TY - JOUR
T1 - Heavy menstrual bleeding in adolescent girls
AU - Davila, Jennifer
AU - Alderman, Elizabeth M.
PY - 2020/4
Y1 - 2020/4
N2 - Heavy menstrual bleeding (HMB) is a common complaint among adolescent girls. It reflects an abnormal volume of blood loss during the menstrual cycle. Abnormal uterine bleeding can manifest as HMB but includes menstrual irregularity. In many cases, immatu-rity of the hypothalamic-pituitary-ovarian axis or hormonal conditions like polycystic ovarian syndrome leading to anovulatory cycles are the underlying cause for heavy menses. However, in girls with HMB, especially those not responding to the usual hormonal attempts to manage HMB, an underlying bleeding disorder should be considered. Up to 62% of adolescents with HMB have a bleeding disorder, many without anemia at presentation. Evaluation for HMB in an adolescent girl should include referrals to an adolescent medicine spe-cialist or gynecologist and pediatric hematologist.
AB - Heavy menstrual bleeding (HMB) is a common complaint among adolescent girls. It reflects an abnormal volume of blood loss during the menstrual cycle. Abnormal uterine bleeding can manifest as HMB but includes menstrual irregularity. In many cases, immatu-rity of the hypothalamic-pituitary-ovarian axis or hormonal conditions like polycystic ovarian syndrome leading to anovulatory cycles are the underlying cause for heavy menses. However, in girls with HMB, especially those not responding to the usual hormonal attempts to manage HMB, an underlying bleeding disorder should be considered. Up to 62% of adolescents with HMB have a bleeding disorder, many without anemia at presentation. Evaluation for HMB in an adolescent girl should include referrals to an adolescent medicine spe-cialist or gynecologist and pediatric hematologist.
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U2 - 10.3928/19382359-20200321-01
DO - 10.3928/19382359-20200321-01
M3 - Article
C2 - 32275760
AN - SCOPUS:85083213494
VL - 49
SP - e163-e169
JO - Pediatric Annals
JF - Pediatric Annals
SN - 0090-4481
IS - 4
ER -