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Acute adolescent menorrhagia

E A Claessens, C A Cowell

    American Journal of Obstetrics and Gynecology
    |February 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Acute menorrhagia in adolescent girls is often linked to underlying coagulation disorders. Early screening and targeted therapy are crucial for effective management, as hormonal treatments show limited success in these cases.

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    Area of Science:

    • Pediatric Hematology
    • Adolescent Gynecology

    Background:

    • Acute menorrhagia in adolescents is an underrecognized condition requiring prompt medical attention.
    • Genital tract pathology is often excluded in these cases.

    Purpose of the Study:

    • To investigate the prevalence of primary coagulation disorders in adolescent girls admitted for acute menorrhagia.
    • To highlight the importance of screening for bleeding disorders in this population.

    Main Methods:

    • A retrospective case review of 59 adolescent patients admitted for acute menorrhagia between 1971 and 1980.
    • Exclusion of genital tract pathology as a cause for bleeding.

    Main Results:

    • Primary coagulation disorders were identified in nearly 20% of the patients.

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  • The prevalence of coagulation disorders was higher in cases of severe menorrhagia, those requiring transfusion, and those presenting at menarche.

    • Conclusions:

    • Coagulation disorders are a significant underlying cause of acute menorrhagia in adolescents.
    • Comprehensive screening and specific therapies are essential for managing adolescent menorrhagia.
    • Standard hormonal treatments may be insufficient for patients with underlying bleeding disorders.