ABSTRACT
A 30 yr. female was referred to AVBRH with difficulty in breathing. An abdominal computed tomography was done revealing a giant well defined peripherally cystic mass with solid lesions with enhancing septa within arising from the pelvis extending up to the epigastrium suggestive of complex ovarian cyst. Her only presenting complaint was abdominal distension which was increasing gradually over the past 7-8 months with tense abdomen and fullness in flanks with a difficulty in breathing. Patient was an operated case of right ovarian cystectomy 8-9 months back in which a 2.5 Kg mass was extracted. Tumor marker Ca-125 levels were done which were at normal levels of 10.90 IU/ml.
ABSTRACT
Background: Menarche marks the beginning of the reproductive phase in a woman’s life or the onset of puberty Menarche is said to be early when it begins before the age of 8 years in a girl’s life. Early menarche can turn up into many consequences. This can only be controlled by carefully exploring and analyzing the factors causing early menarche. This study aims to assess the impact of changing lifestyle on age of menarche.Methods: It is a prospective cross-sectional study, included 112 subjects in group I (girls had their menarche at the age of <11 years) and 88 subjects in group II (Girls had their menarche at the age between 12-14 years). A self-made questionnaire was used for collecting the data.Results: It is found that 80.32% girls from group I and 47.73% girls from group II consume junk food daily or 2-3 times per week. 66.07% girls from group I and 51.14% girls from group II play indoor games daily or 2-3 times per week. 52.86% girls from group I and 26.14% girls from group II go to hotel once a week and 57.14% girls from group I and 73.86% girls from group II go to hotel occasionally.Conclusions: Girls who are not much interested in playing outdoor games, more frequently go to hotel, eat more junk food and consume more amount of fats in the daily home-made food have a significant lowering in the age of menarche.