Abnormal uterine bleeding in adolescents
Minjarez, D.A.; Bradshaw, K.D.
Obstetrics and Gynecology Clinics of North America 27(1): 63-78
2000
ISSN/ISBN: 0889-8545 PMID: 10693183 DOI: 10.1016/s0889-8545(00)80007-8Document Number: 235453
Irregular bleeding is a common complaint of adolescents and is responsible for approximately 50% of gynecologic visits in that age group. Most abnormal bleeding in adolescents is caused by immaturity of the hypothalamic-pituitary-ovarian axis resulting in anovulation. Approximately 20% of adolescents have an underlying disorder requiring targeted diagnostic testing. A thorough history and physical examination and laboratory findings will often reveal the source of abnormal bleeding. Appropriate treatment is then directed to the underlying cause.