Naeema Utman, Asma Mumtaz.
Pubertal Menorrhagia: Causes and Management.
J Coll Physicians Surg Pak Jan ;12(3):162-4.

Objective: To find out the causes of pubertal menorrhagia, its complication and role of conservative therapy. Design: It was a prospective study. Place and Duration of Study: Department of Obstetric and Gynaecology, Lady Reading Hospital, Peshawar from January 1998 to December 1998. Subjects and Methods: Two hundred and fifty patients with menorrhagia at the age of adolescence were studied. The age range was between 12-19 years. Full investigation for bleeding disorders and anemia were carried out. Results: Out of 250 cases, 170 patients (68%) had menorrhagia at the age of 12-14 years, dysfunctional utrine bleeding in 226 cases (90.4%), and coagulation disorder occurring in 20 cases (8%). All of them were anemic at the time of admission. Severe anemia occurred in 30 patients. Blood was transfused in 208 cases and 164 (65.6%) patients secured with oral contraceptive pills while 85 patients needed additional therapy along with contraceptives. Only one patient had dilatation and curettage. No mortality was seen. Conclusion: All patients having menorrhagia at the age of adolescence should be screened for coagulation disorders. Medical treatment is effective while surgical procedures should be reserved for refractory cases.

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