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Indian Journal of Obstetrics and Gynecology

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Evaluation of Etiological Factors for Menorrhagia in Adolescent Girls in Tertiary Care Centre

Alka Patil* , Alka Patil* , Ashalata Bafna** , Nilay Patel*** , Anamika Arun***

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Indian Journal of Obstetrics and Gynecology 5(1):p 83-88, January - March 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.14

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Abstract

 Introduction: Adolescence is the time during which endocrinal changes of puberty, sexual development and growth occurs. WHO definition, adolescents are the individuals in the 10-19 years age group. Menstrual disturbances in adolescents may present diagnostic and management challenges for the gynaecologist, and may add future disruption to this difficult phase for adolescents and their families. Aims & Objectives: This Study was conducted to find out the etiological factors of menorrhagia in adolescent girls, in age group 11yrs to 19yrs and to find out prevalence of these etiological factors. Material & Methods: This is retrospective study from March-2015 to Sept-2016.Adolescent girls in age group 11yrs to 19yrs attending gynaecology OPD in tertiary care Centre were selected. Results: In This Study 62 Patients presented with menorrhagia in Adolescent age group. In our Study 15 (24.19 %) girls had menorrhagia within 3 to 6 months duration, 24 (38.7%) girls had menorrhagia within 6 months to 1 year & 14 (22.58 %) girls suffered from menorrhagia for more than 1 year. Incidence of menorrhagia due to anovulation as etiological factor was 66.12%, and 13 patients (20.96%) had PCOD. Conclusion: Anovulatory dysfunctional uterine bleeding was the commonest cause of menorrhagia in adolescent girls. Analysis of data showed PCOD as second etiological factor. This emphasizes the need to evaluate menorrhagia in adolescent girls, so that pathology is detected early and treatment is given accordingly. This will prevent reproductive morbidity in future.

Keywords: Adolescence; Menorrhagia; Anovulation; Coagulopathy; Hypothyroidism

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.14

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