Background: Adolescence is the teenage phase; this period involves a transition and development from childhood to adulthood. Puberty in girls occurs earlier than males; females in the puberty phase experience various changes, including the menstrual cycle. Some abnormalities may occur during puberty, such as menstrual bleeding abnormalities, urogenital dysfunction, and inflammatory process, requiring consulting a gynecologist. This study was aimed to assess the awareness, attitude, and acceptance of teenage girls toward visiting the gynecological clinic. Methodology: This is a cross-sectional study performed using a non-probability sampling technique. A self-administered questionnaire was distributed online. All statistical analyses were performed using the Statistical Package for the Social Sciences software version 22. Results: This study included 512 teenage females; the large majority was Saudi, 97.3%, and the mean ± SD age of all participants was 16.25 ± 1.6. The primary source of information about puberty was friends, and the most significant proportion of females, 34.2%, reported the first period at 12 years of age. There were 80.3% who knew about puberty; the knowledge of puberty among females was significantly influenced by age (p = 0.0001), education of the mothers (p = 0.01), income (p = 0.04), and source of information about puberty (p = 0.01). Only 19.5% reported visiting gynecology clinics before; each age, level of education of the mother and the father significantly affected the visiting of females (p = 0.009, 0.04, 0.02) respectively. Conclusion: This study revealed that teenage girls have good knowledge about puberty; the primary source of information was friends. The teenage girls have a positive attitude to visit the gynecologists, and they were aware of the necessity of the services provided by the gynecologist.
<p class="abstract">Amyloidosis is a rare, benign, slowly progressive disease characterized by extracellular accumulation of<strong> </strong>amyloid in different tissues of the body. It accounts for 0.2-1.2% of benign laryngeal tumors and usually presents as an isolated localized laryngeal amyloidosis, but can also be part of systemic amyloidosis. A 26 years old female with history of gradually developing, persistent hoarseness, and progressive<strong> </strong>dyspnea since 1 year, worsened over the past three days. Outpatient Department based endoscopy showed bilateral mobile, thickened vocal cords with subglottic edematous thickness. Computed tomography scan showed symmetrical thickening of bilateral vocal cord, causing glottic narrowing about 70% on the AP view and about 50% on the lateral view and no cartilage invasion or lymphadenopathy. Microlaryngoscopy and biopsy of the specimen were performed and histopathology confirmed the diagnosis of amyloidosis with Congo red stain. Patient was managed by surgical excision of the mass and long term follow-up. To rule out systemic amyloidosis patient is referred to rheumatology clinic and hematology clinic for further evaluation and management. Histopathological examination of the involved tissue confirms the diagnosis, and long term follow up is mandatory in the management of amyloidosis.</p>
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