Abstract:Background: Abnormal uterine bleeding (AUB) in adolescents represents a significant clinical concern affecting physical health, emotional well-being, and quality of life [1]. The establishment of regular menstrual cycles during adolescence can be disrupted by various etiological factors, including hormonal imbalances, coagulopathies, and systemic illnesses [2-3] Aims & Objectives: To study the frequency and patterns of abnormal uterine bleeding in adolescent girls at GGH, Guntur, and to evaluate various etiological factors and management approaches in this population [4]. Materials & Methods: This was a prospective observational study conducted over 18 months (October 2022 to March 2024) on 50 adolescent girls aged 13-17 years who had attained menarche at least 2 years prior5. Comprehensive evaluation included menstrual history, physical examination, and laboratory investigations [6-7]. Results: The mean age of participants was 15.24 years, with a mean menarcheal age of 11.5 years [8]. Heavy menstrual bleeding was present in 66% of patients, and 52% experienced dysmenorrhea [9-10]. Polycystic Ovarian Disease (PCOD) was diagnosed in 28% of cases [11]. The mean hemoglobin level was 8.9 g/dL, indicating significant anemia [12-13]. Treatment primarily consisted of hematinics with tranexamic acid (44%) and hormonal therapy (34%) [14-16]. Conclusion: AUB in adolescents predominantly presents as heavy menstrual bleeding with associated anemia [17-18]. PCOD emerged as the most common underlying etiology. Early recognition and appropriate management are crucial for preventing long-term complications and improving quality of life.
Anitha Reddy Sangati, Sirisha Pemma, Aruna Vemu, CH NVV Sravya. Study and evaluation of abnormal uterine bleeding in adolescent girls at a tertiary care centre. Int J Clin Obstet Gynaecol 2025;9(6):99-107. DOI: 10.33545/gynae.2025.v9.i6b.1732
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