[Spaniomenorrhea and hypermenorrhea in the female adolescent. Aspects and management]

Ninety percent of cases of metrorrhagia during puberty are of functional origin and related to short, monophasic cycles. Emergency care may sometimes necessitate rapid administration of estrogens. Treatment of the underlying condition involves the administration of progestogens 10 days per cycle or, less frequently, artificial cycles. Spaniomenorrhea during puberty may, less commonly, be due to ovarian dystrophy. Functional forms should be treated only if they are accompanied by mastopathy.