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№2' 2019

OBSTETRICS AND GYNECOLOGY

International Medical Journal, Vol. 25., Iss. 2, 2019, P. 36−39.


СLINICAL AND PARACLINICAL CHARACTERISTICS OF ABNORMAL UTERINE BLEEDING IN ADOLESCENCE


Novikova A. A.

Kharkiv National Medical University, Ukraine

One of the most severe dysfunctions of reproductive system in puberty are abnormal uterine bleeding, often resulting in persistent menstrual and generative function disorders and hormonally caused diseases. In order to study the clinical and paraclinical characteristics of pubertal abnormal uterine bleeding, a comprehensive examination of girls aged 11−18 years was conducted, which included an analysis of complaints and clinical course of the disease, anamnesis, the course of pregnancy and childbirth in mothers, degree of physical and sexual development, as well as the nature of menstrual function, gynecological status, ultrasound of the pelvic organs. Laboratory examination included a study of indices of clinical blood tests, urine, bacteriological vaginal seeding, coagulogram, hormonal profile (gonadotropic and sex hormones). As a result of the study, one of the etiological factors of abnormal uterine bleeding during the puberty period was the changes in physical and sexual development, an unfavorable perinatal period and premorbid background, the presence of extragenital pathology, acute or chronic stress, as well as hereditary susceptibility to impaired functioning of reproductive system.

Key words: abnormal uterine bleeding in adolescence, adolescent girls, comprehensive examination.


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