Clinical and ethiological assessment of adolescent girls with abnormal uterine bleeding of puberty
PDF (Русский)

Keywords

adolescent girls
abnormal uterine bleeding of puberty period
stress

How to Cite

Novikova, A. (2020). Clinical and ethiological assessment of adolescent girls with abnormal uterine bleeding of puberty. Experimental and Clinical Medicine, 78(1), 108-113. Retrieved from https://ecm.knmu.edu.ua/article/view/386

Abstract

It was examined of 52 girls aged 11-17 with abnormal uterine bleeding of puberty. The study implied assessment of presentation and clinical course of the disease, taking into account its relapses, detection of extragenital abnormalities, estimation of gynecological and hormonal status, the course of pregnancy and childbirth in mother. Psycho-emotional state of adolescents with abnormal uterine bleeding of puberty was assessed by social adaptation scale (T.H. Holmes, R.H. Rache) and the Spielberg–Khanin questionnaire. The patients underwent ultrasound examination of internal genital organs. It was shown that the etiological factors of abnormal uterine bleeding of puberty include the presence of an adverse perinatal period and premorbid background, extragenital pathology, stress, as well as hereditary predisposition to menstrual function impairment. Patients with abnormal uterine bleeding of puberty are typically found to have a disruption of psycho-emotional status indices. High levels of stress in adolescent girls with abnormal uterine bleeding of puberty can cause menstrual dysfunction during the period of physiological instability of the reproductive function. Ultrasound examination in adolescent girls with abnormal uterine bleeding of puberty has shown that hyperplastic processes of endometrium are significantly more common in comparison with healthy adolescents.
PDF (Русский)

References

Tuchkina I.A., Zobina L.Yu., Lisovaya M.A., Tuchkina M.Yu. (2011). Patolohiia pubertata i realizatsiia potentsiala zhenskoho orhanizma: kliniko-terapevticheskoie nabliudeniie [Pathology of puberty and realization of the potential of the female body: clinical and therapeutic observation] Zdorovye zhenshchiny – Women’s health. 10–14. [in Russian].

Dinnіk V.O. Pubertatnі matkovі krovotechі: klіnіka, patohenez, lіkuvannia proghnoz: avtoref. na zdobuttya nauk. stupenya d-ra med. nauk; spec. 14.01.01 «Akusherstvo ta hіnekologіya» [Puberty uterine bleeding: clinic, pathogenesis, treatment prognosis: author's abstract. for obtaining sciences. degree doc. honey. Sciences; special 14.01.01 «Obstetrics and Gynecology»]. Іn-t pedіatrіi, akusherstva ta hіnekolohіi AMN Ukrauny. Kyiv, 39 pp. [in Ukrainian].

Tuchkina I.A., Zobina L.Yu., Lesovaia M.A., Tuchkina M.Yu. (2010). Patolohiia pubertata i realizatsiia reproduktivnoho potentsiala zhenskoho orhanizma: kliniko-terapevticheskie paralleli [Puberty pathology and realization of the reproductive potential of the female body: clinical and therapeutic parallels] Zdorovie zhenshchiny – Women’s health. 3 (49): 175–178. [in Russian].

Dynnіk V.O. (2014). Katamnez hvorykh na pubertatnі matkovі krovotechі z urakhuvanniam zastosuvannia nehormonalnoi і hormonalnoi terapіi [Catamnesis of patients with puberty uterine bleeding taking into account the use of non-hormonal and hormonal therapy]. Zdorovie rebenka – Child’s health. 2: 31–34. [in Russian].

Kokolina V.F., Naftalieva D.I. (2010). Diahnostika i lechenie matochnykh krovotechenii u devochek-podrostkov [Diagnosis and treatment of uterine bleeding in adolescent girls]. Lechashchii vrach – Therapist. 3: 65–70. [in Russian].

Tuchkіna І.O., Zobіna L.Yu., Lіsova M.A. (2009). Prohnozuvannia akusherskikh uskladnen u zhіnok z patolohіieiu pubertatu [Prognozuzuvannya obstetric care in women with pathology pubertal]. Trudy Krymskogo gosudarstvennogo medicinskogo universiteta im. S.I. Georgievskogo: Problemy, dostizheniya i perspektivy razvitiya medikobiologicheskih nauk i prakticheskogo zdravoohraneniya – Proceedings of the Crimean State Medical University. S.I. Georgievsky: Problems, achievements and perspectives of development of biomedical sciences and practical public health. Simferopol, 2009. 149, IV: 193–196. [in Ukraianian].

Gilenko Zh.O., Tuchkina I.A., Tuchkina M.Yu. (2013). Patomorfolohicheskie i kliniko-ehkhohraficheskie osobennosti pubertatnyh matochnyh krovotechenii u podrostkov na fone zhelezodefitsitnoi anemii [Pathomorphological and clinical-echographic features of pubertal uterine bleeding in adolescents against iron deficiency anemia]. Zdorovie zhenshchiny – Women's health. 6 (82): 16–20. [in Russian].

Uvarova E.V. (2009). Detskaia i podrostkovaia hinekolohiia [Pediatric and adolescent gynecology]. – Moskow, 2009. 269–277.

Astahova V.M., Batsileva O.V., Karandei Zh.V. (2011). Suchasnі aspekty psiholohіchnoi dopomohy zhіnkam u formuvannі reproduktivnoi povedіnki [Modern aspects of psychological assistance to women in the formation of reproductive behavior]. Zbіrnyk naukovikh prats Asotsіatsіi akusherіv-hіnekolohіv Ukrainy – Collection of scientific works of the Association of Obstetricians-Gynecologists of Ukraine. Kyiv: Іntermed, 7–11. [in Ukrainian].

Rebrova O.Yu. (2003). Statisticheskii analiz meditsinskikh dannykh. Primenenie paketa pryiladnyh programm ”BTATІBTІSA“ [Statistical analysis of medical data. Application of the package of applied programs "BTATІBТІСА"]. Moskow: Media–Sfera, 312 pp. [in Russian].