Gynecological problems among adolescent girls in a tertiary care centre of South Andaman district

Abstract

Background Gynecological problems of adolescents occupy a special space in the spectrum of gynecological disorders because they are often different from the conditions that affect adult women. The objective of study was to determine the different gynecological problems in adolescent girls attending outpatient departments. Methods Adolescent girls of age 10–19 years were included in this study. Various gynecological problems were evaluated by detailed history taking and thorough clinical examination. Investigations like haemogram, coagulation profile, hormonal assays and ultrasonography were done wherever indicated. Descriptive analysis was done and results are expressed in terms of percentage. Results A total of 824 (8.33%) adolescent girls attended the gynecology outdoor patient department (GOPD) during the study period. Menstrual disorders (67.11%) were the commonest complaint, followed by vaginal discharge (18.68%) and UTI (9.8%). Menstrual disorders varied from irregular menstruation (55.15%), dysmenorrhea (30.74%) and amenorrhea (14.10%). Dysfunctional uterine bleeding was the commonest cause of menstrual irregularity followed by polycystic ovarian disease (PCOD). Teenage pregnancy (0.84%) and ovarian tumor (0.60%) was found in a few cases. Conclusion Adolescent girls’ gynecological problems should be evaluated thoroughly and managed accordingly. Adolescent health education needs to increase awareness and give further attention to gynecological problems.

Current State of the Reproductive Health of Adolescent Girls and the Issues of Abnormal Uterine Bleeding as Its Component (Literature Review)

“…Thus, according to P. Kumar et al [8], almost every fourth of adolescent girls has a gynaecological pathology, of which only one-third have sought medical care. The data of B. Pegu et al [9] show that menstrual disorders account for 67.11% of all cases, 18.68% of complaints are related to vaginal discharge, and 9.8% are sexually transmitted infections. In primary school girls, inflammatory diseases of the external and internal genital organs are the most common [10], with the most common pathogens being Haemophilus influenzae -31.42%, Streptococcus pyogenes -27.74%, Candida albicans -14.09%, Escherichia coli -8.51%, and Staphylococcus aureus -6.35% [11].…”

“…Так, за інформацією P. Kumar et al [8] майже кожна четверта дівчина-підліток має гінекологічну патологію, з яких тільки одна третина звернулася по медичну допомогу. Дані B. Pegu et al [9] свідчать, що розлади менструального циклу складають 67,11% від усіх випадків, 18,68% скарг припадає на вагінальні виділення, 9,8% -на інфекції, що передаються статевим шляхом. У дівчат молодшого шкільного віку найчастіше трапляються запальні захворювання зовнішніх і внутрішніх статевих органів [10], найпоширенішими збудниками яких є Haemophilus influenzae -31,42%, Streptococcus pyogenes -27,74%, Candida albicans -14,09%, Escherichia coli -8,51%, Staphylococcus aureus -6,35% [11].…”