Abstract
Objective: To determine the prevalence of various gynaecological problems among obese adolescents females.
Methodology: This observational cross sectional study was conducted over five months starting from June 2018 until October 2018 in KRL Hospital, Islamabad. A total of 46 female patients attending the gynae OPD who met the inclusion criteria were included in the study aged between 13 to 24 years and have no physical or mental health disease. These patients were provided with a questionnaire consisting of questions regarding the gynaecological problems (e.g. per vaginal discharge, menstrual irregularity, dysmenorrhea, and chronic pelvic pain) and advised laboratory investigations like serum fasting glucose, lipid profile and testosterone levels. The collected data after being documented on the performa was analyzed on SPSS 21.
Results: A total of 50 adolescent girls were enrolled in the study, out of which four lost to the follow-up, with the remainder 46 participants having an average age & BMI of 18.41 yrs & 30.25kg/m2 respectively. Subjects with BMI between 25 and 29.9 were younger (Mean age = 18.17), had less average waist circumference (94.88 vs 101.14), and had less frequency of biochemical and clinical function derangement except for dysmenorrhea which was prevalent among 45% of the patients in that group. Menstrual cycle irregularity was the most common feature affecting 80% of the enrolled population.
Conclusion: Adolescent girls having raised BMI to have a significant association between different gynaecological problems and deranged biochemical markers.
Maria Aslam, Irum Sohail, Haseena Sadiq, Zahid Furqan. (2020) Obesity, Adolescents and Gynaecological Problems, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-2.
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