PUBERTY MENORRHAGIA: CAUSES AND MANAGEMENT
Article Sidebar
Main Article Content
Abstract
Objectives: To determine the causes of Puberty Menorrhagia and to evaluate the efficacy of Medical Management.
Material and Methods: This descriptive study included 35 patients, who presented with puberty menorrhagia to
Gynae C Unit Khyber Teacing Hospital, Peshawar from January 2008 to December 2010. Assessment of each case
with thorough history, physical examination and laboratory investigations was done.
Results: In 26 (74.2%) patients immaturity of hypothalamic pituitary ovarian axis was the cause of puberty
menorrhagia. three (8.6%) patients had polycystic ovarian disease (PCOD), 1 (2.8%) patient had hypothyroidism, 3
(8.6%) had thrombocytopenia, 1 (28%) patient had VonWillebrand disease (vWD), 1 (2.8%) patient had multiple
fibroids in the uterus. Twenty (57.14%) patients had menorrhagia of > 1years duration. Six (17.11%) patients had
haemoglobin level of < 5gm/dl. One (2.8%) patient needed surgical intervention in the form of myomectomy. All other
patients responded to medical management.
Conclusion: Puberty menorrhagia is a distressing condition both for the patient as well as her parents. Most of the
cases are due to anovulatory dysfunctional uterine bleeding (DUB) which is a self limiting condition. Counselling of
the patients is an important part of management. Long term medical treatment is successful in the majority of cases.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.