Polycystic Ovary Syndrome: An Under-recognized Cause of Abnormal Uterine Bleeding in Adolescents Admitted to a Children's Hospital

Maslyanskaya, Sofya; Talib, Hina J.; Northridge, Jennifer L.; Jacobs, A.; Coble, Chanelle; Coupey, Susan M.

doi:10.1016/j.jpag.2016.11.009

Cited by 25 publications

(12 citation statements)

References 28 publications

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“…It was observed in 71% cases including oligomenorrhoea, menorrhagia and amenorrhoea. A recent study found that PCOS was the most common underlying etiology in adolescents hospitalized with abnormal uterine bleeding (AUB) and menorrhagia, accounting for 33% of admissions Maslyanskaya S, Talib HJ, Northridge JL, et al 10 Acne or oily skin suggestive of androgenic activity was observed in 64 % of adolescent girls. Hirsutism was found in 21 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study

Singh

Vijaya

Laxmi

2018

Int J Reprod Contracept Obstet Gynecol

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Background: PCOS is a complex endocrine disorder which is most common in women of reproductive age. PCOS may first present in adolescence, but the incidence of PCOS in adolescence is not known, as diagnostic criteria for PCOS in the adolescent age-group is still not defined, PCOS symptoms tend to overlap with normal pubertal changes making the diagnosis even more challenging. The objective is to study prevalence and symptomatology of polycystic ovary syndrome (PCOS) in adolescent girls.Methods: Prospective study between November 2017 and March 2018. 117 adolescent girls aged 15 to19 years attending OPD with oligomenorrhea and/or hirsutism were advised for biochemical, hormonal, and ultrasonographic evaluation for diagnosis of PCOS on the basis of Rotterdam’s criteria at the Department of Obstetrics and Gynaecology, Government Maternity Hospital, Osmania Medical College, Hyderabad.Results: Prevalence of PCOS in the study was 11.96% in the study group.Conclusions: PCOS is increasingly encountered during adolescence, although the overall prevalence is low and evaluation of PCOS in adolescents is challenging. At this age, life style modification is imperative to prevent long-term metabolic and reproductive complications.

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Section: Discussionmentioning

confidence: 99%

Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study

Singh

Vijaya

Laxmi

2018

Int J Reprod Contracept Obstet Gynecol

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“…It was observed in 84.61% cases including oligomenorrhoea, menorrhagia and amenorrhoea. A recent study found that PCOS was the most common underlying etiology in adolescents hospitalized with abnormal uterine bleeding (AUB) and menorrhagia, accounting for 33% of admissions Maslyanskaya S, Talib HJ, Northridge JL, et al 10 Acne or oily skin suggestive of androgenic activity was observed in 61.53 % of adolescent girls. Hirsutism was found in 19.23 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Study of prevalence and determinants of polycystic ovarian syndrome among adolescent girls in rural area: a prospective study

Laddad

Kshirsagar

Shinde

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Polycystic ovarian syndrome (PCOS) is the most frequent endocrinological disorder affecting 5-10% of women in the reproductive age. This prevalence ranging from 2.2% to 26% in adult women from 18-45 year. In a recent study the prevalence of a confirmed diagnosis of PCOS in adolescents aged 10 to 19 years was 5-15%, which increased to 10-22%. When undiagnosed cases with documented symptoms qualifying for PCOS according to NIH (National institute of Health) criteria were included. PCOS is a complex endocrine disorder which is most common in women of reproductive age. PCOS may first present in adolescence, but the incidence of PCOS in adolescence is not known, as diagnostic criteria for PCOS in the adolescent age-group is still not defined, PCOS symptoms tend to overlap with normal pubertal changes making the diagnosis even more challenging. The objective is to study prevalence and symptomatology of polycystic ovary syndrome (PCOS) in adolescent girls.Methods: Prospective Cross sectional study between April 2018 and March 2019. 150 adolescent girls aged 10 to 19 years attending OPD with oligomenorrhea, irregular menstrual cycle, obesity and/or hirsutism were advised for biochemical, hormonal, and ultrasonographic evaluation for diagnosis of PCOS on the basis of Rotterdam's criteria at the Department of Obstetrics and Gynaecology, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India.Results: Prevalence of PCOS in the study was 17.33% in the study group.Conclusions: PCOS is increasingly encountered during adolescence, although the overall prevalence is low and evaluation of PCOS in adolescents is challenging. At this age, lifestyle modification is imperative to prevent long-term metabolic and reproductive complications.

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“…Although AUB is often caused by anovulatory cycles, severe bleeding may be the first sign of an underlying condition and this may be a diagnosis of exclusion. PCOS, another cause of anovulatory cycles, should be kept in mind as a common underlying etiology of AUB, since it can easily be missed in this age group (13). Excessive bleeding during menarche can usually indicate an underlying bleeding disorder, while regular but excessive bleeding may also be indicative of bleeding disorders.…”

Section: Differential Diagnosismentioning

confidence: 99%

Approach to Abnormal Uterine Bleeding in Adolescents

Yaşa

Uğurlucan

2020

Jcrpe

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This article reviews the current understanding and management of abnormal uterine bleeding (AUB) in adolescents. It is hoped that this review will provide readers with an approach to the evaluation and treatment of mild to severe uterine bleeding. AUB is a common problem which has significantly adverse effects on an affected adolescent's quality of life. The most common underlying condition in AUB in adolescence is anovulation. During the evaluation, pregnancy, trauma and sexually transmitted diseases must be ruled out, regardless of history. It should be kept in mind that AUB during this period may be the first sign of underlying bleeding disorders. Although observation is sufficient in the mild form of AUB, at the other end of the spectrum life-threatening bleeding may necessitate the use of high doses of combined oral contraceptives, intravenous estrogen and/or interventional procedures. Abstract 1

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Polycystic Ovary Syndrome: An Under-recognized Cause of Abnormal Uterine Bleeding in Adolescents Admitted to a Children's Hospital

Cited by 25 publications

References 28 publications

Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study

Prevalence of polycystic ovarian syndrome among adolescent girls: a prospective study

Study of prevalence and determinants of polycystic ovarian syndrome among adolescent girls in rural area: a prospective study

Approach to Abnormal Uterine Bleeding in Adolescents

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