PMID: 9551371Feb 1, 1996Paper

Pubertal metrorrhagia

Journal of Pediatric and Adolescent Gynecology
C Duflos-CohadeE Thibaud

Abstract

To determine the clinical characteristics of pubertal metrorrhagia and its treatment, depending on severity; to evaluate the frequency of etiologies and the influence of hemostatic abnormalities; and to describe severe pubertal metrorrhagia. Design, setting and participants. This retrospective study examined all the files (n = 105) of adolescents presenting for pediatric gynecology consultation at a children's hospital between January 1979 and June 1993. The mean age of patients at the first consultation was 13 years. Metrorrhagia began in the year after the first menstrual period in 85% of cases. The causes were functional (83 cases), primary hemostatic disorder (14 cases), hemostatic disorder secondary to renal or hepatic disease (7 cases), or tumor (1 case). The cases were assigned to one of three groups, according to the severity of anemia; group I, mild anemia, hemoglobin Hb > 11 g%, 64 cases; group II, moderate anemia, Hb 8-11 g%, 23 cases; and group III, severe anemia, Hb < 8 g%, 18 cases. Of the 14 patients suffering from primary hemostatic disorders, 7 had been diagnosed before the onset of metrorrhagia; the disorder was revealed by the metrorrhagia in the remaining 7. Only 1 of these patients was severely anemic (know...Continue Reading

References

Jul 1, 1992·The Journal of Pediatrics·E J WernerE H Broxson
Jan 1, 1990·Seminars in Thrombosis and Hemostasis·R P Rodgers, J Levin
Mar 1, 1966·American Journal of Obstetrics and Gynecology·A L Southam, R M Richart

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Citations

Aug 29, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Catherine So-Kum TangAntyoinette Marie Lee
Jun 25, 2008·Annals of the New York Academy of Sciences·Paula J Adams Hillard
Dec 16, 2005·Pediatric Annals·Dale M Ahrendt, Paolo G Roncallo
Mar 23, 2019·Haemophilia : the Official Journal of the World Federation of Hemophilia·Dimitrios Spiliopoulos, Rezan A Kadir
Sep 22, 2007·Current Opinion in Obstetrics & Gynecology·Sonia Grover
Sep 14, 2001·Pediatric Annals·R A Kadir, C A Lee
May 24, 2003·Journal of Midwifery & Women's Health·Elisabeth H Quint, Yolanda R Smith

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