Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium

Objective: The purpose of this study was to analyse the spectrum of new patients with gynecological endocrine abnormalities presenting to a teaching hospital in Bangkok at the beginning of the new millennium. The data obtained may help policy makers, involved health care providers and medical educa...

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Main Authors: Kitirat Techatraisak, Surasak Angsuwathana, Manee Rattanachaiyanont, Prasong Tanmahasamut, Pichai Leerasiri, Suchada Indhavivadhana
Format: Article
Language:English
Published: Mahidol University 2007-11-01
Series:Siriraj Medical Journal
Subjects:
Online Access:https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246162
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spelling doaj-115b6adbaf0d40dcaf427c96e7a77a242021-08-13T09:59:08ZengMahidol UniversitySiriraj Medical Journal2228-80822007-11-01596Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New MillenniumKitirat Techatraisak0Surasak Angsuwathana1Manee Rattanachaiyanont2Prasong Tanmahasamut3Pichai Leerasiri4Suchada Indhavivadhana5Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University Objective: The purpose of this study was to analyse the spectrum of new patients with gynecological endocrine abnormalities presenting to a teaching hospital in Bangkok at the beginning of the new millennium. The data obtained may help policy makers, involved health care providers and medical educators plan for the future to best suit the Thai new health care system, medical research or contemporary medical education in a teaching hospital. Methods: Only new patients attending the Gynecologic Endocrinology Clinic at Siriraj Hospital in the year 2000 (excluding natural and surgical menopause patients who separately attended the Menopause Clinic at that time) were included in the analysis. There were 492 new patients attending the clinic including newly referred patients from other departments at Siriraj Hospital or from other hospitals. Of these, 464 (94.3%) had complete records, full follow up and a conclusive final diagnosis. The data was analysed and presented in a descriptive manner. Results: Among 464 patients, the most common presenting symptom was abnormal uterine bleeding (85.5% of cases). The five most common final diagnoses were: endometrial hyperplasia (18.9%), anovulatory dysfunctional uterine bleeding (14.4%), endometriosis with histodiagnosis (13.7%), polycystic ovary syndrome (5.1%) and premature ovarian failure (3.0%). Other uncommon diagnoses such as primary amenorrhea, which needs complicated investigations, caused by different etiologies (e.g. Mullerian agenesis, gonadal dysgenesis, androgen insensitivity syndrome), rare cases of secondary amenorrhea (e.g. late onset congenital adrenal hyperplasia, hypogonadotropic hypogonadism, pseudocyesis) were also seen at our clinic in the year 2000. Conclusion: The Gynecologic Endocrinology Clinic of Siriraj Hospital had a great variety of number of cases and diagnoses, both common and uncommon. In most cases, problems could be evaluated and investigated at the outpatient clinic without admission. Treatments were also given and monitored effectively there. Only a few special investigations, such as chromosome analysis, CT or MRI were needed to obtain a final diagnosis. We expect to see a lower number of less complicated cases in the future who may be managed at a primary or a secondary care hospital. Nevertheless, knowledge about gynecological endocrinopathies are still of major importance for both undergraduates and postgraduates.   https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246162Abnormal uterine bleedingamenorrheaendometriosischronic pelvic pain
collection DOAJ
language English
format Article
sources DOAJ
author Kitirat Techatraisak
Surasak Angsuwathana
Manee Rattanachaiyanont
Prasong Tanmahasamut
Pichai Leerasiri
Suchada Indhavivadhana
spellingShingle Kitirat Techatraisak
Surasak Angsuwathana
Manee Rattanachaiyanont
Prasong Tanmahasamut
Pichai Leerasiri
Suchada Indhavivadhana
Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
Siriraj Medical Journal
Abnormal uterine bleeding
amenorrhea
endometriosis
chronic pelvic pain
author_facet Kitirat Techatraisak
Surasak Angsuwathana
Manee Rattanachaiyanont
Prasong Tanmahasamut
Pichai Leerasiri
Suchada Indhavivadhana
author_sort Kitirat Techatraisak
title Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
title_short Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
title_full Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
title_fullStr Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
title_full_unstemmed Gynecological Endocrinology Patients Attending Siriraj Hospital at the Beginning of the New Millennium
title_sort gynecological endocrinology patients attending siriraj hospital at the beginning of the new millennium
publisher Mahidol University
series Siriraj Medical Journal
issn 2228-8082
publishDate 2007-11-01
description Objective: The purpose of this study was to analyse the spectrum of new patients with gynecological endocrine abnormalities presenting to a teaching hospital in Bangkok at the beginning of the new millennium. The data obtained may help policy makers, involved health care providers and medical educators plan for the future to best suit the Thai new health care system, medical research or contemporary medical education in a teaching hospital. Methods: Only new patients attending the Gynecologic Endocrinology Clinic at Siriraj Hospital in the year 2000 (excluding natural and surgical menopause patients who separately attended the Menopause Clinic at that time) were included in the analysis. There were 492 new patients attending the clinic including newly referred patients from other departments at Siriraj Hospital or from other hospitals. Of these, 464 (94.3%) had complete records, full follow up and a conclusive final diagnosis. The data was analysed and presented in a descriptive manner. Results: Among 464 patients, the most common presenting symptom was abnormal uterine bleeding (85.5% of cases). The five most common final diagnoses were: endometrial hyperplasia (18.9%), anovulatory dysfunctional uterine bleeding (14.4%), endometriosis with histodiagnosis (13.7%), polycystic ovary syndrome (5.1%) and premature ovarian failure (3.0%). Other uncommon diagnoses such as primary amenorrhea, which needs complicated investigations, caused by different etiologies (e.g. Mullerian agenesis, gonadal dysgenesis, androgen insensitivity syndrome), rare cases of secondary amenorrhea (e.g. late onset congenital adrenal hyperplasia, hypogonadotropic hypogonadism, pseudocyesis) were also seen at our clinic in the year 2000. Conclusion: The Gynecologic Endocrinology Clinic of Siriraj Hospital had a great variety of number of cases and diagnoses, both common and uncommon. In most cases, problems could be evaluated and investigated at the outpatient clinic without admission. Treatments were also given and monitored effectively there. Only a few special investigations, such as chromosome analysis, CT or MRI were needed to obtain a final diagnosis. We expect to see a lower number of less complicated cases in the future who may be managed at a primary or a secondary care hospital. Nevertheless, knowledge about gynecological endocrinopathies are still of major importance for both undergraduates and postgraduates.  
topic Abnormal uterine bleeding
amenorrhea
endometriosis
chronic pelvic pain
url https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246162
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