scholarly journals MENSTRUAL DISORDERS IN ADOLESCENTS

2004 ◽  
Vol 43 (153) ◽  
Author(s):  
Ganesh Dangal

The health problems of adolescents are very special. Menstrual disorders such as amenorrhea, abnormal/excessive uterine bleeding, dysmenorrhea, and premenstrual syndrome are particularly common in adolescentgirls. Although menstrual irregularities may be normal during the early postmenarchal years, pathologicalconditions require proper and prompt management. This article reviews the topic: menstrual disorders anddiscusses their etiologies, diagnosis and treatment modalities. It also reviews the normal and abnormalmenstrual cycles. The knowledge of the normal menstrual cycle is very important in managing these disordersproperly.ABSTRACTDangal GKey Words: Adolescent, amenorrhea, dysfunctional uterine bleeding, dysmenorrhea,menstrual disorder, premenstrual syndrome.

2020 ◽  
Vol 8 (9) ◽  
pp. 4516-4519
Author(s):  
Meemansa 1 ◽  
Manish Kumar Saini

Asrigdara or dysfunctional uterine bleeding is a menstrual disorder causing the excessive or prolonged bleeding hence deteriorating the health of female. As per Ayurveda classics, according to its pathogenesis Pittashamaka, Vatanulomana, Rakta-Sthapaka, Rakta-Samgrahi, Agni-deepana and Garbhashaya-balya Chikitsa is beneficial in Asrigdara. Because the main motive in its management is to stop bleeding and achieve the normal menstrual cycle in terms of bleeding, duration and frequency, Acharaya Charaka also said its treatment to accomplish on the principles of management of Raktatisara, Raktapitta and Rakta ar-sha. Thus, Drakshadi yoga was taken in this review article from Sushruta Samhita Uttar Tantra 45/34 in reference to Raktapitta Chikitsa. Present study is concerning illumination on the basic mode of action of Drakshadi Yoga in treating the Asrigdara.


Author(s):  
Nikitha Sirigere ◽  
Noor Fathima

Abnormal uterine bleeding (formerly dysfunctional uterine bleeding) is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology. It reflects a disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining. Asrigdhara refers to all types of abnormal patterns of bleeding. Most of the menstrual disorders have been described by Ayurvedic classics under the heading of artavadushti and asrigdhara. Ayurveda the traditional Hindu system of medicine of India seeks to treat and integrate body and mind using a comprehensive holistic approach especially by emphasizing diet, herbal remedies, exercise and etc. Hence the treatment modalities based upon chikitsa siddhanta has mentioned by Harita samhita trutiya sthana, i.e. “Ela samanga sahashaalmalinam haritaki magadhika samaamshaa. Kwathoditah sharkara samadhvaa, yonipravaaham vinivaarayecha”,[¹] gave very good results in the present diseased condition without any complications.


Author(s):  
Sujata Singh ◽  
Shradhanjali Sahoo ◽  
Pravat Chandra Das

Background: The objective of the study was to evaluate the prevalence of thyroid disorder in dysfunctional uterine bleeding and to assess the menstrual pattern in women with thyroid disorders.Methods: The present study was conducted on 104 patients who presented with dysfunctional uterine bleeding in gynecology OPD/IPD Department of Obstetrics and Gynecology, SCBMCH, Cuttack, India.Results: Among the 104 women 16 (15.3%) had hypothyroidism, 3 (2.8%) had hyperthyroidism and 75 (72.1%) were euthyroid and 10(9.6%) subclinical hypothyroidisim. Menorrhagia was the most common menstrual disorder in hypothyroidism and oligomenorrhoea in hyperthyroidism. In the present study the age group of 41-50 year and multyparity (para-2) and commonest are menorrhagic 42 (40.38%). Menorrhagia in hypothyroidisim 15 (72.4%) cases and oligomenorrhoea in hyperthyroidisim 3 (10.3%).Conclusions: Thyroid dysfunction should be considered as an important aetiological factor in menstrual disturbances and thyroid assessment should be done in all patients with menstrual irregularities. Therefore, to conclude any type of menstrual abnormality should be considered as a possible presenting symptom of thyroid dysfunction and it may even indicate subclinical abnormality, evaluation of thyroid would avoid unnecessary surgeries and exposure to hormones.


Key Points Abnormal uterine bleeding refers to bleeding that is excessive or occurs outside normal cyclic menstruationAnovulatory uterine bleeding is the most common cause of abnormal uterine bleeding adolescents within 1–2 years of menarche.It is important to exclude pregnancy and infections prior to initiating treatment for anovulatory bleedingGoals of management for abnormal uterine bleeding include return to pattern of normal menstrual cycle and prevention of anemia.


2021 ◽  
Vol 15 (11) ◽  
pp. 2897-2898
Author(s):  
Ayesha Batool ◽  
Shoaib Waqas ◽  
Zainab Hassan ◽  
Maira Pervez ◽  
Muhammad Tariq

Aim: To see if there was a link between menstruation issues and psychological stress among young medical students. Methods: A non-probability convenient sampling method was used to conduct an observational (cross-sectional) study on a sample of 180 university-bound students. Students were assessed for menstrual regularity associating with psychological stress by using Perceived Stress Scale in different universities of Lahore. Results: The study included approximately 92% of females with a regular menstrual cycle and 8% of females with an irregular menstrual cycle.While among irregular menstrual cycles, 5 had high levels of stress, 7 had moderate levels of stress, and 3 had mild levels of stress. The normal menstrual cycle group had 40 females with high levels of stress, 121 females with moderate levels of stress, and four females with low levels of stress. Conclusion: Although fewer students suffered from menstruation difficulties, the majority of them, including those who did not, experienced psychological stress. Keywords: Menstrual disorders, dysmenorrheal, abnormal menstrual cycle, stress


