Assessment of Various Etiological Factors of Puberty Menorrhagia
Keywords:Anovulatory cycle, PCOS, Anemia, Hypothyroidism
Background: Puberty menorrhagia is characterized with lengthy bleeding that occurs between menarche and the age
of 19. From menarche to menstruation, it takes 5-8 years for a regular menstrual cycle to develop, and during this time,
teenagers may have menstrual irregularities. Puberty menorrhagia poses a significant challenge to the gynecologist when
it is associated with serious systemic complications like anemia and hypoproteinemia.
Objectives: To analyze the various causes for puberty menorrhagia
Methods: A total of 82 Adolescent girls attending outpatient department were selected after meeting the inclusion criteria.
Informed consent from parents/guardian and consent from patient and consent from adolescent if she is above 18yrs of
age. Identification of underlying cause and prevalence rates. Diagnosis will be made based on the investigations.
Results: The mean age 14.92 + 2.16. Severe anemia was seen in 41.46% of the cases, moderate anemia was seen in 43.90%
of the cases and Mild anemia was seen in 14.63% of the cases. The ultrasound findings were normal in 88% of the cases,
PCO was detected in 10% of the cases, Intramural fibroid was seen in 2% of the cases. Anovulatory cycle were seen in
79.26% of the cases, PCOS was the most common etiology in 9.75% of the cases, Hypothyroidism was diagnosed in 8.53%
of the cases, Uterine fibroids were diagnosed in 2.43% of the cases.
Conclusion: Puberty menorrhagia is an aggravating condition that can escalate into serious complications and necessitate
a blood transfusion. The majority of instances are caused by anovulatory cycles with immature hypothalamo-pituitaryovarian-
endometrial axis. The present child obesity epidemic may exacerbate the symptoms of polycystic ovarian
syndrome, emphasizing the necessity of early and accurate diagnosis with a focus on lifestyle change.
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Copyright (c) 2022 Nazima Alauddin
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