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Heavy Menstrual Bleeding in Adolescents.

Fareeda Haamid1, Amy E Sass2, Jennifer E Dietrich3

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PubMed
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.

Keywords:
Abnormal uterine bleedingAcute managementAdolescentsBleeding disorderChronic bleedingDysfunctional uterine bleedingHeavy menstrual bleedingMenorrhagiaMenstrual disorders

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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.