Acute adolescent menorrhagia

Claessens, E. Anne; Cowell, Carol A.

doi:10.1016/0002-9378(81)90009-0

Cited by 211 publications

(89 citation statements)

References 6 publications

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“…Anovulatory DUB as the cause in 50-74 % of the patients requiring hospital admission has been reported in various studies [11,12]. Anovulation is due to immaturity of hypothalamic-pituitary-ovarian axis.…”

Section: Discussionmentioning

confidence: 97%

Gynecological Problems of Adolescent Girls Attending Outpatient Department at Tertiary Care Center with Evaluation of Cases of Puberty Menorrhagia Requiring Hospitalization

Rathod

Chavan

Pajai

et al. 2015

J Obstet Gynecol India

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Adolescence is a period of enormous physical and psychological change for young girls. Many adolescents with menstrual disturbances never present to their family doctor or gynecologist. Embarrassment about discussing menstruation, fear of disease, and ignorance about services available may lead to delayed presentation or consultation with doctor. Aims and Objective(1) To evaluate the different gynecological problems in adolescent girls attending outpatient department. (2) To evaluate the prevalence of severe anemia requiring indoor admission in adolescent girls with puberty menorrhagia. (3) To assess the etiologies of puberty menorrhagia.Result There were a total of 655 adolescent girls attending the gynecology OPD during the study period. Menstrual complaints (84.88 %) were the commonest indication for OPD consultation among adolescent girls. 17 girls required hospitalization; all of them needed blood transfusion due to significant severe anemia resulting from puberty menorrhagia. 14 (82.35 %) had anovulatory DUB, (2002) from the Government Medical College, Nagpur. She presented a poster at AMOGS 2012 at Nanded, which was selected among the best six posters of the conference, and also a poster at the World Congress of Dilemma in Pregnancy at Nagpur in 2013. She had presented a paper on ''Analysis of near-miss cases and maternal mortality'' at SVN GMC, Yavatmal at the AICOG 2015 in Chennai and chaired a session at the AICOG 2015. She has to her credit three papers published in national and international journals, and several articles are under review. She is a MUHS-recognized teacher and MMC-accredited speaker. She is interested in studying health problems of women and girls in rural and tribal districts of Yavatmal. Her other areas of interest are high-risk pregnancy and adolescent health.The Journal of Obstetrics and Gynecology of India (September-October 2016) 66(S1):S400-S406 DOI 10.1007/s13224-015-0770-1 123 while 2 (11.76 %) had coagulation disorders, and one (5.88 %) had hypothyroidism. Conclusion Adolescent girls with menorrhagia need to be evaluated thoroughly earlier rather than later so that effective management can be started and severe anemia with its consequences can be avoided. Adolescent health education and group discussion is needed to create awareness regarding adolscent gynecological problems; it should be conducted regularly in schools and colleges.

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Section: Discussionmentioning

confidence: 97%

Gynecological Problems of Adolescent Girls Attending Outpatient Department at Tertiary Care Center with Evaluation of Cases of Puberty Menorrhagia Requiring Hospitalization

Rathod

Chavan

Pajai

et al. 2015

J Obstet Gynecol India

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“…This type of acute menorrhagia, although most often associated with anovulation, also has been associated with the diagnosis of hematologic problems, including von Willebrand disease and other bleeding disorders, or other serious problems, including hepatic failure and malignancy. [30][31][32][33] The prevalence of von Willebrand disease is 1% in the general population. Von Willebrand disease is the most common medical disorder associated with menorrhagia at menarche.…”

Section: Excessive Menstrual Flowmentioning

confidence: 99%

“…34 As many as 1 in 6 girls presenting to an emergency department with acute menorrhagia may have von Willebrand disease. 30 Therefore, hematologic disorders should be considered in patients presenting with menorrhagia-especially those presenting acutely at menarche. Hormonal treatment, in the form of estrogen therapy, may affect hematologic factors and mask the diagnosis.…”

Section: Excessive Menstrual Flowmentioning

confidence: 99%

Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

2006

Pediatrics

450

110

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Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and duration of flow through adolescence. It is important to be able to educate young patients and their parents regarding what to expect of a first period and about the range for normal cycle length of subsequent menses. It is equally important for clinicians to have an understanding of bleeding patterns in girls and adolescents, the ability to differentiate between normal and abnormal menstruation, and the skill to know how to evaluate young patients' conditions appropriately. Using the menstrual cycle as an additional vital sign adds a powerful tool to the assessment of normal development and the exclusion of pathological conditions.

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“…The frequency of vWD in adolescents with menorrhagia is not well defined, because most studies evaluating prevalence did not include adolescent women [10,[13][14][15]. Several small retrospective reviews identified vWD in 2.8-5% of adolescent women requiring urgent evaluation or hospitalization for menorrhagia [19,20]. However, in one study, specific testing for vWD was limited to the 20% of women with abnormal hemostasis screening tests [19].…”

Section: Frequency Of Vwd In Women With Menorrhagiamentioning

confidence: 99%

von Willebrand's disease and menorrhagia: Prevalence, diagnosis, and management

Kujovich¹

2005

American J Hematol

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The reported prevalence of von Willebrand's disease (vWD) is increased in women with menorrhagia, with current estimates ranging from 5% to 20%. The consistent results of multiple studies suggest testing should be included in the evaluation of patients with menorrhagia, especially in unexplained cases and prior to surgical intervention. Although a cyclic variation in von Willebrand's factor levels has not been confirmed, several studies suggest lower levels during menses and the early follicular phase. Menorrhagia is one of the most common bleeding manifestations of von Willebrand's disease, reported by 60-95% of women afflicted with this bleeding disorder. Menorrhagia is typically severe, often resulting in anemia and interfering with quality of life. Despite the frequency of menorrhagia, there is no consensus on optimal management. Although oral contraceptives are frequently prescribed, there are no studies confirming their efficacy using objective measures of response. Desmopressin was associated with an 80-92% response rate in several uncontrolled studies relying on patient assessment of efficacy. However, a small, randomized trial found no significant reduction in menstrual blood flow compared with placebo. There are anecdotal reports of the successful use of antifibrinolytic agents alone and in combination with other therapies. There are no studies comparing the relative efficacy and safety of the available medical therapies for von Willebrand's disease associated menorrhagia. Until these studies are completed, treatment should be individualized based on von Willebrand's disease subtype, patient age, contraceptive needs, and personal preference. Am.

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Acute adolescent menorrhagia

Cited by 211 publications

References 6 publications

Gynecological Problems of Adolescent Girls Attending Outpatient Department at Tertiary Care Center with Evaluation of Cases of Puberty Menorrhagia Requiring Hospitalization

Gynecological Problems of Adolescent Girls Attending Outpatient Department at Tertiary Care Center with Evaluation of Cases of Puberty Menorrhagia Requiring Hospitalization

Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

von Willebrand's disease and menorrhagia: Prevalence, diagnosis, and management

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