Pegu Bhabani, Gaur Bhanu Pratap Singh, Yadav Anita, Yadav Vikas
Department of Obstetrics and Gynecology, ANIIMS Port Blair, Andaman and Nicobar Islands, India, Phone: (+91) 9476007785.
Department of Community Medicine, ANIIMS Port Blair, Andaman and Nicobar Islands, India.
Int J Adolesc Med Health. 2018 Aug 17;32(4):/j/ijamh.2020.32.issue-4/ijamh-2017-0193/ijamh-2017-0193.xml. doi: 10.1515/ijamh-2017-0193.
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.
青少年妇科问题在妇科疾病谱中占据特殊地位，因为它们往往与影响成年女性的疾病不同。本研究的目的是确定在门诊就诊的青春期女孩中存在的不同妇科问题。方法：本研究纳入了年龄在10至19岁的青春期女孩。通过详细的病史采集和全面的临床检查对各种妇科问题进行评估。根据需要进行血常规、凝血功能、激素测定和超声检查等检查。进行描述性分析，结果以百分比表示。结果：在研究期间，共有824名（8.33%）青春期女孩到妇科门诊就诊。月经紊乱（67.11%）是最常见的主诉，其次是白带异常（18.68%）和尿路感染（9.8%）。月经紊乱包括月经不调（55.15%）、痛经（30.74%）和闭经（14.10%）。功能失调性子宫出血是月经不调最常见的原因，其次是多囊卵巢疾病（PCOD）。少数病例中发现了青少年妊娠（0.84%）和卵巢肿瘤（0.60%）。结论：应全面评估青春期女孩的妇科问题并相应地进行处理。青少年健康教育需要提高对妇科问题的认识并给予更多关注。
