Evaluation and Management of Adolescents with Abnormal Uterine Bleeding.

Abstract:

:The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replacing the term "menorrhagia") or AUB/intermenstrual bleeding (replacing the term "metrorrhagia"). Although many cases of AUB in adolescent women are attributable to immaturity of the hypothalamic-pituitary-ovarian axis, underlying bleeding disorders should be considered in women with AUB/HMB. This article reviews the new terminology for AUB, discusses important relevant features of history and examination, presents the laboratory evaluation of HMB, and describes hormonal (oral contraceptive pills, progestin-only methods, long-acting reversible contraceptives including intrauterine systems), hematologic (tranexamic acid and desmopressin), and surgical management options for AUB/HMB.

journal_name

Pediatr Ann

journal_title

Pediatric annals

authors

Mullins TL,Miller RJ,Mullins ES

doi

10.3928/00904481-20150910-09

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

e218-22

issue

9

eissn

0090-4481

issn

1938-2359

journal_volume

44

pub_type

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