Abstract：
STUDY OBJECTIVE:This study was undertaken to assess the causes and treatments of menorrhagia in adolescents hospitalized for this menstrual disorder. DESIGN:A retrospective chart review was performed of all adolescents < or =20 years of age with menorrhagia admitted at the University of Michigan from 1979 to 1995. Information regarding medical history, hematologic parameters, treatment, and diagnosis was extracted from each chart. Pregnant and premenarchal patients were excluded. RESULTS:Thirty-seven adolescents with 46 admissions for menorrhagia were identified. The average age of menarche was 12.9 years and the average age at admission was 15.9 years. Nineteen adolescents had significant medical diseases. For the 46 admissions, causes of menorrhagia were anovulation (21), hematologic disease (15), chemotherapy-related (5), and infections (5). Transfusions of blood products were performed in 28 of the admissions. Treatments included oral contraceptive pills or progestins (30), intravenous conjugated estrogens (8), antibiotics (4), immune gammaglobulin (3), DDAVP (3), and prednisone (1). Twelve surgical procedures were performed, including eight dilatation and curettages (D&Cs), three laparoscopies, and one hysterectomy. CONCLUSIONS:Sixty-one percent of admissions for adolescent menorrhagia were in adolescents with significant medical problems. The patients with menorrhagia who required admission had severe anemia and were transfused in 63% of cases. The predominant causes for these admissions included anovulation in 46%, hematologic disease in 33%, chemotherapy in 11%, and infection in 11%. Hormonal regulation or suppression of menses should be considered in adolescents with significant medical disease.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Smith YR,Quint EH,Hertzberg RBdoi
10.1016/s1083-3188(98)70101-9subject
Has Abstractpub_date
1998-02-01 00:00:00pages
13-5issue
1eissn
1083-3188issn
1873-4332pii
S1083-3188(98)70101-9journal_volume
11pub_type
杂志文章abstract：STUDY OBJECTIVE:Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willingness to get HPV vaccination in Haiti. DESIGN, SETTING, AND PARTI...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2016.07.003
更新日期：2017-02-01 00:00:00
abstract：STUDY OBJECTIVE:Recent data show US adolescents are engaging in sexual activity at earlier ages; however, little is known about young teens' sexual attitudes and behaviors. Examining teens' questions in sex education classes may provide insight into these attitudes and behaviors. DESIGN:Quasi cohort study SETTING:Par...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2008.03.005
更新日期：2008-10-01 00:00:00
abstract：STUDY OBJECTIVE:The objective of this study was to evaluate the quality and accuracy of sexual health information on crisis pregnancy center Web sites listed in state resource directories for pregnant women, and whether these Web sites specifically target adolescents. DESIGN:A survey of sexual health information prese...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2015.05.008
更新日期：2016-02-01 00:00:00
abstract：STUDY OBJECTIVE:To evaluate the association between maternal body mass index and neonatal outcomes in adolescents and to compare neonatal outcomes between overweight and obese adolescents and obstetric low-risk adult women. DESIGN:Retrospective cohort study using data from the Swedish Medical Birth Register. SETTING:...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2018.11.003
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:Female childhood cancer survivors are at an increased risk of reproductive health impairment. We compared reproductive health outcomes with the recommended standard in a cohort of childhood cancer survivors. STUDY DESIGN AND PARTICIPANTS:A retrospective chart review of 222 female childhood cancer survivors a...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2014.05.012
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Ewing sarcoma is considered to have a poor prognosis. Recent advances in multidisciplinary management have resulted in a marked improvement in long-term survival. CASE:We describe a case of successful pregnancy in a patient who underwent sacrectomy combined with multi-agent chemotherapy and radiotherapy for...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2014.06.009
更新日期：2015-06-01 00:00:00
abstract：STUDY OBJECTIVE:Evidence suggests that vaccine-type human papillomavirus (HPV) prevalence may decrease in unvaccinated women after HPV vaccine introduction, indicating herd protection. The aim of this study was to determine factors associated with vaccine-type HPV (i.e. absence of herd protection) after vaccine introdu...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.09.008
更新日期：2018-04-01 00:00:00
abstract：STUDY OBJECTIVE:To determine pelvic inflammatory disease (PID) incidence and recurrence rates in an urban teen clinic. DESIGN/SETTING:A retrospective chart review of female patients seen as outpatients over an 18-month period at an urban teen clinic. 192 patients were diagnosed with PID, and the charts of these patien...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2004.09.017
更新日期：2004-12-01 00:00:00
abstract：STUDY OBJECTIVE:The aim of this study was to review the efficacy of different medical modalities for menstrual suppression in the cohort of patients with disabilities who presented to the Queensland Paediatric and Adolescent Gynaecology (PAG) Service between January 2005 and December 2015. Menstrual suppression in adol...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2019.05.005
更新日期：2019-10-01 00:00:00
abstract：:The proportion of child and adolescent obesity in the United States has dramatically increased over the past few decades, challenging public health strategies and medical needs of the individual. The medical consequences of obesity include metabolic syndrome, polycystic ovary syndrome, and cardiovascular disease. Ther...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2010.08.017
更新日期：2011-04-01 00:00:00
abstract：STUDY OBJECTIVE:To characterize Müllerian anatomy in 46,XX cloacal exstrophy patients. DESIGN:Retrospective review of prospectively maintained, institutionally approved exstrophy-epispadias-cloacal exstrophy database. SETTING:Tertiary care, high-volume exstrophy center (Division of Pediatric Urology, The Johns Hopkin...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2016.01.124
更新日期：2016-10-01 00:00:00
abstract：STUDY OBJECTIVE:To compare the efficacy of oral tranexamic acid (TA) with combined oral contraceptives (COC) in reducing menstrual blood loss (MBL) and improving quality of life in adolescent heavy menstrual bleeding (HMB). DESIGN, SETTING, AND PARTICIPANTS:A prospective randomized crossover trial with 17 postmenarcha...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpag.2014.12.012
更新日期：2015-08-01 00:00:00
