Menstrual disorders and mammary dysplasias in adolescent girls

The objective of the research was to study frequency of the menstrual disorders and the mammary dysplasia (mastopathy) and their clinical marks in adolescent girls. Methods. In the research there included 605 girls 14–18yrs. The total clinical examination, USE of genitals, hormonal analysis was conducted. For the study of condition of the mammary glands and clinical marks of mammary dysplasia we made use our own questionnaire of 24 questions. Results. The investigation shows that 97% girls had the menstrual disorders. Among the girls dysmenorrhea was found in 84%. Reasons of the menstrual disorders were: endemic goiter (63%), inflammatory of genitals (14%), hyperandrogenia (6%), hypothalamic-pituitary dysfunction (4%), metabolism dysfunctions (2%) and primary deficient activity of the ovaries (2%). The our research shows that 57% girls had cyclic mastalgia, 20% – persistent mastalgia and 32% – asymmetric form of mammary glands, 2 girls had mammary hypertrophy. The mammary dysplasia diagnosed in 34% patients. Every second girl with cyclic mastalgia and asymmetric form has been diagnosed mastopathy. Girls with mammary hypertrophy had mammary dysplasia. Conclusions. This study has shown a high frequency of dysmenorrhea (97%) among the examined adolescent girls. Every second girls with mastalgia and with asymmetric mammary glands has been diagnosed mammary dysplasia. Mastalgia, asymmetric form of mammary glands, mammary hypertrophy are risk factor for mastopathy and indication for observation and examination.