CLINICAL SPECTRUM OF GYNAECOLOGICAL DISORDERS IN ADOLESCENTS

Abstract

Introduction- Adolescence is defined as transitional stage from childhood to adulthood which includes changes in various aspects like body structure, physiology, hormonal milieu and psychology. Adolescence period is period of 10-19year of age can be divided into three phases: early (10-13 year), mid (14-16 year) and late (17- 19 years). India has the largest adolescent population in the world i.e. 253 million, and every fifth person in India is between 10 to 19 years.¹ Adolescent girls make 10% of total population and 20% of the female population. The aim of the study was to describe the clinical spectrum of various gynaecological disorders in adolescent. 

Methodology- It was a cross - sectional observational study, conducted at SGRR institute of medical & health sciences Dehradun, from March 2023 to April 2024.  In the present study, we have included girls between 10-19 years, attending outpatient department after informed consent.

Result

In the study we found that most of the girls belonged to age group 17-19 years. Maximum girls were having normal BMI but 24.67% were overweight and 2.27% were obese. Most common gynaecological complaint was menstrual disorders and in which infrequent menses followed by dysmenorrhea are the common complaints. PCOS was diagnosed in 15.58% adolescent girls. Vaginal discharge was the 2^nd most common gynaecological complaint.

Conclusion

Adolescents need special attention and approach when it comes to their gynaecological health. Adolescent girls are embarrassed while sharing their problems; also they are fearful about the different situations sometimes even physiological. Empathetic approach along with good counselling helps them in overcome the different problems. Adolescent clinics are good options to provide adolescent girl a safe environment. PCOS is becoming the public health concern. Healthy lifestyle is need of the hour to prevent the new epidemic.