Study on adolescent gynaecological problems
Study on adolescent gynaecological problems
Blog Article
Background: Adolescent is age between 11-19 years, where there are enormous physical, psychological, sexual, emotional and behavioural changes.They constitute 22 % of population in India.Hence, their unique problems need to Air Purifier be addressed.Objectives: 1) To study gynaecological problems and their clinical profile in adolescent girls.
2) To evaluate treatment modalities of gynaecological problems in adolescent girls.3) To evaluate reproductive health awareness among adolescent girls.Methods: Girls in the age group of 11 to 19 years attending gynaecology OPD or emergency were included in the study.First, the girl was interviewed keeping her privacy and dignity.
A detailed history and examination were done emphasizing on pubertal events such as thelarche, pubarche, pregnancy and menarche.Investigations like hemogram, coagulograms, hormonal assays, and sonography were done wherever applicable.Results: 71.67% achieved menarche at 14-16 years of age.
Most common gynaecological problems among the adolescent girls were menstrual disorders 156 (52%), followed by vaginal discharge i.e.35(11.6%), 24(8.
0%) gave history of sexual assault, 24 (8%) had excessive weight gain and 20(6.6%) reported urinary tract infection.The most common type of menstrual disorder was that of oligomenorrhea 86 (55.2%).
Out of 38 PCOS cases, 31(81.6%) cases presented with oligomenorrhea.Out of 300 cases, 200(66.7%) cases were aware of physical signs of puberty, 245(81.
7%) cases were aware of Crank Link STD, HIV and its mode of transmission, 200(66.7%) cases were aware about contraceptive methods, 150(50.0%) cases were aware about physiology of menstruation and 198(66.0%) cases were aware of menstrual hygiene.
Out of 19 teenage pregnancies, in 8(42.1%) cases LSCS was done, 4(21.3%) cases had vaginal delivery and 4(21.0%) cases had MTP.
Conclusions: Menstrual abnormalities are the most common gynaecological problems of adolescents.Adolescents should be addressed with dignity.It is need of the time to set up specialized adolescent gynaecological clinics.