[vc_row][vc_column][vc_column_text]Adolescent menorrhagia is in fact not a very common or uncommon condition. The lack of sufficient awareness and information on the condition can lead many adolescent girls to wrongly assume slight heavy bleeding as menorrhagia. Hence a proper assessment and management of the condition is necessary with the right treatment plan.
When there is an instance of possible adolescent menorrhagia, it is only natural to start by diagnosing the problem by finding the same problem in a parent. Most often mothers may not recognize her daughter’s heavy menstrual bleeding because it is similar to hers. Sometimes menstrual patterns in young girls can also be different from the mother’s pattern in terms of passing large clots, the regularity, or the frequency. As the hypothalamic-pituitary-ovarian axis is still immature, there is the need for a detailed study of the menstrual history.
For the doctor to arrive at a course of treatment a few basic tests may be recommended. An abdominal examination is important to understand any genetic causes or any tenderness or masses. Every step should be sensitively proceeded with by taking into consideration the privacy and dignity of the adolescent girl. A vaginal exam may not be required if not sexually active. Basic Haemoglobin test can show if the girl is anaemic and in this case iron supplements can help to replenish the body’s iron and protein reserves. Basic and safe non-hormonal tablets like the Tranexamic Acid can help control the bleeding. Patient compliance and minimal risk or side effects can be guaranteed with this first line of treatment.
It is especially important to follow up to check if the menstrual patterns for the next cycles have been normal after administering medications and about the consistent intake of proper diet or supplements. It is bound to take 6 months to 1 year to stabilize this condition so both the girl and the parents has to be given the reassurance of the same without subjecting them to a plethora of unnecessary tests or examinations. The girl may not have cycles at all after taking medicines so she can make use of mobile apps to help keep track and map menstrual cycles. A pictorial menstrual calendar is another aid that can be helpful in explaining to the girl and mother on what normal bleeding usually is.
For enquiries and online appointments, send a message to www.DivakarsHospital.com/contact
You can seek 2nd opinion with Dr Hema Divakar and other specialist doctors through the Divakar’s Hospital app which can be downloaded from Google Play Store or ios
You can watch videos on relevant topics by visiting the ‘Health for Her’ youtube channel
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