TRASTORNOS MENSTRUALES EN LA ADOLESCENTE POSMENÁRQUICA: UN RETO TERAPÉUTICO EN LA ATENCIÓN PRIMARIA DE SALUD

Nuria Vega Betancourt, Sandy Jiménez Puñanles, Mayelín Merconchini Machado

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Resumen

Se realizó un estudio descriptivo y transversal en la consulta provincial de Ginecología Infanto-Juvenil del Hospital Ginecobstétrico «Mariana Grajales» de Santa Clara, desde mayo de 2013 a diciembre de 2014, con el objetivo de caracterizar a las pacientes con trastornos menstruales en la posmenarquia. Mediante un muestreo aleatorio simple, se seleccionaron las 200 adolescentes remitidas por trastornos menstruales. El 76,5 % tenían entre 12 y 16 años de edad, y todas fueron remitidas por presentar un trastorno menstrual que no resolvió luego de haberse administrado algún tipo de tratamiento hormonal innecesario. El 58,7 % no tenían ningún estudio complementario previo, y el 66,8 % presentaban exceso de flujo menstrual, sin afectación del estado clínico ni hemodinámico. Una evaluación completa de las pacientes mostró que solamente 15 precisaban tratamiento hormonal; el resto solo requería orientación a la adolescente y su familia, así como seguimiento en la atención primaria de salud.

Palabras clave

trastornos de la menstruación, atención primaria de salud, adolescente.


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