Analysis of Menstrual Cycle Irregularities in Adolescent Girls in a Tertiary Care Hospital

Abstract

The aim was to study the abnormal menstrual patterns of adolescent girls, the cause of dysfunction, and the associated factors in relation to the menstrual disorders. MATERIAL & METHODS: A prospective study done in department of obstetrics & gynaecology SMS Medical College from June 2010-June 2012. 120 adolescent girls between 12-19 yrs of age with menstrual disorders excluding dysmenorrhoea, primary amenorrhoea &pregnancy related bleeding problems were included in the study. After detailed history, examination all had an ultrasound, thyroid profile & serum prolactin levels. Other investigations done if required according to clinical profile of the patients RESULTS: 50% of the girls presented at 18-19 years. 83.3% attained menarche between 12-14 years of age Menorrhagia & oligo-hypomenorrhea were the most common dysfunction, i.e 26.7% each, abnormal investigative profile was more common in patients with oligo hypomenorrhea, 40% of patients with oligo and/or hypomenorrhea had PCOS, 14% had hyperprolactinaemia,7% had hypothyroidism. 1/3 of these patients had normal hormonal & USG findings. Majority (72.2%) of the patients with menorrhagia and /or metrorrhagia had normal hormonal and USG findings. CONCLUSIONS: Evaluation of bleeding problems in adolescents is justified, before considering them as normal physiological transition. Although most problems are explained by anovulation other causes must be considered & excluded Hormonal evaluation of these patients is justified & reveals unsuspected pathology.

Age at Menarche and Menstrual Characteristics among the Munda Tribe of Jajpur District of Odisha: A Case Study

“…According to (Samanta et al, 2019; ) the most commonly faced problem during menstruation are fatigue, stomach pain, waist pain, leg pain, joint pain, vomiting etc. At the time of menstruation women experienced different menstrual problems like dysmenorrhea, haemorrhage, irregular menstruation etc (Thakre et al, 2012;Verma et al, 2011;Singh et al, 2019 ). It is very important to maintain hygiene during the menstrual cycle.…”

“…But these menstrual hygiene practices are not satisfactory across the country. It has not changed much in rural areas (Verma et al, 2011;Madhumita et al, 2019;Deshpande et al, 2018 ). Acceptance of sanitary napkin during this period is not satisfactory because of the hesitation and financial problem (Bhartiya, 2013;Verma et al, 2011).…”

“…It has not changed much in rural areas (Verma et al, 2011;Madhumita et al, 2019;Deshpande et al, 2018 ). Acceptance of sanitary napkin during this period is not satisfactory because of the hesitation and financial problem (Bhartiya, 2013;Verma et al, 2011). Poor personal hygiene and un safe sanitary condition creates gynaecological problem (Ahuja et al, 2018).The duration of menstrual flow ranges within 4-6 days (Madhumita et al, 2019;) .…”