A non-randomized evaluation of puberty menorrhagia in a tertiary set-up in north-east India (original) (raw)
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A study to evaluate the aetiological factors and management of puberty menorrhagia
Online Journal of …, 2008
Introduction: This study aims to evaluate the incidence, clinical presentation, etiological factors and treatment outcomes of the patients suffering from puberty menorrhagia. Methods: 65 patients with puberty menorrhagia attending the outpatient as well as indoor department of NRS Medical College, Kolkata during the period from February, 2005 to July,2006 were included in the study. They were prospectively analysed to assess the aetiological factors and the outcome of treatment required to manage these cases. Results-The incidence of puberty menorrhagia was 9.6% in our study. 40%s patients had menarche between 12-13 years. 61.6% had anovulatory dysfunctional uterine bleeding(DUB). 15.4% had hematological causes. Hypothyroidism, endometrial tuberculosis, polycystic ovarian disease were other important causes. 40% were relieved with tranexamic acid, 26% required hormone treatment and 35.3% received blood transfusion. Conclusion: Anovulatory DUB is the cause of menorrhagia in most of the cases .Medical treatment is mostly effective while surgical procedures are limited to few specific cases.
Study of Puberty Menorrhagia in Adolescent Girl in a Rural Set-up
Journal of South Asian Federation of Obstetrics and Gynaecology, 2012
Introduction Puberty menorrhagia is a real trouble among adolescent girls mostly due to problem in hypothalamic-pituitaryovarian axis. Aims and objectives To understand the various causative factors in puberty menorrhagia and to evaluate the role of hormones estrogens, progesterones or combination of both in controlling the excessive menstrual bleeding. Materials and methods It is a study conducted in the Department of Obstetrics and Gynecology at Acharya Vinoba Bhave Rural Hospital, JNMC, Sawangi from January 2009 to December 2010. Study included a total of 50 adolescent girls presenting with complains of menorrhagia. Results About 78% patients had menorrhagia due to immaturity of hypothalamic-pituitary-ovarian axis; 14% had polycystic ovarian disease and 8% had hypothyroidism. Out of 50 patients who were treated with hormones, 26 patients (52%) responded by the end of third month follow-up. Conclusion Majority of the patients showed good response to combined oral contraceptive pil...
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