abstract：STUDY OBJECTIVE:On the basis of longitudinal data collected over 6 years, the changes in delinquent behavior and the related sociodemographic, personal, and family determinants were examined in this study. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A 6-year longitudinal research design was...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2015.10.009
更新日期：2016-02-01 00:00:00
abstract：STUDY OBJECTIVE:To assess the association between medroxyprogesterone acetate exposure and bone mineral density (BMD) loss and weight change in adolescents. DESIGN:Forty-eight-week prospective, randomized trial conducted May 2012-April 2014. SETTING:Recruitment occurred in the general community and outpatient clinics...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jpag.2016.10.011
更新日期：2017-04-01 00:00:00
abstract：:Receiving the diagnosis of Primary Ovarian Insufficiency (POI) can be emotionally difficult and confusing for young girls and their families. Parents need assistance in knowing how to help their daughters understand and live with the diagnosis in a way that allows for healthy growth and development. This paper provide...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,病人教育讲义
doi：10.1016/j.jpag.2010.12.004
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Antenatally diagnosed abdominal cysts are common, and frequently are ovarian in origin, which usually regress spontaneously. Surgery is indicated in the infantile period in case of very large, persisting or symptomatic cysts. Many surgeons feel that watchful waiting can be justified in newborns with simple a...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2007.09.003
更新日期：2009-06-01 00:00:00
abstract：BACKGROUND:Recurrent, prepubertal, vaginal infections are an uncommon, troublesome problem for the patient and her family. Failure of initial therapy to alleviate vulvovaginitis may be related to vulvar skin disease, foreign body, sexual abuse, pinworms, reactions to medications, anatomic anomalies, or allergies. This ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2006.12.001
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To describe attitudes and perceptions toward acceptability of human papilloma virus (HPV) vaccination among inner city Caribbean (CA) and African American (AA) adolescents and their parents, and discuss correlates that may be associated with these factors. DESIGN:Questionnaire survey. SETTING:An adolescent ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2010.02.002
更新日期：2010-08-01 00:00:00
abstract：STUDY OBJECTIVE:Long-acting reversible contraceptive (LARC) methods are the most effective forms of reversible contraception but adolescents often opt for other, less effective methods. In this study we explored how adolescents viewed LARC as an innovation to be adopted or rejected, and how their assessment of innovati...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2016.11.005
更新日期：2017-08-01 00:00:00
abstract：:The low rates of actual contraceptive failure and high rates of contraceptive use among young women highlights that choice of contraceptive method and patterns of contraceptive use greatly influence unintended pregnancy risk. Promoting contraceptive use among adolescent and young adult women requires supportive health...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2020.12.008
更新日期：2020-12-14 00:00:00
abstract：STUDY OBJECTIVE:To assess the effect of providing standardized counseling to improve the rates of contraception initiation and utilization among detained young women. This was a quality improvement (QI) project conducted at a large urban juvenile short-term detention center. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2018.01.002
更新日期：2018-08-01 00:00:00
abstract：STUDY OBJECTIVE:The aim of this study was to measure the prevalence of premature thelarche in infant and toddler girls and to determine if environmental sources of estrogen were associated with early breast development. DESIGN:Observational with mixed methods: Retrospective chart review, cross-sectional component invo...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2011.01.003
更新日期：2011-12-01 00:00:00
abstract：STUDY OBJECTIVE:To describe a hybrid simulation model for pediatric and adolescent gynecology (PAG) examination teaching, to evaluate if it would be feasible to be conducted as a part of the PAG training, and to find out how it would be perceived by the trainees. DESIGN:The development process and a 2-day workshop is ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2018.12.001
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate. CASES:We report 2 cases of abdominal masses that were diagnosed in the antenatal period an...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2013.06.019
更新日期：2014-04-01 00:00:00
abstract：STUDY OBJECTIVE:To examine our experience with intrauterine device (IUD) use in adolescents and young women. DESIGN:Retrospective descriptive study evaluating outcomes after IUD insertion for patients 21 years or less over an 8-year period. SETTING:Three sites including a Pediatric and Adolescent gynecology private p...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.01.005
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:A case of vaginal endodermal sinus (yolk sac) tumor resulting in hydrometra in a 9-month-old female infant is reported. CASE:The patient presented with an intermittent bloody discharge on her diapers and a lower abdominal mass on palpation. Multidetector-row computed tomography showed an irregular, dense so...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2009.10.005
更新日期：2010-06-01 00:00:00
abstract：STUDY OBJECTIVE:Mycoplasma genitalium (MG) is a sexually transmitted pathogen linked to female morbidity, but testing for MG is not standardized. We aimed to determine which point-of-care (POC) vaginal tests could predict MG infection. DESIGN, SETTING, PARTICIPANTS:A cross sectional study recruited sexually active ado...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.09.005
更新日期：2013-02-01 00:00:00
abstract：STUDY OBJECTIVE:Accurate interpretation of anogenital examination findings in the context of suspected child and adolescent sexual abuse/assault is essential, because misinterpretation has significant child protection and criminal justice implications. A consensus approach to the interpretation of anogenital examinatio...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.10.006
更新日期：2018-04-01 00:00:00
abstract：UNLABELLED:STUDY OBJECTIVES AND DESIGN: This descriptive study assessed background characteristics and attitudes about pregnancy held by adolescent girls presenting for pregnancy tests and receiving negative results. An additional aim was to determine types of health care services that would be of perceived benefit to ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2005.05.005
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND:Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE:This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.06.009
更新日期：2012-12-01 00:00:00
