DOI: 10.36347/sjams.2015.v03i07.058

Pages: 2729-2732

The objective is to evaluate the gynaecological problems among unmarried adolescent girls attending the out patient department of Gauhati Medical College, Guwahati. A total of 145 girls (10—19yrs , pregnancy excluded) attending gynae OPD were included in this study. A detailed history and physical examination was done. Investigations like haemogram, coagulation profile, hormonal assays, sonogrphy, etc were done as and when required. Menstrual disorders were commonest gynaecological problems (76.5%) followed by vaginal discharge (13.1%) and ovarian tumour (3.45%). Among the menstrual disorders, most common was menorrhagia 37/111 (33.33%), followed by oligomenorrhoea 23/111 (20.72%), dysmenorrhoea 22/111 (19.82%), metrorrhagia 19/111 (17.11%), amenorrhoea 8/111(5.52%), polymenorrhoea 2/111 (1.80%). Dysfuntional uterine bleeding was the commonest cause of adolescence menorrhagia 25/37 (67.57%). Endocrinal abnormalities like hypothyroidism (4cases), hyperprolactinemia (3 cases) were present among 23 cases of oligomenorrhoea. Menstrual disorders are the most common gynaecological problems of adolescents. Adolescent girls suffer from various gynaecological problems which should never be over looked. By setting up specialized adolescent clinic, specially in public sector hospitals, we can give greater momentum to adolescent gynaecology.