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ADOLESCENT GYNECOLOGY 2016 03 22 11 16 38 200 .pdf

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Adolescent Gynecology: The first step towards fecundity

Almost every teenager girl has to face hormonal changes in her life. She may take them eerie
sometimes and painful too occasionally. Her menstrual dysfunction becomes so irritating that it
starts to punctuate her studies or other important aspects of her life. Sometimes these issues are
natural and sometimes they might be unnatural an indication of abnormalities in the body. Early
diagnosis and suitable healing will be helpful in ruling out the problems of sexual dysfunction or
infertility at their initial stage itself. Menstrual disorders are common in juvenile girls.
Nevertheless their exact reasons are difficult to figure out. Since the girls feels reluctant in
confiding their private matters even to their close acquaintances due to embarrassment or lack of
understanding about the normal and potential cure options. Best Gynecologists in Gurgaon,
Gurgaon Gynecology group illustrates a few related disorders:

Difference of time intervals among menstrual cycles may be non-uniform. Further the amount of
bleeding may also vary from cycle to cycle. The menstrual pain may be unbearable. In most of
the cases, the basic cause is anouvulatory cycle in early months following menarche. The
symptoms are irregular menstrual cycle and prolonged periods. These symptoms may be
regarded normal for the first two years after menarche. At the same time the hypothalamicpituitary-ovarian axis establishes regular cycles. In case of prolonged trouble, ultrasound is

helpful to diagnose the accurate origin of problem. However, contraceptive pill is found to be the
best common method of treatment. It is primarily used to trim down blood loss and is also safe
for girls who do not suffer through any contraindicating factor.

Acute menorrhagia
Heavy and delicate vaginal bleeding can intermittently take place with menstruation and requires
hospitalization too. Severe anemia and hemodynamic instability can occur due to relentless
blood loss. Admission to a hospital, recovery and blood transfusion may be required.
The combined oral contraceptive pill is advisable in such cases. The organization of high-dose of
oral progesterone can dampen the speed of bleeding.

Prior periods may be pain free and the beginning of agonizing menstruation normally heralds the
founding of regular ovulatory cycles. However such excruciating pain may be detrimental to the
ongoing process of normal school life. Dysmenorrhoea may be linked with barrier of the lower
genital tract. The use of combined contraceptive pills is considered very effective in making the
periods lighter and less hurting.

Disorders of puberty
The commencement of puberty among girls takes place between the ages of eight and thirteen
years and are struck by the augmentation in the amplitude of the liberation of gonad hormones by
hypothalamus. There are many factors which determine the beginning of puberty. These factors
may include general fitness, hereditary influences, and diet and work out. The abnormalities in

any of these factors may lead to precocious puberty or delayed puberty. In precocious puberty
the pubertal development generally begins before the age of eight years in girls. On the other
hand the same is absent till the age of fourteen in them.

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