title: Gynecological Problems of Adolescent Girls Attending Outpatient Department at Tertiary Care Center with Evaluation of Cases of Puberty Menorrhagia Requiring Hospitalization.
abstract: Adolescence is a period of enormous physical and psychological change for young girls. Many adolescents with menstrual disturbances never present to their family doctor or gynecologist. Embarrassment about discussing menstruation, fear of disease, and ignorance about services available may lead to delayed presentation or consultation with doctor.
  
  
  OBJECTIVE
  To evaluate the different gynecological problems in adolescent girls attending outpatient department.To evaluate the prevalence of severe anemia requiring indoor admission in adolescent girls with puberty menorrhagia.To assess the etiologies of puberty menorrhagia.
  
  
  RESULTS
  There were a total of 655 adolescent girls attending the gynecology OPD during the study period. Menstrual complaints (84.88 %) were the commonest indication for OPD consultation among adolescent girls. 17 girls required hospitalization; all of them needed blood transfusion due to significant severe anemia resulting from puberty menorrhagia. 14 (82.35 %) had anovulatory DUB, while 2 (11.76 %) had coagulation disorders, and one (5.88 %) had hypothyroidism.
  
  
  CONCLUSIONS
  Adolescent girls with menorrhagia need to be evaluated thoroughly earlier rather than later so that effective management can be started and severe anemia with its consequences can be avoided. Adolescent health education and group discussion is needed to create awareness regarding adolscent gynecological problems; it should be conducted regularly in schools and colleges.
authors.affiliation: Department of Obstetrics and Gynaecology, Shri Vasantrao Naik Government Medical College & Hospital, Yavatmal, Maharashtra India.
authors.forename: Archana D
authors.initials: AD
authors.lastname: Rathod
authors.affiliation: Department of Obstetrics and Gynaecology, Shri Vasantrao Naik Government Medical College & Hospital, Yavatmal, Maharashtra India.
authors.forename: Rohidas P
authors.initials: RP
authors.lastname: Chavan
authors.affiliation: Department of Obstetrics and Gynaecology, Shri Vasantrao Naik Government Medical College & Hospital, Yavatmal, Maharashtra India.
authors.forename: Sandhya P
authors.initials: SP
authors.lastname: Pajai
authors.affiliation: Department of Preventive and Social Medicine, JNMC, Sawaghi, Wardha, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Bhagat
authors.affiliation: Department of Obstetrics and Gynaecology, Shri Vasantrao Naik Government Medical College & Hospital, Yavatmal, Maharashtra India.
authors.forename: Prachi
authors.initials: P
authors.lastname: Thool
keywords: Adolescent girls; Coagulopathy; DUB; Indoor admission; Puberty menorrhagia