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13. Frequency of Bleeding Disorders in Teenage Girls Presenting with Menorrhagia

Omaima Zubair Khan, Wardah Hasan and Maha Khan

 

ABSTRACT

Objective: Menorrhagia is quite common menstrual problem among teen aged girls with increasing proportion all over the world. This study has been done to ascertain frequency of bleeding disorders in teenaged girls presenting with menorrhagia.

 

Study Design: Cross-sectional study

 

Place and Duration of Study: This study was conducted at the Department of Gynecology, Nishtar Hospital, Multan from June 2015 to Jaunary 2016.

 

Material and methods; One hundred and thirty three teen aged girls having menorrhagia for more than 6 months were included in this study using non-probability purposive sampling technique which underwent relevant investigations.

 

Results: mean age of these young girls was 16.50 ± 1.79 years (with minimum age was 14 years while maximum age was 19 years). Most of these young girls i.e. 87 (65.4%) were aged 16 – 19 years while remaining 46 (34.6%) were aged up to 15 years. Most of these teenaged young girls 78 (58.6%) were from urban areas and 103 (77.4%) belonged to the families having poor social class. Family history of menorrhagia was present in 55 (41.4%) in these young patients with menorrhagia. Mean body mass index of these young girls was 23.22± 2.91 kg/m2 and obesity was present 16 (12%) of these patients. Mean disease duration of menorrhagia was 14.52 ± 8.46 months and 69 (51.9%) of these young girls had history of menorrhagia for more than 12 months. Polycystic ovary syndrome was noted in 15 (11.3%) of our study cases, thrombocytopenia was present in 23 (17.3%) our patients with menorrhagia and von Willebrand disease was noted in 13 (9.8%) these young girls.

 

Conclusion: Menorrhagia was significantly more prevalent in young teenaged age groups having positive family history while thrombocytopenia was the most common bleeding disorder observed in our study. Patients having menorrhagia should be made aware to discuss this issue with the females of their families so that early diagnosis followed by early and proper management.

 

Key Words: Menorrhagia, teenage girls, bleeding disorders

 

Citation of article: Khan OZ, Hasan W, Khan M. Frequency of Bleeding Disorders in Teenage Girls Presenting with Menorrhagia. Med Forum 2017;28(6):49-52.