Adolscent Clinic

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