DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20204274

Frequency and pattern of gynecological problems of adolescent girls attending outpatient department, department of obstetrics and gynecology, Bangabandhu Sheik Mujib Medical University, Bangladesh

Hasna H. Pervin, Rezaul K. Kazal, Tabassum Parveen, Kaniz Fatema, Saima A. Chowdhury

Abstract


Background: Adolescent is a stage of development tangent, like a bridge of childhood and adulthood. It is the healthiest age group of our society which is almost 20% of our total population. World health organization (WHO) defines adolescents are in the 10-19 year in age group. 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.

Methods: This cross-sectional observational study was carried out in 668 female adolescent aged 10-19 years irrespective of their marital status visiting the OPD of obstetrics and gynecology department of BSMMU. All data was analyzed using SPSS program version 22.0.

Results: Results were expressed in frequencies or percentages. Of the 668 adolescent girls, 418 (62.6%) had different type of menstrual disorder. Of these 418 cases about 127 (30.38%) of them were a case of puberty menorrhagia, 109 (26.07%) cases were oligomenorrhoea and 91 (21.77%) were amenorrhea. Other presentations were pre-vaginal discharge, vulval itching, lower abdominal pain, dysuria, feeling lump in lower abdomen, mastalgia, feeling lump in the breast, discharge from breast, acne, hirsutism.

Conclusions: This study shows more than half of adolescent girls are having menstrual disorder. Adolescent gynecology needs increased awareness and greater attention to improve the quality of their life. Setting up a separate adolescent clinic is necessary for efficient management of adolescent problem.


Keywords


Gynecological problems, Adolescent, Frequency

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References


World Health Organization (WHO), 2009, Bangladesh, Health topics, Corporate links, Mental health, WHO 2009. Available at: https://www. who.int/mental_health/evidence/en/promoting_mhh.pdf. Accessed on 20 May 2020.

Anil K Agarwal and Anju Agrawal: A study of Dysmenorrhea During Menstruation in Adolescent Girls. Ind J Commun Med. 2010;35(1);159-64.

Zurayk H, Khattab H, Younis N, El-Mouelhy M, Fadle M. Concepts and measures of reproductive morbidity. Heal Transit Revie. 1993;3(1):17-40.

Jain A, Stein K, Arends-Kuenning M, Garate MR. Measuring reproductive morbidity through a sample survey in Peru. In: IUSSP Seminar in Manila, Philippines, on Innovative Approaches to the Assessment of Reproductive Health. IUSSP and Population Institute, University of the Philippines, Liege, Belgium. 1996.

Wasscrheit Judith N, Jeffery RH, Chakraborty J, Bradford AK. Reproductive Tract Infections in a family planning population in rural Bangladesh. Studi,Fami Planni. 1989;20(2):69-80.

Bang RA, Bang AT, Batulc M, Choudhury Y. High Prevalence of Gynecological diseases in rural Indian women. Lanc. 1989;1:85-8.

Bhatia JC, Cleland J. Self-reported symptoms of gynecological morbidity and their treatment in South India. Studi Fami Plann. 1995;26(4):203-16.

Bangladesh Demographic and Health Survey, 1999-2000. National Institute of Population Research and Training (NIPORT), Dhaka, Bangladesh. 2001.

Rahman MM, Kabir M, Shahidullah M. J Ayub Med Coll Abbottabad. 2004;16(2):9-14.

Goswami Sebanti et al: A Profi le of adolescent girls with gynecological problems. J Obset India. 2005;55(4):353-5.

Prasad D, singh K, pankaj S. Clinical Spectrum of adolescent girls in tertiary care center. Int J Scienti Stu. 2014,2(4):46-8.

Dutta R, Sengupta S. A profi le of adolescent with gynecological problems’ Obestet Gynecol India. 2005;55:353-5.

McEvoy M, Chang J, Coupey SM. Common menstrual disorders in adolescence: nursing interventions. Am JK Matem Child Nurs. 2004; 29(1):41-9.

Reindollar RH, Byrd J R. McDonough PG. Delayed sexual development: a study of 252 patients. Am J Obstet Gynecol 1981;140:371-80.

Karki C, Shrestha NS. Gynecological disorders of adolescent girls at Kathmandu Medical College Teaching Hospital. Nep J Obstetri Gynaecol. 2008;3(2):44-7.

Coulam CB, Adamson SC, Annegers JF. Incidence of premature ovarian failure. Obstet Gynecol 1986;67:604-6

Sanifileppo J, Yussman M. Gynecological problems of adolescene. In: Lavery J, Snifileppo J. (eds). Pediatric and Adolescent Gynecology New York. Sprin Verl. 1985;61-3.

Deligeoroglou E. Dysfunctional uterine bleeding. Ann NY Acad Sci. 1997;816:158-64.

Falcone T, Desjardins C, Bourque J, Granger L, Hemmings R, Quiros E. Dysfunctional uterine bleeding in adolescents. The Journal of reproductive medicine. 1994;39(10):761.

George A, Bhaduri A. Dysmenorrhea among adolescent girls- symptoms experienced during menstruation. Heal Promot Educ.2002;17:4.

Jacks T H, Obed JY, Agida ET, Petrova GV. Dysmenorrhoea and menstrual abnormalities among post menarcheal secondary school girls in Maideguri Nigeria. Afr J Med Sci. 2005;34:87-9.

Dzhorbenadze MT. Kristesahvili D1, Chopikashvili NA. Menstrual Hygiene Practices in Higher Secondary School Girls: Indian J Pediatr.

Nair MK, Chacko DS, Darwin MR, Padma K, George B, Russell PS. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. Ind J Pediatri. 2012;79(1):74-8.

Nasrin Sultana: Knowledge on Acne Vulgaris and Menstrual Cycle: A Study on Adolescent Girls. ASA Universi Revi. 2012;6(1).

Templeman C, Hertweck SP. Breast disorders in the pediatric and adolescent patient. Obstet Gynecol Clin North Am. 2000;27:19-34.