PERINATOLOGIYA I PEDIATRIYA.2015.2(62):81-85;doi10.15574/PP.2015.62.81

Сharacteristics of clinical flow of anomalous uterine bleeding pubertal period depending on the onset of the disease

Dynnik V. A.

SI «Institute for Children and Adolescents Health Care of the NAMS of Ukraine», Kharkiv, Ukraine

Purpose — to find out the peculiarity of history, physical, sexual development, concomitant somatic pathology in adolescents with abnormal uterine bleeding (BUN), depending on the onset of the disease.

Patients and methods. We observed 145 adolescent girls with AMC aged 11–18. All subjects were studied obstetrical history, current history of childhood endured childhood infections, concomitant somatic pathology, formation of menstrual function, physical, sexual development.

Results. Patients with onset of menstrual dysfunction with uterine bleeding more likely to have weighed perinatal history. And at the manifestation of bleeding in the first year of menstrual function often recorded gestosis pregnancy and pathological course of delivery, and the formation of bleeding in the second year of menstrual function, and later — the threat of interruption at different stages of gestation and fetal distress. Patients with bleeding debut in the first year of menstrual function significantly more often mentioned ahead of sexual development, and the second and later years — early menarche. Patients in the formation of uterine bleeding in the second year of menstrual function and later, but the manifestation of disorders with oligomenorhea significantly less likely to have the optimal parameters of physical development, are more likely than other registered retardation of sexual development, various skin manifestations of hyperandrogenism. Significantly more often they were brought up in single-parent families or destructive, had three or more comorbid medical illness.

Conclusion. It was found that the clinical course of abnormal uterine bleeding puberty has its own specifics, depending on the timing of appearance of the first bleeding and previous menstrual dysfunction.

Key words: abnormal uterine bleeding, puberty, clinical course, a manifestation of the disease.