Primary dysmenorrhoea in adolescence

To find out the Magnitude and nature of dysmenorrhoea in adolescent age group girls of Multan city and to find out the relationship of dysmenorrhoea with mothers education and hobbies. Secondary schools and intermediate classes of colleges of Multan City Pakistan. Girl students of age 12-18 yrs studying in secondary schools and intermediate classes of Multan city They were randomly picked from the list of students provided by the headmistress principal, A questionnaire was discussed with the girls. It was filled on the spot, collected, screened, edited. and finally those who fitted according to the inclusion and exclusion criteria Were selected for analysis. 72% of the girl students from age 12-18 yrs had primary dysmenorrhoea, Maximum prevalence is at the age of 14-16 yrs, 8% had severe form of dysmenorrhoea 78% of the girls took some form of treatment for this problem. Girls who were involved in sports had less pain than others. Primary dysmenorrhoea is a very common problem of adolescence, As gynecologists we have to address this issue so that a disease state can be differentiated from a physiological condition

Ovarian cyst; laparoscopic management

OBJECTIVE: To assess the Results of operative laparoscopy in the management of ovarian cysts. Design: Retrospective evaluation of women who had undergone laparoscopic management of cystic ovarian masses. SUBJECT: Forty five women with clinically and sonographically benign cystic ovarian masses. INTERVENTION: Operative laparoscopy under general anaesthesia. No major intra-operative complication occurred in this series. Minor complications included injury of inferior epigastric artery, nausea, shoulder pain and urinary retention. Adnexal cystic mass varied form 4 to 12 cms with a mean size 6.5 cms. Histopathological examination showed malignancy in 2% of cases. Operative laparoscopy appears to be safe and effective method for treating clinically and ultrasonographically benign ovarian cysts. Day surgery is possible in majority of cases