Author(s):  
Umesh Sawarkar ◽  
Sarang Deshmukh ◽  
Ashwini Raut ◽  
Uma Bhosale ◽  
Ashok Shenoyk

Objective: The objective was to evaluate the efficacy of ormeloxifene in dysfunctional uterine bleeding (DUB) with respect to bleeding pattern and improvement in hemoglobin (Hb).Methods: This was an interventional study on 99 patients of DUB visiting the gynecology outpatient department over 1 year using semi-structured pro forma. After voluntary participation of patients, tablet ormeloxifene was given at the dose of 30 mg biweekly for 2 months. In case of a therapeutic response as informed by the patient, the dose was reduced to 30 mg weekly for a further period of 4 months. All patients were treated for 6 months. Type, amount, and duration of bleeding, frequency of menstrual cycle, passage of clots, and impact on Hb were assessed.Result and Observations: Menorrhagia was the main type of bleeding. 36–40 years of age group was the most common. After the intervention, 76.8% of women achieved a duration of bleeding of 4–5 days, and in 87% of women, menstrual cycle became regular. Passage of clots was reduced by 71.83%. Mean Hb concentration of study participants increased by 0.5 g/dl at the end of the study.Conclusion: Ormeloxifene is effective alternative and appears to be a promising option for the medical management of DUB.


2020 ◽  
Vol 11 (4) ◽  
pp. 5678-5684
Author(s):  
Swathi Suresh ◽  
Mariya Els Johny ◽  
Kiruba Shankari ◽  
Ahamed Irshath U ◽  
Yokesh M ◽  
...  

Dysfunctional uterine bleeding is a type of abnormal uterine bleeding where vaginal bleeding occurs outside of the menstrual cycle in the absence of any known pelvic pathology. Dysfunctional uterine bleeding can be treated safely with hormone therapy. Combined oral contraceptives help in increased menstrual cycle regularity and decreased blood loss. In this study, a reliable drug for the dysfunctional uterine bleeding with maximum effectiveness and minimal side effects were assessed. This study was conducted on 120 cases of dysfunctional uterine bleeding. Patients who were diagnosed with dysfunctional uterine bleeding were randomly assigned into two groups. Group D and group L included patients who were given Ethinyl estradiol 0.02mg + desogestrel 0.15mg and Ethinyl estradiol 0.03mg + levonorgestrel 0.15mg respectively for the four consecutive 28- day cycles. Menstrual blood loss was assessed using the pictorial blood assessment chart (PBAC) score on 2nd and 4th months of recruitment. Side effects such as weight gain, acne and headache were assessed in both groups. This study shows 56.68% reduction in mean PBAC score in 2 months in desogestrel group whereas only 44.96% reduction in levonorgestrel group and 79.87% reduction in mean PBAC score in desogestrel group in 4 months whereas only 74.46% reduction in levonorgestrel group. Side effects like weight gain, acne and headache were more prominent in the levonorgestrel group than desogestrel group. Desogestrel containing combined oral contraceptive can be a useful and safe treatment for dysfunctional uterine bleeding.


Author(s):  
Sunita Samal ◽  
Ashwini Vishalakshi

Abnormal uterine bleeding (AUB), which is defined as excessively heavy, prolonged and/or frequent bleeding of uterine origin, is a frequent cause of visits to the Emergency Department and/or health care provider. While there are many etiologies of AUB, the one most likely among otherwise healthy adolescents is dysfunctional uterine bleeding (DUB), which is characterizing any AUB when all possible underlying pathologic causes have been previously excluded. The most common cause of DUB in adolescence is anovulation, which is very frequent in the first 2-3 post-menarchal years and is associated with immaturity of the hypothalamic-pituitary-ovarian axis. Management of AUB is based on the underlying etiology and the severity of the bleeding and primary goals are prevention of complications, such as anemia and reestablishment of regular cyclical bleeding, while the management of DUB can in part be directed by the amount of flow, the degree of associated anemia, as well as patient and family comfort with different treatment modalities. Treatment options for DUB are: combined oral contraceptives (COCs), progestogens, non-steroidal anti-inflammatory drugs (NSAIDs), tranexamic acid (anti-fibrinolytic), GnRH analogues, Danazol and Levonorgestrel releasing intra uterine system (LNG IUS).


2020 ◽  
Vol 6 (3) ◽  
pp. 122-126
Author(s):  
Shalinee ◽  
◽  
Pravesh Tomar ◽  

Normal menstrual cycle is an important physiology for maintaining woman’s health status during reproductive stage. Any type of abnormality in normal Rituchakra (menstrual cycle) cause menstrual disorders, which are the main reasons for gynaecological consultations in worldwide. Hypomenrrhoea is a common menstrual disorder found in present era due to changes in their life style like restlessness due to stressful day to day routine and strain due to their work place environment. A 24 years old Muslim married (since 2 years) patient present with the complaints of scanty menstrual flow (Duration-6days, No. of pad used-2pad 1st day not fully soaked then 1 pad/day not fully soaked) and lower abdominal pain (++) with pain and burning sensation during coitus for 1 year. In Ayurveda it can be correlated with Artavakshaya due to their strong symptom equality. Ratio of Artavakshaya is rising in present gynaecological practice which may leads to cause infertility and other serious problems which are untreatable. In modern science they prescribe only hormonal preparations as a treatment. Many patients observe some adverse effects with reoccurrence of problem when hormonal preparation stops so they prefer to take Ayurvedic preparation for it. Hence, Shatapushpa Churna is selected for the case study which has Agneya properties, Kapha Shamaka & Aacharya Kashyapa also quote it as Ritupravritani.


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