ADOLESCENT HEAVY MENSTRUAL BLEEDING AND RESPONSE TO TREATMENT WITH REFERENCE TO BMI

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ADOLESCENT HEAVY MENSTRUAL BLEEDING AND RESPONSE TO TREATMENT WITH REFERENCE TO BMI

Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 28

Abstract

BACKGROUND Adolescent heavy menstrual bleeding is excessive bleeding occurring in the age group of 13 - 19 years for more than 7 days or more than 80 mL. The common cause for this is due to immaturity of HPO axis in the absence of any anatomical pathology. This condition is treated with Hormonal and Non-Hormonal drugs. Aim: To study the effect of Body Mass Index on heavy menstrual bleeding and response to medical treatment in adolescent women. MATERIALS AND METHODS Adolescent women (13 - 19 yrs.) presenting with heavy menstrual bleeding to the Outpatient Department, Obstetrics and Gynaecology, RIMS, Srikakulam, during the study period meeting our inclusion criteria were included in this study. The data was collected using pre-designed questionnaire. BMI was calculated by formula: BMI (kg/m2) = Weight in kg/ Height in m2. After evaluation and taking an informed consent, patients were given medical treatment. Data was analysed with SPSS version 17. RESULTS The mean age of patients was 15.78 +/- 2.158 yrs. The mean age at menarche of patients was 12.61 yrs. The mean duration of bleeding was 12.82 ± 4.615 days. Maximum being 35 days and minimum of 7 days. In our study, duration of bleeding had no significant relation with BMI. Out of 100 patients 86% of patients were having normal BMI and 71% underweight patients had regular cycles. 90% of patients who were overweight, and all the five obese patients included in this study had irregular cycles. The difference was statistically significant, i.e. as the BMI increases irregularity of cycles. 41 patients were treated with hormonal therapy and 47 patients were treated with non-hormonal therapy. 93.3% patients who were normal weight and 85.71% overweight adolescents responded to hormonal therapy. Response was 75% in obese individuals, showing that the response to hormonal therapy did not vary with BMI. The response to non-hormonal therapy significantly varied with BMI. Overall response to medical treatment did not vary with the BMI. CONCLUSION It is evident that BMI definitely effects the menstruation in adolescents. BMI has significant relation with the duration of heavy menstrual bleeding and also the menstrual irregularity. Incidence of anovulatory bleeding increases with increase in BMI.

Authors and Affiliations

Tulugu Sasikala

Keywords

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EP ID EP537906
DOI 10.14260/jemds/2018/729
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