Yılmaz Atay

Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey.

STUDY OBJECTIVE We documented such menstrual disorders as dysfunctional uterine bleeding (DUB): dangerous health problem during adolescence. DESIGN, SETTING, PARTICIPANTS We gave a questionnaire containing 29 questions about menstruation to 3000 secondary school students in Adana, Turkey. RESULTS The mean age of the students was 15.8 years; their menarche age was 12.9 years. Irregular periods were observed in 26.7% of the cases, 62.2% had at least one irregular bleeding in their lives, 11.3% visited a gynecologist for irregular bleeding, and 4.5% were treated for it. Dysmenorrhea occurred in 38.7% of the students. Forty-one percent used pain killers during their menstruation; half of them received the drugs from their family, and the other half received them over-the-counter without a prescription. Almost half (46.6%) of the girls experienced premenstrual problems. Most of the students (71.4%) discussed their menstrual problems with their mothers. Among the school girls, 15.8% claimed that there was a correlation between school examinations and irregular menses. CONCLUSION The questionnaires results show that such menstrual disorders during adolescence as DUB are common but neglected. Medical staff who specialize in adolescent gynecology must address the problem.

Labial Fusion in a Pubertal Girl: A Case Report

An 18-year-old virgin, pubertal girl was treated for abnormal menses and dysmenorrhea. She had no history of trauma, sexual infection, or abuse. Occlusion of the introitus of the vagina had been first diagnosed 10 years earlier. The patient presented with fusion of the labia minora in the midline, posteriorly. Her physical examination, ultrasonographic laboratory examination, and intravenous pyelogram were all normal. Following surgical treatment, she had no problems at the time of postoperative follow-up.

A unilateral tubal twin pregnancy.

Ann Saudi Med 2006;26(4):333 A 20-year-old woman, primigravida, with a last menstrual period 8 weeks ago, presented with lower abdominal pain for two days and vaginal bleeding for one day. The gynecological examination found vaginal bleeding, no enlargement in uterine size, and a painful mass 4 centimeters in diameter in the right adnexal region. The serum β-HCG level was 8200 mIU/mL. Transvaginal ultrasonography revealed no gestational sac in the uterine cavity, but there were two gestational sacs in the right fallopian tube (Figures). A unilateral tubal twin pregnancy