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Category: Volume 08 Issue 08 August 2020
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Title: Study of Etiological Factors of Abnormal Uterine Bleeding in adolescent age group

Authors: Dr Pavitra Singh, Dr Nupur Nandi, Dr Rehana Najam, Dr Shubhra Agarawal

 DOI: https://dx.doi.org/10.18535/jmscr/v8i8.32

Abstract

Background: Abnormal uterine bleeding (AUB) is defined bleeding from uterine origin that is abnormal in duration, volume, frequency and regularity1. In adolescent age group it is significant health problem and accounts for 50% gynecological visit2. So early diagnosis of exact etiology and treatment are keystone in management of abnormal uterine bleeding in adoloscent.

Aim & Objectives: to analyse age-wise distribution, clinical profile and the causes of abnormal uterine bleeding in adolescent girls.

Study Design & Set-Up: Prospective cohort study conducted in Teerthanker Mahaveer Medical College & Research Centre.

Material & Method:  The study was conducted from January 2019 to December 2019. Informed consent was taken. Girls attending outpatient department or admitted in IPD due to Abnormal Uterine bleeding were considered as study subject.

Result: Total number of subject was 58. In our study most of the adolescent girls (41.3%) presented with AUB in the first two years after menarche. All our study subject was anaemic. Mild anaemia was present in 70.68% girls, and 22.40% was moderately anaemic & 6.87% was severely anaemic. BMI was not significantly higher in our study population. Anovulatory causes of AUB were present in 80.98% cases of which 54.3% due to immature HPO axis. Coagulopathy was detected with low PC. Genital TB was in 3.44% cases. Structural causes of AUB were present in 5.16% cases.

Conclusion: In adolescent age group ovulatory dysfunction was commonest cause of AUB which could be treated with low cost cycle regulatory drugs. All our study subjects were anaemic. Most of the cases of AUB report late. The inability to assess the amount of blood loss often lead to severe anaemia and require hospital admission and other consequence. Structural causes of AUB is rare in these age group. Proper evaluation by history, clinical examination & investigation are important to diagnose the etiology of abnormal uterine bleeding in adolescence for deciding the plan of management.

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Corresponding Author

Dr Pavitra Singh

Third year post graduate student of Dept. of Obs & gynae Teerthankar Mahaveer Medical College & Research Centre