ETIOLOGY OF PUBERTY MENORRHAGIA - A PROSPECTIVE STUDY
OBJECTIVES: To determine the etiology of puberty menorrhagia. MATERIALS AND METHOD:A total of 35 cases who attended OBG OPD at Shri SathyaSai Medical college from January 2019 – June 2019 who presented with chief complaints of irregular heavy menstrual bleeding since menarche were included in this study.After taking detailed history taking,physical examination,lab investigations,ultrasound etiology of puberty menorrhagia is ruled out. RESULTS: Most common age group in our study are between 12 – 14 years (60%).34.2 % attained menarche between 12 – 13yrs.Around 27 patient had duration of symptoms for less than 6 months, 6 had symptoms for about 6 – 12 months, 2 had for more than 1 year. Most common etiolgy in our study is PCOD (25.7%), anovulatory without PCOD (20 %), bleeding diathesis and thyroid disorder (17.1 %), pregnancy complication (8.5%), tuberculosis (5.7 %), fibroid and endometriosis (2.8 %). CONCLUSION: Puberty menorrhagia needs to be evaluated in early stage rather than at later stage so that consequences of abnormal uterine bleeding can prevented.