Related Experiment Video
Updated: Mar 8, 2026
09:09
Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
Published on: November 3, 2023
1.6K
Heavy Menstrual Bleeding in Adolescents
Fareeda Haamid1, Amy E Sass2, Jennifer E Dietrich3
1Department of Pediatrics, The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Journal of Pediatric and Adolescent Gynecology
|January 22, 2017
Summary
Heavy menstrual bleeding (HMB) is common in adolescent females and may indicate a bleeding disorder. This article provides clinical recommendations for diagnosing and treating HMB in this population.
Area of Science:
- Gynecology
- Adolescent Medicine
- Hematology
Background:
- Heavy menstrual bleeding (HMB) is a prevalent gynecological issue among adolescent females.
- HMB frequently signals underlying bleeding disorders in this demographic.
- Established recommendations exist for screening bleeding disorders in adolescents when indicated.
Purpose of the Study:
- To provide clinical recommendations for managing heavy menstrual bleeding (HMB) in adolescent females.
- To outline the epidemiology, clinical presentation, diagnostic strategies, and treatment options for HMB in adolescents.
Main Methods:
- Literature review and synthesis of existing clinical guidelines.
- Analysis of epidemiological data related to HMB in adolescents.
- Compilation of diagnostic and treatment approaches based on current evidence.
Main Results:
- Detailed description of HMB prevalence and associated risk factors in adolescents.
- Characterization of common clinical signs and symptoms indicative of HMB.
- Summary of recommended diagnostic pathways, including screening for bleeding disorders.
- Overview of evidence-based treatment modalities for HMB.
Conclusions:
- Adolescents with HMB require thorough evaluation to identify potential bleeding disorders.
- A systematic approach to diagnosis and management is crucial for effective HMB treatment in this age group.
- Clinical guidelines should be followed to ensure appropriate care for HMB in female adolescents.
Keywords:
Abnormal uterine bleedingAcute managementAdolescentsBleeding disorderChronic bleedingDysfunctional uterine bleedingHeavy menstrual bleedingMenorrhagiaMenstrual disordersMore Related Videos
05:36Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
1.3K
06:22Ex Vivo Method for Assessing the Mouse Reproductive Tract Spontaneous Motility and a MATLAB-based Uterus Motion Tracking Algorithm for Data Analysis
Published on: September 1, 2019
9.6K
Related Concept Videos
01:18Menses Phase
1.3K
The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
1.3K
01:24Disorders of Hemostasis
2.6K
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
2.6K
01:22Hormonal Regulation of the Menstrual Cycle
2.0K
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
2.0K
01:19The Menstrual Cycle
5.2K
The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
5.2K
01:30Hormonal Control of the Ovarian Cycle
7.3K
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
7.3K
01:24Disorders of the Female Reproductive System
4.7K
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
4.7K