Constitutional characteristics of adolescent girls with abnormal uterine bleeding


  • O. Kucherenko
  • H. Chaika
Keywords: girls of pubertal age, abnormal uterine bleeding, mesomorphic, ectomorphic and ecto-mesomorphic somatotype, type of constitution.

Abstract

Annotation. The aim of the study is to find the possibility of predicting abnormal uterine bleeding depending on the constitutional features of the body structure at the outpatient level. 288 young girls were examined. The main group included 58 girls with abnormal uterine bleeding, the comparison group included 230 practically healthy girls of the same age. The constitutional affiliation of the girls was established according to the constitutional typology of W. Sheldon, considered the most reasonable and statistically confirmed. General clinical, anthropometric, somatotypological and statistical research methods were used. We considered only those parameters that can be measured by any general practitioner, namely: body mass index, and body surface area, chest circumference, interspinous, intercristal, intertrochanteric distances, the external conjugate. Analysis of the data obtained was carried out using the program “STATISTICA 5.5” using non-parametric methods for evaluating the results. It is established that the occurrence of abnormal uterine bleeding in girls adolescence in the vast majority of cases is related to their constitutional peculiarities of the body structure and most often this nosology occurs in girls of ectomorphic somatotype (46.60 %), and least often in girls of ecto-mesomorphic somatotype (22.40 %).

References

1. Grechko, E. Yu. (2009). Veroyatnost' razvitiya ginekologicheskih zabolevanij u devochek-podrostkov, prozhivayushchih v zone ekologicheskogo neblagopoluchiya [The likelihood of gynecological diseases in adolescent girls living in the area of ecological disadvantage]. In G. T. Suhih & V. N. Serov (Red.), Mat' i ditya: Mater. III regional'nogo nauch. foruma – Mother and Child: Mater. III Regional Science. Forum (p. 75). Moskva: MEDI Ekspo. ISBN 978-5-94943-042-2. Vzyato s https://www.mediexpo.ru/fileadmin/user_upload/content/pdf/thesis/md09sar.pdf

2. Dynnik, V. O. (2010). Prohnoz perebihu pubertatnykh matkovykh krovotech u divchat-pidlitkiv [The prognosis of puberty uterine bleeding in adolescent girls]. Zdorove rebenka – Child's health, 5 (26), 53–55. Vzyato z http://www.mif-ua.com/archive/article/14191

3. Kucherenko, O. M. (2016). Osoblyvosti statevoho rozvytku u divchat pubertatnoho viku iz anomalnymy matkovymy krovotechamy riznykh somatotypiv [Features of sexual development in girls of pubertal age with abnormal uterine bleeding of different somatotypes]. Visnyk morfolohii – Bulletin of morphology, 1 (22), 128–131. Vzyato z Vismorf_2016_22_1_32.pdf

4. Kucherenko, O. M. (2017). Prohnozuvannia anomalnykh matkovykh krovotech u divchat yunatskoho viku riznykh somatotypiv [Prediction of abnormal uterine bleeding in adolescent girls of different somatotypes]. (Dis. cand. med. scie). Vinnytskyi natsionalnyi medychnyi universytet, Vinnytsia – Vinnytsia National Medical University, Vinnytsia.

5. Kuchumova, O. Yu. (2005). Prognozirovanie i profilaktika recidivov disfunkcional'nyh matochnyh krovotechenij v pubertatnom periode [Prediction and prevention of relapses of dysfunctional uterine bleeding in puberty. (Dis. cand. med. scie). FGU “Uralskij nauchno-issledovatelskij institut ohrany materinstva i mladenchestva Federalnogo agenstva po zdravoohraneniyu i socialnomu razvitiyu”, Chelyabinsk – FGU “Ural Research Institute of Maternity and Infancy Protection of the Federal Agency for Healthcare and Social Development”, Chelyabinsk.

6. Unifikovanyi klinichnyi protokol pervynnoi, vtorynnoi (spetsializovanoi) ta tretynnoi (vysokospetsializovanoi) medychnoi dopomohy “Anomalni matovi krovotechi” Nakaz MOZ Ukrainy (2016) № 353 – Unified clinical protocol of primary, secondary (specialized) and tertiary (highly specialized) medical care “Anomalous uterine bleeding” Order of the Ministry of Health of Ukraine № 353.

7. Chaika, H. V. (2008). Medychna “norma” ta obgruntuvannia neobhidnocti rozpobky normatyvnyh morfofunktsionalnyh pokaznykiv reproduktyvnoho zdorovia divchat pidlitkiv na riznyx etapah statevoho dozrivannia [Medical “norm” and substantiation of the necessity of treatment of normative morphofunctional indicators of productive health of adolescent girls in the late summer]. Problemy, dostizheniya i perspektivy razvitiya mediko-biologicheckih nauk i prakticheckogo zdravoohraneniya – Problems, achievements and prospects for the development of medico-biological sciences and practical health, 144 (4), 247–351.

8. Chaika, H. V. (2010). Osoblyvocti zviazkiv antroposomatometrychnyh pokaznykiv z ultrazvukovymy parametramy matky u praktychno zdorovyh divchat pidlitkovoho viku v pizni fazy menstrualnoho tsyklu [Peculiarities of connections of anthropocomatometric indicators with ultrasound parameters of the uterus in practically healthy adolescent girls in the late phase of the phase]. V Aktualni problemy akusherstva i hinekolohii, klinichnoi imunolohii ta medychnoi henetyky, Zbipnyk naukovyh prats – Current Problems of Obstetrics and Gynecology, Clinical Immunology and Medical Genetics, Collection of scientific articles, 20, 175–182.

