韩国青春期及育龄期未婚女性月经相关问题的特征

作     者：Shin S.- Y. Lee Y.- Y. Yang S.- Y. D. Choi 张剑萍 

作者机构：Department of Obstetrics and Gynecology Samsung Medical Center Sungkyunkwan University School of Medicine 50 Ilwon-Dong Kangnam-Ku Seoul 135-710 South Korea 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第12期

页      面：31-31页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：未婚女性 育龄期 原发性闭经 卵巢早衰 异常子宫出血 性腺功能减退症 促性腺激素 子宫内膜异位症 卵巢巧克力囊肿 继发性闭经 

摘      要：Objective: This study was undertaken to compare the patterns of menstruation-related problems between adolescents and premarital women who visited the Young Lady Clinic (YLC) at Samsung Medical Center. Study design: This study includes 646 adolescents (aged 10- 20, group I) and 591 premarital young women (aged 21- 30, group II) who visited the YLC with menstruation-related problems (amenorrhea, oligomenorrhea, dysmenorrhea, abnormal uterine bleeding (AUB), etc.). Comparisons between the two groups were made with the use of χ 2- test and Fisher’ s exact test. Results: For primary amenorrhea, hypogonadotropic hypogonadism was more frequent in group I (p= 0.007), and eugonadism in group II (p = 0.0025). Chromosomal competent ovarian failure (p = 0.003) and hyperprolactinemia (p 0.001) were more frequent causes of secondary amenorrhea in group II. Endometriosis without ovarian endometrioma was the more frequent laparoscopic finding for patients of group I (p = 0.0429). Regarding AUB, dysfunctional uterine bleeding (DUB) was more frequent for group I (p 0.001) and endocrinopathies (p=0.006) and benign lesions of genital tract (p 0.0001) for group II. Conclusion: The menstruation-related problems showed different features for each group. These data might give us an insight, at least in part, into the menstruation-related problems of Korean young women.