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abstract: "Introduction: This study aims to evaluate the incidence, clinical presentation, etiological factors and treatment outcomes of the patients suffering from puberty menorrhagia. \r\nMethods: 65 patients with puberty menorrhagia attending the outpatient as well as indoor department of NRS Medical College, Kolkata during the period from February, 2005 to July,2006 were included in the study. They were prospectively analysed to assess the aetiological factors and the outcome of treatment required to manage these cases.\r\nResults – The incidence of puberty menorrhagia was 9.6% in our study. 40%s patients had menarche between 12-13 years. 61.6% had anovulatory dysfunctional uterine bleeding(DUB). 15.4% had hematological causes. Hypothyroidism, endometrial tuberculosis, polycystic ovarian disease were other important causes. 40% were relieved with tranexamic acid, 26% required hormone treatment and 35.3% received blood transfusion.\r\nConclusion: Anovulatory DUB is the cause of menorrhagia in most of the cases .Medical treatment is mostly effective while surgical procedures are limited to few specific cases."
altloc:
- http://www.ojhas.org/issue25/2008-1-5.htm
chapter: ~
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creators_id: []
creators_name:
- family: Roychowdhury
given: Joydeb
honourific: ''
lineage: ''
- family: Chaudhuri
given: Snehamay
honourific: ''
lineage: ''
- family: Sarkar
given: Asim
honourific: ''
lineage: ''
- family: Biswas
given: Pranab Kumar
honourific: ''
lineage: ''
date: 2008-04-10
date_type: published
datestamp: 2008-06-02 00:39:50
department: ~
dir: disk0/00/00/60/86
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editors_id:
- Kakkilaya BS
editors_name:
- family: Kakkilaya
given: Srinivas
honourific: Dr
lineage: ''
eprint_status: archive
eprintid: 6086
fileinfo: /style/images/fileicons/application_pdf.png;/6086/1/2008%2D1%2D5.pdf
full_text_status: public
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ispublished: pub
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item_issues_count: 0
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keywords: 'Puberty menoorhagia, Anovulation, Hematological disease, Polycystic ovarian disease'
lastmod: 2011-03-11 08:57:08
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metadata_visibility: show
note: ~
number: 1
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pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Dr. B.S. Kakkilaya
refereed: TRUE
referencetext: "1.\tRao S, Pawar V, Badhwar VR, Fonseca MN. Medical intervention in puberty menorrhagia. Bombay Hospital Journal 2004;46(2) Full Text Available at http://www.bhj.org/journal/2004_4602_april/html/medical_interventions_121.htm \r\n2.\tKrishna UR, Salvi V. Adolescent and paediatric gynaecological problems. In Ratnam SS, Rao KB, Arulkumaran S. Eds. Obstetrics & Gynaecology for Postgraduates. 1999. Orient Longman, Madras. PP287-307. \r\n3.\tPark K. Preventive Medicine in Obstetrics, Paediatrics and Geriatrics. In Park K. Text Book of Preventive and Social Medicine. 17th edition. 2002. pp.359–411\r\n4.\tGail SB. Menstrual disorders in adolescence: Best practice and research. Clinical Obstetrics and Gynecology. 2003;17(1):75-92.\r\n5.\tMehrotra VG, Mukerjee K, Pandey M, Samant V. Obst. & Gyn. India. 1972;12:684\r\n6.\tPatanjali DN, NR. Adolescent health & development; In Ghai OP. Essential Pediatrics. 2005. p66-81\r\n7.\tOsler DC, Crawford JE. Body composition at menarche: the Frisch-Revelle hypothesis revisited. Pediatr. 1975;56:449 \r\n8.\tNeinstein LS. Menstrual problems in adolescents. Med Clin North Am 1990;74:1181\r\n9.\tChaudhury S, Bhattacharya PK, Sarkar A et al. Study of adolescent menorrhagia. Indian Medical Journal 2007;101(5):161-164\r\n10.\tRoyal College of Obstetricians and Gynaecologists. The initial management of menorrhagia . RCOG evidence based clinical guidelines No. 1. London 1999. \r\n11.\tClaessens CA , Cowell CA. Acute adolescent menorrhagia. Am J Obstet Gynaecol 1981;139(3):277-80.\r\n12.\tLanza F. Bernard Soulier syndrome. Orphanet Journal of rare diseases 2006;1:46\r\n13.\tShamon M. Menstrual problems and thyroid diseases. Family Magazine group. Fertility. 2006;July 18.\r\n14.\tTrivax B, Azziz R. Diagnosis of polycystic ovary syndrome. Clinical obstetrics and gynaecology 2007;50(1):168-177\r\n15.\tQuint MD, Elisabeth H, Yolanda R, Smith MD. Abnormal uterine bleeding in adolescents. J Midwifery Womens Health 2003;48(3):186-191\r\n16.\tKim MH. Dysfunctional uterine bleeding. In Copeland LJ, Jarrel JF. (Ed). Text book of gynaecology. 2nd ed. 2000. p-533-540"
relation_type: []
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reportno: ~
rev_number: 24
series: ~
source: ~
status_changed: 2008-06-02 00:39:50
subjects:
- OJHAS
succeeds: ~
suggestions: ~
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thesistype: ~
title: A Study To Evaluate The Aetiological Factors And Management of Puberty Menorrhagia
type: journale
userid: 4338
volume: 7