Gynecological problems of adolescent girls attending to rural tertiary care centre

Abstract

Background: Adolescence is a transient and dynamic period between childhood and adulthood, characterised by several changes in the body and the child’s mind. The World Health Organization defines adolescents as young people aged 10-19 years, but changes may begin before and continue after this age group. Adolescents constitute over 21.4% of population in India. Adolescence is a period of enormous physical and psychological change for young girls. Hormonal events play a key role in this transition. One of the major physiological changes that take place in adolescent girls is the onset of menarche, which is often associated with problems of irregular menstruation, excessive bleeding and dysmenorrhea. The aim of this study was to determine the proportion of various gynecological problems among adolescent girls seeking care at a tertiary care centre, Kolar, Karnataka, India.Methods: A cross sectional study was conducted during March 2016 to March 2018 among all adolescent girls (10-19 years) with gynecological problems attending inpatient and outpatient Department of Obstetrics and Gynecology. A pre-tested semi-structured questionnaire was used to collect information regarding their socio-demographic characteristics, gynecological history, family history, obstetric history, documentation of general physical examination and other investigations. Data entered using Microsoft Excel and analysed using SPSS v20.Results: A total of 720 adolescent girls sought care for gynecological problems in the study period with more than 80% of the cases belonging to the age group between 15 and 19 years. Of the 720, 362 (49.8%) had some type of menstrual disorders. Of these 362 cases about 41 of them were a case of puberty menorrhagia (11.32%) and 89 cases were of dysmenorrhea (22.37%). Among 720 cases, 290 (40.2%) of them were diagnosed of teenage pregnancy; among which 34 of them were unwanted pregnancy. Other presentations include vaginal discharge, urinary tract infection, mass per abdomen, trauma to genital tract and turners syndrome (two cases).Conclusions: The study shows around half of the adolescent girls are having menstrual disorders. One third were teenage pregnancies with most of them been ‘wanted’. This alarming finding calls for strengthening of adolescent programme with targeted health education and behavioural change. Setting up a separate adolescent clinics is necessary for efficient management of menstrual disorders in adolescents.

Tackling gynecological health problems in adolescent girls of rural India: need of the hour

“…Current study when compared with similar other Indian studies demonstrated similar trends in prevalence of gynaecological disorders in adolescent girls (Figure 11). [3][4][5][6] Menstrual disorders (64.5%) were found to be the most common gynaecological disorder in our study. Embarrassment about discussing menstruation and ignorance about available services may lead to delayed presentation.…”

Evaluation of Gynaecological Problems among Adolescent Girls attending Gynaecology out Patient Department at Tertiary Care Hospital in Western Rajasthan

“…Adolescent girls are highly susceptible to the exogenous and endogenous influences at this crucial period [1] . 21.4% population of India or One Fifth World's population are adolescent there are about 1.2 billion and number is increasing [2] .…”

“…Adolescent sexual and reproductive health forms a major component of global burden of sexual ill health but has been historically overlooked in terms of sexual and reproductive health intervention. [3] The International federation of gynaecology and obstetrics (FIGO) emphasize that Adolescent sexual and reproductive health (ASRH) is an important area of concern for women especially in developing countries like India. Policies and programs for promoting adolescent health in India demand more research on adolescent girls problem so that effective measure can be taken to improve the adolescent health [4] .…”