The Adolescent with Menorrhagia: Why, Who, and How to Evaluate for a Bleeding Disorder

Boswell, Hillary B.

doi:10.1016/j.jpag.2011.02.014

Cited by 11 publications

(6 citation statements)

References 12 publications

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“…If the periods are heavy then a full blood count should be performed. Bleeding disorders are a relatively common cause of menorrhagia, occurring in 10–47% of cases [2]. Referral for haematological assessment should always be considered in cases of severe menorrhagia resistant to treatment.…”

Section: Adolescent Menstrual Dysfunctionmentioning

confidence: 99%

Menstrual Disorders in Adolescents: Review of Current Practice

Williams

Creighton²

2012

Horm Res Paediatr

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Menstrual disorders are common in adolescent girls. Periods can be irregular, heavy and/or painful, especially in the first few years following menarche. Serious pathology is rare; however, menstrual dysfunction can have a significant effect on daily activities and result in school absence. There are many treatment options which are safe to use in adolescents, although the evidence for their use is extrapolated from adult data. We present a clinical review of the current practice, including management of girls with other medical problems and learning difficulties.

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Section: Adolescent Menstrual Dysfunctionmentioning

confidence: 99%

Menstrual Disorders in Adolescents: Review of Current Practice

Williams

Creighton²

2012

Horm Res Paediatr

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“…Lo habitual a esta edad es encontrar un útero de dimensiones normales para la edad, con ovarios funcionales, no infrecuentemente conteniendo múltiples folículos pequeños, y un endometrio de dimensiones y características similares al observado en pacientes adultas dependiendo de la etapa del ciclo, pero donde muchas veces predomina el aspecto proliferativo, propio del estímulo estrogénico de ciclos anovulatorios. En este contexto, la gran mayoría de las adolescentes no presentará anormalidad, razón por la cual aún no existe consenso si la ultrasonografía es costo efectiva y si debe ser incluida en el estudio inicial (15,16). Sin embargo, frente a la falta de respuesta al tratamiento médico se debe sospechar la presencia de una lesión focal.…”

Section: Figuraunclassified

Pólipo endometrial, una causa infrecuente de sangrado genital anormal en la adolescencia

et al. 2014

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: El sangrado genital anormal es una causa frecuente de consulta en la adolescencia. En este período, la principal causa de sangrado es la metrorragia asociada a ciclos anovulatorios producto de la inmadurez del eje hipotálamo-hipofisario-gonadal. Dentro de las causas infrecuentes de sangrado genital anormal en ese período está el pólipo endometrial. Caso clínico: Presentamos el caso de una niña de 13 años cuya causa de sangrado correspondió a un pólipo endometrial, sospechado por ultrasonografía, resecado mediante histeroscopia y confirmado mediante estudio histológico. Discusión: Pese a su baja incidencia, los pólipos endometriales deben ser considerados como parte del diagnóstico diferencial en adolescentes que consultan por trastorno menstrual, particularmente en aquellos casos sin respuesta a la terapia hormonal y donde la ultrasonografía muestra engrosamiento endometrial. PALABRAS CLAVES: Pólipo endometrial, adolescencia, metrorragia SUMMARYBackground: Abnormal genital bleeding is a common cause of medical consultation in patients during adolescence. In this period, the main cause of genital bleeding is metrorrhagia in relation to anovulatory cycles due to immaturity of hypothalamus-pituitary-gonadal axis. Among the uncommon causes of bleeding at this age is the endometrial polyp. Case report: We report a 13 year old girl with abnormal uterine bleeding due to endometrial polyp, suspected during a pelvic ultrasound, removed by hysteroscopy, and confirmed by histological analysis. Discussion: Despite its low incidence, endometrial polyps should be included in the differential diagnosis of adolescents presenting menstrual disorders, particularly in those with no response to hormonal therapy and endometrial thickness in ultrasound.

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“…Additionally, there is a disturbance of local hemostasis in the endometrium caused by intensification of fibrinolysis and secondary inflammation [2][3][4][5][6]. Other rare causes of bleeding during adolescence include: pregnancy-related disorders (miscarriage, ectopic pregnancy, gestational trophoblastic disease), coagulation disorders, endocrine disorders, sexually transmitted infections, organic lesions of the genital organs, genital tract injuries, systemic diseases, side effects of drugs [1,3,9].…”

Section: Introductionmentioning

confidence: 99%

Abnormal uterine bleeding in adolescence - three cases of heavy menstrual bleeding (HMB)

ZAJDEL¹,

JANKOWSKA

2022

J Educ Health Sport

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Heavy menstrual bleeding (HMB) is profuse, acyclic bleeding from the genital tract, with or without clots, usually lasting more than 10 days. They are the most common cause of abnormal uterine bleeding in adolescence. The following are used in the treatment: iron preparations, antifibrinolytic drugs, NSAIDs, estrogen-progestagen therapy or progestagen therapy. In cases where the Hb concentration is <7-8 g/dl, red blood cells preparation should be transfused. In the article we present a description of three cases of patients with heavy menstrual bleeding (HMB) who were treated in the Pediatric Department of the Independent Public Provincial Specialist Hospital in Chełm.

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The Adolescent with Menorrhagia: Why, Who, and How to Evaluate for a Bleeding Disorder

Cited by 11 publications

References 12 publications

Menstrual Disorders in Adolescents: Review of Current Practice

Menstrual Disorders in Adolescents: Review of Current Practice

Pólipo endometrial, una causa infrecuente de sangrado genital anormal en la adolescencia

Abnormal uterine bleeding in adolescence - three cases of heavy menstrual bleeding (HMB)

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