PUBERTY MENORRHAGIA IN A RURAL MEDICAL COLLEGE
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Keywords
Puberty menorrhagia, Dysfunctional uterine bleeding, Hormonal therapy
Abstract
Background: Puberty menorrhagia can pose a significant challenge to the gynecologist when associated with serious systemic complications like anaemia and hypoproteinaemia. Early diagnosis and treatment with individualization of each and every case is the keystone in the management of puberty menorrhagia. Exclusion of pregnancy is mandatory in every case, irrespective of the history, reassurance, counseling, regular follow-up along with a balanced nutritional diet and long term iron therapy go a long way in successful management of such cases.
Setting:This study was conducted at PRM Medical College,Baripada,Odisha,India from January 2018- December 2020.
Methods: Data was collected from medical case records in each of these cases from indoor case sheets and from the patients attending the gynaecology OPD.
Results: There were 70 indoor admissions in the gynaecology l puberty menorrhagia over a span of two years. The leading cause was anovulatory dysfunctional uterine bleeding. Other systemic associations included hypothyroidism, idiopathic thrombocytopenic purpura, genital tuberculosis, and PCOD. Each case was analyzed for demographic profile, duration of menorrhagia, severity of symptoms, degree of anaemia, final diagnosis, requirement of blood and component therapy and response to conservative management.
Conclusions: Most abnormal bleeding in adolescents is caused by immaturity of the hypothalamic - pituitary ovarian axis resulting in anovulation. Approximately 20% of adolescents have an underlying endocrine or haematological disorder requiring targeted diagnostic testing.
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Dr Sushreeta Patra
Senior Resident , Dept of O&G, PRM Medical College, Baripada ,Odisha,India
Dr Subhalaxmi Dash
Asst Professor, Dept of O&G, MKCG Medical College, Berhampur,Odisha,India,
Dr Satyajit Jena
Asst Professor, Dept of O&G, SCB Medical College, Cuttack, Odisha,India
Dr Sudhanshu Sekhara Nanda
Asst. Professor, Dept of O&G, PRM Medical College, Baripada ,Odisha,India
Dr Chintamani Mahanta
Asso. Professor,Dept of O&G, PRM Medical College, Baripada ,Odisha,India