Abstract
Puberty menorrhagia is a significant health problem in adolescent age group and severe cases may require admission and blood transfusion. Aim of this study was to evaluate the causes, associated complications and management of puberty menorrhagia. Hospital records of all patients of puberty menorrhagia requiring admission were analyzed for etiology, duration since menarche, duration of bleeding, investigation profile and management. There were 18 patients of puberty menorrhagia requiring hospital admission. Etiology was anovulatory bleeding in 11 patients, bleeding disorders in five which included idiopathic thrombocytopenia purpura in three and one each with Von-Willebrand disease and leukemia. Two patients had hypothyroidism as the cause. Fourteen patients presented with severe anaemia and required blood transfusion. All except one responded to oral hormonal therapy. Puberty menorrhagia can be associated with severe complications and requiring blood transfusion. Although most common cause is anovulation but bleeding disorder, other medical condition and other organic causes must be ruled out in any patient of Puberty menorrhagia.
Highlights
Puberty menorrhagia is a significant health problem in adolescent age group and severe cases may require admission and blood transfusion
Five patients (27%) were diagnosed with bleeding disorders. Of these three patients were diagnosed with idiopathic thrombocytopenic purpura (ITP) and one patient was diagnosed to be suffering from leukemia and one had von-Willebrand disease
All three patients of thrombocytopenia presented with severe anaemia (Haemoglobin 1.5 gm% - 2 gm%) had history of severe heavy menstruation since menarche
Summary
Puberty menorrhagia is a significant health problem in adolescent age group and severe cases may require admission and blood transfusion. Aim of this study was to evaluate the causes, associated complications and management of puberty menorrhagia. Methods: Hospital records of all patients of puberty menorrhagia requiring admission were analyzed for etiology, duration since menarche, duration of bleeding, investigation profile and management. Conclusions: Puberty menorrhagia can be associated with severe complications and requiring blood transfusion. Most common cause is anovulation but bleeding disorder, other medical condition and other organic causes must be ruled out in any patient of Puberty menorrhagia. In all cases it is mandatory to exclude pregnancy We carried out this analysis with the objective to find out the incidence, complication, etiology and role of conservative management in the puberty menorrhagia
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