From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits

Ömer Osman Eroğlu; Mehmet Alican Sapmaz; Cansın Eroğlu; Çağanay Soysal

From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits

Abstract

Aims: To characterize the clinical profile of a tertiary adolescent gynecology outpatient clinic, describe age-related differences in the recorded spectrum of visits, and describe the temporal distribution of visits across school and vacation periods. Methods: This retrospective, registry-based study analyzed 9,656 outpatient visits by 8,362 unique female patients aged 10-19 years at a tertiary city hospital (January 2024–February 2026). Patients were stratified into early (10–13), middle (14–16), and late (17–19) adolescence. Diagnostic distributions across age and social status were compared using Chi-square (or Fisher's) tests with Benjamini Hochberg FDR correction and Bonferroni post-hoc tests. Multivariable logistic regression assessed independent age and social-status effects. Visit density between school and vacation periods was compared with Mann–Whitney U; linear temporal trend by regression. Results: Late adolescents accounted for 57.0% of visits, middle 31.8%, and early 11.2%. The leading visit outcomes were normal gynecological examination (28.3%), dysmenorrhea (12.0%), oligomenorrhea (11.0%), polycystic ovary syndrome (PCOS, 8.1%), and vaginitis (6.7%). After FDR correction, 13 of 20 diagnoses retained significant age-related differences. Juvenile bleeding showed a striking inverse age gradient (19.6%→2.7%→<0.1%; FDR-adjusted p<0.001); PCOS a positive gradient (0.7%→6.1%→10.6%). In multivariable logistic regression, late adolescents had markedly higher adjusted odds of PCOS (OR 16.11; 95% CI 7.96-32.61) and near-zero odds of juvenile bleeding. Visit density was higher during vacation (20.1±1.6) than school (17.4±2.9; p=0.055); linear temporal regression was non-significant (β=0.14; 95% CI≈0 to 0.29; p=0.056). Conclusion: Adolescent gynecology visits follow distinct, age-stratified patterns that persist after adjustment for social status. The high proportion of normal examinations and very low psychology referral rates highlight the need for accessible, developmentally tailored, and psychologically integrated care.

Keywords

References

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Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Authors

Ömer Osman Eroğlu ^*
0000-0001-9861-6767
Türkiye

Mehmet Alican Sapmaz
0000-0003-3812-3455
Türkiye

Cansın Eroğlu
0009-0004-5049-1415
Türkiye

Çağanay Soysal
0000-0002-4381-6099
Türkiye

Publication Date

August 15, 2026

Submission Date

July 7, 2026

Acceptance Date

July 28, 2026

Published in Issue

Year 2026 Volume: 7 Number: 4

IZ

https://izlik.org/JA42CG62LB

Cite

RIS / Bibtex

APA

Eroğlu, Ö. O., Sapmaz, M. A., Eroğlu, C., & Soysal, Ç. (2026). From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits. Journal of Medicine and Palliative Care, 7(4), 819-829. https://izlik.org/JA42CG62LB

AMA

1.Eroğlu ÖO, Sapmaz MA, Eroğlu C, Soysal Ç. From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits. J Med Palliat Care / JOMPAC / jompac. 2026;7(4):819-829. https://izlik.org/JA42CG62LB

Chicago

Eroğlu, Ömer Osman, Mehmet Alican Sapmaz, Cansın Eroğlu, and Çağanay Soysal. 2026. “From Juvenile Bleeding to Polycystic Ovary Syndrome: How Adolescent Gynecology Shifts across Age Groups—a Retrospective Analysis of 9,656 Visits”. Journal of Medicine and Palliative Care 7 (4): 819-29. https://izlik.org/JA42CG62LB.

EndNote

Eroğlu ÖO, Sapmaz MA, Eroğlu C, Soysal Ç (August 1, 2026) From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits. Journal of Medicine and Palliative Care 7 4 819–829.

IEEE

[1]Ö. O. Eroğlu, M. A. Sapmaz, C. Eroğlu, and Ç. Soysal, “From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits”, J Med Palliat Care / JOMPAC / jompac, vol. 7, no. 4, pp. 819–829, Aug. 2026, [Online]. Available: https://izlik.org/JA42CG62LB

ISNAD

Eroğlu, Ömer Osman - Sapmaz, Mehmet Alican - Eroğlu, Cansın - Soysal, Çağanay. “From Juvenile Bleeding to Polycystic Ovary Syndrome: How Adolescent Gynecology Shifts across Age Groups—a Retrospective Analysis of 9,656 Visits”. Journal of Medicine and Palliative Care 7/4 (August 1, 2026): 819-829. https://izlik.org/JA42CG62LB.

JAMA

1.Eroğlu ÖO, Sapmaz MA, Eroğlu C, Soysal Ç. From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits. J Med Palliat Care / JOMPAC / jompac. 2026;7:819–829.

MLA

Eroğlu, Ömer Osman, et al. “From Juvenile Bleeding to Polycystic Ovary Syndrome: How Adolescent Gynecology Shifts across Age Groups—a Retrospective Analysis of 9,656 Visits”. Journal of Medicine and Palliative Care, vol. 7, no. 4, Aug. 2026, pp. 819-2, https://izlik.org/JA42CG62LB.

Vancouver

1.Ömer Osman Eroğlu, Mehmet Alican Sapmaz, Cansın Eroğlu, Çağanay Soysal. From juvenile bleeding to polycystic ovary syndrome: how adolescent gynecology shifts across age groups—a retrospective analysis of 9,656 visits. J Med Palliat Care / JOMPAC / jompac [Internet]. 2026 Aug. 1;7(4):819-2. Available from: https://izlik.org/JA42CG62LB