The Medical Component Dr. Asem Anwar Moussa MD Professor of OB/GYN Al-Azhar School of Medicine

The medical component n focused on: n 1- Clinical assessment of the current health status of women participated in the present study. n 2-reviewing their gynecologic history as well as past obstetric history. to evaluate the impact of marriage at an early age on the reproductive health. n 3-Laboratory investigations.

METHODLOGY: n A purposive sample of 31 women were chosen. Actually, 44 participants out of the 300 women wished to be examined vaginally. However, only 31 were able to attend the examination and the resting 13 couldn’t, because of social constraints and logistic problems.

HISTORY TAKING: n The researcher took it in a non judgmental, sensitive and a thorough manner. The complaints of the clients were classified into 7 categories.

: PHYSICAL EXAMINATION n The general appearance, vital signs and body mass index were recorded.. Breast examination, cardiac, chest and abdominal examination were done. Ultrasound examination was performed to rule out any pelvic swellings. Mental and sexual health were also considered to exclude mental health problems such as depression and sexual problems.

PELVIC EXAMINATION: n It was carried out at a private clinic where privacy was strictly ensured. Counseling, preparation of the patient, adequate lubrication and sensitivity to pain and discomfort were considered during the examination. The external genitalia were inspected for any abnormalities..

LABORATORY ASSESSMENT: n Some laboratory tests were requested for some patients as hormonal profile, complete blood picture,cervical smear and coloposcopy to rule out any cervical premalignant lesions. n Laparoscopy n

RESULTS

n Table E1: Age at Marriage

E2 Table : Main Complaints in Relation to Age at Marriage ِ Above 18Less than 18Complaint %No% Menstrual disturbances Inability to conceive Urinary problems Non gynecological problems More than one complaint Sexual problems ( dyspareunia) Antenatal Care 1615Total

table E3: : Body Mass Index in Relation to Age at Marriage

Table E4: Past Obstetric History in Relation to Age at Marriage

Table E5: Breast Examination in Relation to Age at marriage

Table E6: Vaginal Examination in Relation to Age at Marriage

Table E7: Type of Vaginal Discharge

Table E8: Provisional Diagnosis in Relation to Age at Marriage

Table E9: Treatment of cases in Relation to Age at Marriage

Table E10: Referred Cases in Relation to Age at Marriage

Table E11: Other Findings in Relation to Age at Marriage

Female pelvis

Conclusion n This a small sample sized qualitative study, further more studies on the implications and consequences of early marriage on reproductive health as well as sexual and mental health should be addressed.

The 4 “Ts” Recalled “THROMBIN”Check labs if suspicious.