Management of patients with abnormal uterine bleeding puberty in the outpatient setting (experience MCDC “Yuventa”)

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract


Questions of the effectiveness of therapy of abnormal uterine bleeding puberty, prevention of recurrence and restore of normal menstrual and fertility are extremely important in the future. Diagnosis of abnormal uterine bleeding puberty often is an absolute indication for hospitalization. However, the experience Saint Petersburg Municipal consultive and diagnostic center “Juventa” patients can receive medical treatment in a day hospital with good clinical effect, if they haven’t anemia and heavy bleeding. Аccording to Juventa clinic, dysfunctional uterine bleedings of the pubertal period iconsist 4 % in the structure of the gynaecological diseases among the young girls. 75-89 % of young patients with bleedings do not require hospitalization with 24 hour observation and can get medical care in the outpatient settings with good clinical effect. In 2/3 of patients could receive the hemostatic effect when using a non-hormonal therapy. In 1/3 of patients require hormone therapy. All of the patients need further medical supervision and therapy for prevention of recurrent bleeding. The effectiveness of conservative hemostatic therapy conducted in a day hospital was 97.8 %. Important conditions for a good clinical effect were: patient selection, which can be performed outpatient treatment, the use of complex therapy, dynamic assessment of the effectiveness of the therapy, timely correction of the treatment regimen with the addition of hormone hemostatic therapy.

Full Text

Restricted Access

About the authors

Irina Nikolaevna Gogotadze

Saint Petersburg State Pediatric Medical University

Email: irinagogotadze@rambler.ru
MD, PhD, Associate Professor. Department of Сhildren Gynecology and Women Reproductology

Pavel Naumovich Krotin

St. Petersburg State Municipal consultive and diagnostic centre “Yuventa”

Email: pkrotin@rambler.ru
MD, PhD, Dr Med Sci, Professor, Head

Tat’yana Yur’yevna Kozhukhovskaya

St. Petersburg State Municipal consultive and diagnostic centre “Yuventa”

Email: tatianako@inbox.ru
MD, PhD

Elena Magometovna Bogatyreva

Saint Petersburg State Pediatric Medical University

Email: Elen_bogat@mail.ru
Postgraduate Student, Department of Children Gynecology and Women Reproductology

References

  1. Веселова Н. М. Особенности дифференцированного применения гормонального и негормонального метода лечения у девочек подростков с маточными кровотечениями пубертатного возраста. Биол. медицина. 2007; 13 (2): 35-42.
  2. Гоготадзе И. Н. Ювенильные кровотечения. Методическое пособие. СПб.: СПб ГПМА; 2004.
  3. Гуркин Ю. А. Детская и подростковая гинекология: Руководство для врачей. М: МИА. 2009; 268-301.
  4. Коколина В. Ф. Детская и подростковая гинекология. М.: Медпрактика-М. 2006; 174-228.
  5. Коколина В. Ф. Гинекологическая эндокринология детского и подросткового возраста: Руководство для врачей. 4-е изд. М.: Медпрактика-М. 2005: 174-89.
  6. Кулаков В. И., Уварова Е. В. Стандартные принципы обследования и лечения детей и подростков с гинекологическими заболеваниями и нарушениями полового развития. М.: Триада-Х. 2004.
  7. Lethaby A., Augood C., Duckitt K. Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane Database Syst Rev. 2002; (1).
  8. Lethaby A., Farquhar C., Cooke I. Antifibrinolitics for heavy menstrual bleeding. Cochrane Database Syst Rev. 2000; (4).
  9. Pediatric and Adolescent gynecology. In: Evidence-based Clinical Practice / C. Sultan (ed.). Montpellier 2004; 270.

Statistics

Views

Abstract - 2088

PDF (Russian) - 550

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions


Copyright (c) 2015 Gogotadze I.N., Krotin P.N., Kozhukhovskaya T.Y., Bogatyreva E.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies