interventions program. From the study findings, it revealed the significant achievement among the respondents regarding the knowledge on menopause, health care seeking behaviour through an educational intervention program imparted to them. The aim of intervention program is that there should be some degree of changes about knowledge, attitude and behaviour. From the intervention program knowledge of the rural women upgraded. Though this study may not necessarily reflect the actual picture. Through the study the intervention program was found very effective which might be replicate in the country through a national program. Key word: Knowledge on menopausal problems, Health care seeking pattern. DOI: 10.3329/bmj.v38i1.3580 Bangladesh Medical Journal 38(1) 2009 9-14