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Hematological abnormalities in adolescent menorrhagia.

E Oral1, A Cağdaş, A Gezer

  • 1Department of Obstetrics and Gynecology, Cerrahpasa Medical School, Istanbul University, Turkey. eoral@superonline.com

Archives of Gynecology and Obstetrics
|June 7, 2002
PubMed
Summary

Hematological disorders are a significant cause of acute adolescent menorrhagia, affecting 28% of patients studied. Prompt diagnosis and management of these bleeding disorders are crucial for adolescent women.

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Area of Science:

  • Hematology
  • Adolescent Gynecology
  • Pediatric Medicine

Background:

  • Acute adolescent menorrhagia presents a significant clinical challenge.
  • Identifying underlying causes is critical for effective management.

Purpose of the Study:

  • To determine the frequency of hematological disorders in adolescent patients experiencing acute menorrhagia.

Main Methods:

  • Retrospective analysis of 25 hospitalized adolescent patients with acute menorrhagia.
  • Data collected from 1988-1995 at Cerrahpaşa Medical School.

Main Results:

  • Hematological abnormalities were diagnosed in 7 out of 25 patients (28%).
  • Diagnoses included immune thrombocytopenic purpura (4), Van Willebrand disease (2), and acute promyelocytic leukemia (1).

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  • Patients with coagulation disorders required transfusions, with a mean hemoglobin of 6.2 g/dl.

    • Conclusions:

    • Hematological disorders are a frequent underlying cause of acute menorrhagia in adolescents.
    • Early detection of bleeding diathesis is essential in managing acute adolescent menorrhagia.