Obesity,Adolescents and gynaecological problems
Objective: To determine the prevalence of various gynaecological problems among obese adolescents female. Place and duration: This observational cross sectional study was conducted over a period of five months starting from June, 2018 until October, 2018 in KRL Hospital, Islamabad. Methodology: 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 having no physical or mental health disease. These patients were provided with questionnaire consisting of questions regarding the gynaecological problems (e.g. pervaginal 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 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 have significant association between different gynaecological problems and deranged biochemical markers. Keywords: Obesity, Adolescents, Gynaecological problems (Dysmenorrhea, Irregular menstrual cycle, Premenstrual syndrome, Pervaginal Discharge)
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