PMID: 8954262Aug 1, 1996Paper

Dysfunctional uterine bleeding in adolescents

Current Opinion in Pediatrics
C Lavin

Abstract

Dysfunctional uterine bleeding (DUB) is a common presenting problem for adolescents. New data have emerged on the frequency of the pathologic causes for menorrhagia and the potential to use new therapies such as gonadotropin-releasing hormone analogues. DUB is defined as abnormal vaginal bleeding without an identifiable pathologic condition. In adolescents, DUB is most often due to the anovulatory cycles that result from an immature hypothalamic-pituitary-ovarian axis. Although most adolescents will develop normal, regular menstrual cycles, a significant number may require gynecologic follow-up for persistent abnormal vaginal bleeding. Thus, optimal management of DUB requires a systematic diagnosis and therapeutic approach. This article reviews the pathophysiology, diagnostic evaluation, treatment options, and outcome of DUB in adolescents.

Citations

Dec 1, 1982·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C M BahariA Schachter
Jul 17, 2003·Pediatric Case Reviews·Leonard J LevineDonald F Schwarz
Feb 18, 2006·JAAPA : Official Journal of the American Academy of Physician Assistants·Megan S Walden
Apr 28, 2009·Women's Health·Martha HickeySweta Agarwal
Dec 19, 2013·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Anna Maria FulghesuCristina Porru
Sep 6, 2012·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Efthimios DeligeoroglouGeorge Creatsas
Sep 10, 2003·Emergency Medicine Clinics of North America·Richard V Daniels, Charles McCuskey
May 23, 2006·Primary Care·Lyubov A MatytsinaDonald E Greydanus

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