9. Chaika, H. V. (2010). Zviazky antroposomatometrychnyh pokaznykiv z ultrazvukovymy parametramy yaiechnykiv u zdorovyh miskyh divchat Podillia pubertatnoho viku v zalezhnosti vid faz menctrualnoho tsyklu [Relationships of anthropocomatometric parameters with ultrasound parameters of ovaries in healthy female girls of Podillya at puberty depending on the phase of menstrual cycle]. Naukovyi visnyk Natsionalnoho medychnoho universytetu imeni O.O. Bohomoltsia – Scientific journal of the National Medical University named after O.O. Bogomolets, 3, 106-108.

10. Chaika, H. V., Lomachuk, B. O., & Kucherenko, O. M. (2015). Prohnozuvannia pubertatnyh krovotech u divchat pubertatnoho viku riznyh morfotypiv [Prediction of pubertal bleeding in adolescents of different morphotypes]. Aktualni pytannia pediatrii, akusherstva ta hinekolohii – Current issues of pediatrics, obstetrics and gynecology, 1 (15), 192–195.

11. Chaika, H. V. (2010). Vzaiemozviazky antroposomatometrychnyh pokaznykiv z ultrazvukovymy parametramy yaiechnykiv u zdorovyh miskyh divchat pidlitkovoho viku v rizni fazy menstrualnoho tsyklu [Relationships of anthropocomatometric parameters with ultrasound parameters of ovaries in healthy female adolescent girls in different phases of the menstrual cycle]. Zbirnyk naukovyh prats Acotsiatsii akusheriv-hinekolohiv Ukrainy – Scientific journal of the Association of Obstetric Gynecologists of Ukraine, (pp. 850–854).

12. Chaika, H. V. (2011). Konstytutsionalni zakonomirnosti stanovlennia zhinochoi statevoi systemy u praktychno zdorovykh osib pidlitkovoho ta pubertatnoho viku [Constitutional laws of formation of female sexual system at practically healthy persons of teenage and pubertal age]. (Dis. doc. med. scie). Vinnytskyi natsionalnyi medychnyi universytet, Vinnytsia – Vinnytsia National Medical University, Vinnytsia.

13. Chaika, G., & Kucherenko, O. (2016). Discriminant model possibility of occurrence pubertal uterine bleeding in girls depending on the characteristics of the structure and size of the body. Current Issues in Pharmacy and Medical Sciences, 29 (3), 124–126. DOI: https://doi.org/10.1515/cipms-2016-0025

14. Dambhare D. G., Wagh, S. V., & Dudhe, J. Y. (2012). Age at menarche and menstrual cycle pattern among school adolescent girls in Central India. Glob. J. Health Sci., 4 (1), 105–11. doi: 10.5539/gjhs.v4n1p105

15. De Sanctis, V., Rigon, F., Bernasconi, S., Bianchin, L., Bona, G., Bozzola, M., … & Perissinotto, E. (2019). Age at Menarche and Menstrual Abnormalities in Adolescence: Does it Matter? The Evidence from a Large Survey among Italian Secondary Schoolgirls. Indian J. Pediatr., 1, 34–41. doi: 10.1007/s12098-018-2822-x

16. Hietamäki, J., Hero, M., Holopainen, E., Känsäkoski, J., Vaaralahti, K., Iivonen, A. P., … & Raivio, T. (2017). GnRH receptor gene mutations in adolescents and young adults presenting with signs of partial gonadotropin deficiency. PLoS One, 12, 11. doi: 10.1371/journal.pone.0188750

17. Ivarsson, L. B., Lindström, B. E., Olovsson, M., & Lindström, A. K. (2019). Treatment of Urethral Pain Syndrome (UPS) in Sweden. PLOS One, 14 (11), e0225404. https://doi.org/10.1371/journal.pone.0225404

18. Jacobsen, B. K., Knutsen, S. F., Oda, K., & Fraser, G. E. (2013). Body mass index at age 20 and subsequent childbearing: The Adventist Health Study-2. J. Womens Health (Larchmt), 22 (5), 460–6. doi: 10.1089/jwh.2012.3727

19. Larson, E. B., Anker, J. J., Gliddon, L. A., Fons, K. S., & Carroll, M. E. (2007). Effects of estrogen and progesterone on the escalation of cocaine self-administration in female rats during extended access. Exp. Clin. Psychopharmacol., 15, 461–471. DOI: 10.1037/1064-1297.15.5.461

20. Munro, M. G., Critchley, H. O. D., Broder, M. S., & Fraser, I. S. (2011). FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. International Journal of Gynecology & Obstetrics, 113 (1), 3–13. https://doi.org/10.1016/j.ijgo.2010.11.011
Published
2020-10-12
How to Cite
Kucherenko, O., & Chaika, H. (2020). Constitutional characteristics of adolescent girls with abnormal uterine bleeding. Reports of Vinnytsia National Medical University, 24(2), 201-207. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2020-24(2)-01