Adolscent Clinic

Adolescent girl" THEY ARE DIFFERENT

• A Anemia, Abortion, Abuse
• D Developing, Depressed
• O Obese, Overindulging
• L Lack of information
• E Experimenting
• S Social, Sexual
• C Courageous
• E Emotional
• N Never say no to peers
• T Temperamental, Teenage pregnancy

Gynaecologist require

• Specific knowledge & expertise
• No treatment is also an option
• Gynaecological problems are common
• Serious pathology is rare
• S/T congenital disorders present 1st time
• Vaginal examination only if sexually active or very necessary

Menstrual Dysfunction

• Common - immature HPO axis for 2 years
• May disguise other worries- contraception, bullying, abuse, STD, pregnancy
• Privacy during counceling

MENORRHAGIA (Heavy Period )Clots, Prolonged Days

• Menstrual diary, 3-7/21-45, explanation, reassurance is required.
• Anti-Fibrinolytics - Tranexamic acid.
• Anti-Prostaglandin- Mefenamic acid.
• Cyclic Progesteron for 21days.
• COC

Intractable Menorrhagia (Very Heavy Period)

• 10-20% bleeding disorders.
• USG, coagulation profile, EUA, Hysteroscopy.
• Admission & Blood transfusions.
• High doses of Estrogen, Factor VII

DYSMENORRHOEA(Painful period)

• Mild - Anti-Prostaglandin / COC
• Refractory - USG, MRI, Laparoscopy to rule out Obstruction of lower genital tract Endometriosis