Keywords : Menorrhagia
A STUDY ON GYNAECOLOGICAL PROBLEMS IN ADOLESCENT GIRLS AND ETIOLOGICAL FACTORS IN GOVERNMENT MEDICAL COLLEGE, KADAPA
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2360-2375
Background: Low socio economic group hailing from rural population was the maximum group of girls studied. To study various gynaecologicalproblems and etiological factors encountered in adolescent girls who attended the gynaecological OPD, at GMC, Kadapa.
Materials and Methods: A total of 200 cases of adolescent girls aged 10 -19 years who attended gynaecological OPD and emergency department. Detailed history with regard to gynaecological problems was taken from the patient and girl‟s mother was also interviewed to get accurate details about any previous medical problems if present.
Results: Maximum incidence of gynaecological problems was seen in age group of 17years. Among the various presenting complaints in studied adolescent girls, menstrual irregularities were the most common. Oligomenorrhoea was the most common menstrual problem in this study. Anovulation is the most common cause of menorrhagia in adolescents. Majority of adolescent girls suffered from anemia ranging from mild to severe types of anemia. 5.56% patients with puberty menorrhagia received blood transfusion. The most common cause of oligomenorrhoea was the hypothalamic pitutary gonadal dysfunction. Counselling and reassurance was an integral part of treatment strategies. PCOS and hypothyroidisms were the other endocrinological abnormalities common among the adolescent girls. Leucorrhoea in adolescent girls in my study were most commonly. physiological, counselled and explained to maintain proper hygiene.
Conclusion: A combined effort of team comprising gynaecologist, endocrinologist is required in arriving final diagnosis in case of primary amenorrhoea.