Features of uterine blood flow in adolescents with abnormal uterine bleeding of puberty

Irina Tuchkina 1, Lyudmila Vygovskaya 1, Anastasia Novikova 1 *
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1 Department of Obstetrics, Gynecology and Pediatric Gynecology, Kharkiv National Medical University, Kharkiv, Ukraine
* Corresponding Author
J CLIN MED KAZ, Volume 4, Issue 54, pp. 21-24. https://doi.org/10.23950/1812-2892-JCMK-00679
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ABSTRACT

The aim of this study was to study the ultrasound characteristics of the pelvic organs and the characteristics of uterine blood flow in adolescents with abnormal uterine bleeding during puberty.
Methods: Investigate 93 adolescent girls with abnormal uterine bleeding during puberty (AUBDP), aged 11 to 18 years (mean age was 14.5 ± 3.5 years). Patients with AUBDP were divided into 2 clinical groups: I group consisted of 44 patients 11-14 years old, group II - 49 adolescent girls 15-17 years old. The control group included 25 person of the same age without menstrual disorders. The frequency of relapses of AMKPP in group I was 20,4%, in group II – 28,5%.
Ultrasound and Doppler study was performed using an ultrasound scanner "Siemens" (Germany), using a transabdominal sensor (3.5 MHz) and a transvaginal sensor (6.5-7 MHz) in adolescents who have sex.
The conditional of blood flow in the uterine and spiral arteries was performed using Doppler study. The indices of vascular resistance in both the uterine and spiral arteries, the index resistance (IR), the pulsation index (PI), and the systolic-diastolic ratio (S/D) were calculated.
Results: The study revealed hemodynamic changes in blood flow in girls with AUBDP. In this connection, the described changes in the parameters of blood flow in a. uterinae and a. radialis can serve as an additional diagnostic criterion for determining the risk of uterine bleeding during puberty.
Conclusion: Based on the study, ultrasound and Dopplerometric features of the pelvic organs in adolescent girls with AUBDP were found, which were characterized by an increase in the size of the uterus, heterogeneous endometrial echostructure, an increase in the size of the ovaries, an increase in systolic and diastolic blood flow rates, and vascular resistance indices in a. uterinae and a. radialis
Keywords: puberty, abnormal uterine bleeding, blood flow characteristics

CITATION

Tuchkina I, Vygovskaya L, Novikova A. Features of uterine blood flow in adolescents with abnormal uterine bleeding of puberty. Journal of Clinical Medicine of Kazakhstan. 2019;4(54):21-4. https://doi.org/10.23950/1812-2892-JCMK-00679

REFERENCES

  • Tuchkina I.A., Zobina Yu.L., Lossovaya M.A., Tuchkina M.Yu. Patologiya pubertata i realizatsiya reproduktivnogo potentsiala zhenskogo organizma: kliniko-terapevticheskie paralleli (Pathology of puberty and the realization of the reproductive potential of the female body: clinical and therapeutic parallels) [in Russian]. Zdorov'e zhenshchiny. 2010; 3(49):175-178.
  • Tuchkina I. O. Etapna reabilitacija pidlitkiv z ginekologichnymy zahvorjuvannjamy ta junyh vagitnyh z ekstragenital'noju patologijeju. Harkiv. derzh. med. un-t. 2007; 348.
  • Tuchkina I.A., Gilenko Zh.O. Neotlozhnaja pomoshh' pri pubertatnyh matochnyh krovotechenijah, oslozhnjonnyh postgemorragicheskoj anemiej na fone jekstragenital'noj patologii (Emergency care for pubertal uterine bleeding complicated by posthemorrhagic anemia on the background of extragenital pathology) [in Russian]. Vestnik KazNMU. 2014; 4:26-29.
  • Uvarova E. V. Anomal'nye matochnye krovotechenija (Abnormal uterine bleeding) [in Russian]. Reproduktivnoe zdorov'e detej i podrostkov. 2013; 3:73-88.
  • Levenec S.A., Nachetova T.A., Vvedenskaja T.S. Prognosticheskaja znachimost' narushenij krovosnabzhenija matki i jaichnikov v vozniknovenii vtorichnoj amenorei u devochek-podrostkov (Prognostic significance of uterine and ovarian blood supply disorders in the occurrence of secondary amenorrhea in adolescent girls) [in Russian]. Original'nye issledovanija. 2012.; 5(91).
  • Dynnik V. A. Narushenija dinamicheskogo ravnovesija v sisteme svertyvanija krovi pri anomal'nyh matochnyh krovotechenijah pubertatnogo perioda (Violations of dynamic equilibrium in the blood coagulation system with abnormal uterine bleeding of the puberty) [in Russian]. Nauchnye vedomosti Belgorod. gos. un-ta. Medicina. Farmacija. 2015; 32(22):73-80.
  • Strizhakov A. N., Bunin A. T., Medvedev M. V.. Ul'trazvukovaja diagnostika v akusherskoj klinike (Ultrasound diagnostics in the obstetric clinic) [in Russian]. Medicina. 2010; 237.
  • Bogdanova E. A. Prakticheskaja ginekologija molodyh (Practical gynecology of the young) [in Russian]. Medicinskaja kniga. 2011; 256.