DIAGNOSTIC VALUE OF LABORATORY AND INSTRUMENTAL EXAMINATIONS IN THE EARLY DETECTION OF PREMENSTRUAL DISORDERS IN ADOLESCENT GIRLS
Keywords:
premenstrual disorders, adolescents, laboratory diagnosis, ultrasound, hormonal profile, early detection, menstrual health.Abstract
Premenstrual disorders are frequently observed in adolescent girls during maturation of the reproductive system and often remain undiagnosed because their manifestations are considered normal pubertal changes. Timely diagnosis is important for prevention of emotional disturbances, reduced academic performance, and future reproductive dysfunction. This study assessed the diagnostic value of laboratory and instrumental examinations in the early detection of premenstrual disorders in adolescent girls. A total of 186 girls aged 13–19 years were examined. Clinical assessment was combined with hormonal, biochemical, and ultrasonographic investigations. Premenstrual disorders were identified in 64.5% of participants. Significant associations were found between clinical symptoms and low luteal progesterone, iron deficiency, vitamin D insufficiency, and functional ovarian changes on ultrasound. The combined use of laboratory and instrumental methods increased early diagnostic accuracy and allowed identification of hidden etiological factors. Comprehensive screening is recommended in adolescents with recurrent premenstrual complaints.
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