Prevalence of various gynecological problems in adolescent girls 10-19 years of age attending outpatient Department at tertiary care institute of Bhuj, Kutch, Gujarat, India
Background and Aim: Various adolescent Gynecological problems are menstrual disorders like abnormal uterine bleeding, primary amenorrhoea, PCOD, puberty menorrhagia leading to severe anemia, sexual abuse, pregnancy-related problems, adnexal masses, endocrinopathies, etc. The present study was done with an aim to study the prevalence, etiological factors of various gynecological problems in adolescent girls 10-19 years of age, attending to the outpatient Department of Gynecology, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat.
Material and Methods: Present observational study was conducted on 400 Adolescent girls (10-19 years) presenting with gynecological complaints presenting at the Department of Gynecology, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat for the period of one year. In addition to the general examination, physical examination including height and weight, secondary sexual characters, presence of any congenital anomalies were recorded and data regarding sociodemographic factors collected in a predesigned questionnaire/proforma.
Results: Dysmenorrhea was the most prevalent complaint in the early adolescent group. Menstrual disorders were the most common presentation to the adolescent gynecological outpatient department followed by abnormal vaginal discharge. Among menstrual disorders dysmenorrhea was the most common 42.5%, irregular menses 24.07%, and heavy menstrual bleeding 14.8%.
Conclusion: Menstrual problems are the commonest reason for gynecological OPD consultation among adolescent girls. Evaluation of bleeding problems in adolescents is justified, before considering them as the normal physiological transition. Though adolescents constitute only about 5% of all patients attending the gynaec outpatient department, adolescent gynecological problems are unique and specific regarding presentation, diagnosis, and management of their problems is important for their future reproductive health.
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