Journals / Journal of Clinical Research in Pediatric Endocrinology / 2020 / Cilt: 12 - Sayı: 1

Approach to Abnormal Uterine Bleeding in Adolescents

Pages
1–6
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although observation is sufficient in the mild form of AUB, at the other end of the spectrum life-threatening bleeding may necessitate the use of high doses of combined oral contraceptives, intravenous estrogen and/or interventional procedures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This article reviews the current understanding and management of abnormal uterine bleeding (AUB) in adolescents.
📊
Key Findings & Data:AUB is a common problem which has significantly adverse effects on an affected adolescent’s quality of life.
💡
Conclusion & Impact:Although observation is sufficient in the mild form of AUB, at the other end of the spectrum life-threatening bleeding may necessitate the use of high doses of combined oral contraceptives, intravenous estrogen and/or interventional procedures.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

This article reviews the current understanding and management of abnormal uterine bleeding (AUB) in adolescents. It is hoped that this review will provide readers with an approach to the evaluation and treatment of mild to severe uterine bleeding. AUB is a common problem which has significantly adverse effects on an affected adolescent’s quality of life. The most common underlying condition in AUB in adolescence is anovulation. During the evaluation, pregnancy, trauma and sexually transmitted diseases must be ruled out, regardless of history. It should be kept in mind that AUB during this period may be the first sign of underlying bleeding disorders. Although observation is sufficient in the mild form of AUB, at the other end of the spectrum life-threatening bleeding may necessitate the use of high doses of combined oral contraceptives, intravenous estrogen and/or interventional procedures.

🔖

Cite This Article

YAŞA, C., UĞURLUCAN, F. G. (2020). Approach to Abnormal Uterine Bleeding in Adolescents. Journal of Clinical Research in Pediatric Endocrinology, Cilt: 12 - Sayı: 1, 1–6. https://ajindex.com/articles/270543

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Gray SH, Emans SJ. Abnormal vaginal bleeding in adolescents. Pediatr Rev 2007;28:175-182
  2. Benjamins LJ. Practice guideline: evaluation and management of vaginal bleeding in adolescents. J Pediatr Health Care 2009;23:189- 193
  3. Nur Azurah AG, Sanci L, Moore E, Groover S. The quality of life of adolescents with menstrual problems. J Pediatr Adolesc Gynecol 2013;26:102-108
  4. Finer LB, Philbin JM. Trends in ages at key reproductive transitions in the United States, 1951-2010. Womens Health Issues 2014;24:271- 279. Epub 2014 Apr 12 5. Jamieson MA. Disorders of menstruation in adolescent girls. Pediatr Clin North Am 2015;62:943-961. Epub 2015 Jun 10 6. Bennett AR, Gray SH. What to do when she’s bleeding through: the recognition, evaluation and management of abnormal uterine bleeding in adolescents. Curr Opin Pediatr 2014;26:413-419
  5. National Institute for Health Institute for Health and Care Excellence. Heavy Menstrual Bleeding: assessment and management. London, 2007
  6. Haamid F, Sass AE, Dietrich JE. Heavy menstrual bleeding in adolescents. J Pediatr Adolesc Gynecol 2017;30:335-340. Epub 2017 Jan 17 9. Munro MG, Critchley HO, Broder MS, Fraser IS; FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 2011;113:3-13. Epub 2011 Feb 22 10. American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 557: Management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. Obstet Gynecol 2013;121:891-896
  7. Sanchez J, Andrabi S, Bercaw JL, Dietrich JE. Quantifying the PBAC in a pediatric and adolescent gynecology population. Pediatr Hematol Oncol 2012;29:479-484
  8. No authors listed. ACOG Committee Opinion No. 651: Menstruation in girls and adolescents: using menstrual cycle as a vital sign. Obstet Gynecol 2015;126:143-146
  9. Masylyanskaya S, Talib HJ, Northridge JL, Jacobs AM, Coble C, Coupey SM. Polycystic Ovary Syndrome: An Under-recognized Cause of Abnormal Bleeding in adolescents admitted to children’s hospital. J Pediatr Adolesc Gynecol 2017;30:349-355. Epub 2016 Nov 27 14. Deligeoroglu E, Karountzos V. Abnormal Uterine Bleeding including coagulopathies and other menstrual disorders. Best Pract Res Clin Obstet Gynaecol 2018;48:51-61. Epub 2017 Oct 9 15. Zia A, Rajpurkar M. Challenges of diagnosing and managing the adolescent with heavy menstrual bleeding. Thromb Res 2016;143: