Management of abnormal uterine bleeding in perimenarche: diagnostic challenges
An 18-year-old girl—virgin, Indonesian, Bataknese, Moslem, student—was admitted to the Emergency Department of Haji Adam Malik Hospital, Medan, and presented with prolonged menstruation for the past 3 years, volume 5–6 pads/day, lasting for ±3 weeks, dark red, clotting (+), regular menstrual cycles...
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Universiti Kebangsaan Malaysia
2016
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| Online Access: | http://journalarticle.ukm.my/9664/ http://journalarticle.ukm.my/9664/ http://journalarticle.ukm.my/9664/1/67-1418198193.pdf |
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ukm-9664 |
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ukm-96642016-12-14T06:50:29Z http://journalarticle.ukm.my/9664/ Management of abnormal uterine bleeding in perimenarche: diagnostic challenges Muhammad Fidel Ganis Siregar, An 18-year-old girl—virgin, Indonesian, Bataknese, Moslem, student—was admitted to the Emergency Department of Haji Adam Malik Hospital, Medan, and presented with prolonged menstruation for the past 3 years, volume 5–6 pads/day, lasting for ±3 weeks, dark red, clotting (+), regular menstrual cycles. Vital signs were within normal limits. Physical examination revealed pale inferior conjunctiva palpebral and soft abdomen, with no palpable mass. As the patient was unmarried, speculum and vaginal examinations were not performed. This is apparently a sensitive issue as most eastern countries (including Indonesia), especially Muslim countries, highly value virginity. As the patient refused, a rectal toucher was also not used. Sonographic imaging revealed an anteflexed uterus measuring 7.1× 4.52 × 3.1 cm and endometrial thickness measuring 1.54 cm, suggestive of thickening endometrial wall. Both ovaries were normal sized. Based on these findings the patient was diagnosed with abnormal uterine bleeding and was subsequently administered with oral progesteron based on the recommended dose and duration of administration for three cycles. Universiti Kebangsaan Malaysia 2016-03-21 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9664/1/67-1418198193.pdf Muhammad Fidel Ganis Siregar, (2016) Management of abnormal uterine bleeding in perimenarche: diagnostic challenges. International Journal of Public Health Research, 5 (3). pp. 597-600. ISSN 2232-0245 www.ijphr.ukm.my |
| repository_type |
Digital Repository |
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Local University |
| institution |
Universiti Kebangasaan Malaysia |
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UKM Institutional Repository |
| collection |
Online Access |
| language |
English |
| description |
An 18-year-old girl—virgin, Indonesian, Bataknese, Moslem, student—was admitted to the Emergency Department of
Haji Adam Malik Hospital, Medan, and presented with prolonged menstruation for the past 3 years, volume 5–6 pads/day, lasting for ±3 weeks, dark red, clotting (+), regular menstrual cycles. Vital signs were within normal limits. Physical examination revealed pale inferior conjunctiva palpebral and soft abdomen, with no palpable mass. As the patient was unmarried, speculum and vaginal examinations were not performed. This is apparently a sensitive issue as most eastern countries (including Indonesia), especially Muslim countries, highly value virginity. As the patient refused, a rectal toucher was also not used. Sonographic imaging revealed an anteflexed uterus measuring 7.1× 4.52 × 3.1 cm and endometrial thickness measuring 1.54 cm, suggestive of thickening endometrial wall. Both ovaries were normal sized. Based on these findings the patient was diagnosed with abnormal uterine bleeding and was subsequently administered with oral progesteron based on the recommended dose and duration of administration for three cycles. |
| format |
Article |
| author |
Muhammad Fidel Ganis Siregar, |
| spellingShingle |
Muhammad Fidel Ganis Siregar, Management of abnormal uterine bleeding in perimenarche: diagnostic challenges |
| author_facet |
Muhammad Fidel Ganis Siregar, |
| author_sort |
Muhammad Fidel Ganis Siregar, |
| title |
Management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| title_short |
Management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| title_full |
Management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| title_fullStr |
Management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| title_full_unstemmed |
Management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| title_sort |
management of abnormal uterine bleeding in
perimenarche: diagnostic challenges |
| publisher |
Universiti Kebangsaan Malaysia |
| publishDate |
2016 |
| url |
http://journalarticle.ukm.my/9664/ http://journalarticle.ukm.my/9664/ http://journalarticle.ukm.my/9664/1/67-1418198193.pdf |
| first_indexed |
2023-09-18T19:55:22Z |
| last_indexed |
2023-09-18T19:55:22Z |
| _version_ |
1777406493655564288 |