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Dysfunctional uterine bleeding in adolescents
1Department of Obstetrics and Gynecology, New England Medical Center, Boston, Mass., USA.
The Nurse Practitioner
|June 6, 1998
Summary
Dysfunctional uterine bleeding (DUB) is common in adolescent girls, often stemming from anovulation. Accurate diagnosis requires understanding normal adolescent menstrual cycles and hormone feedback mechanisms.
Area of Science:
- Reproductive Endocrinology
- Adolescent Gynecology
Background:
- Dysfunctional uterine bleeding (DUB) is a frequent gynecological complaint among adolescent girls.
- Diagnosis of DUB is often one of exclusion, necessitating a thorough understanding of normal physiology.
Observation:
- DUB is characterized by irregular, painless bleeding of endometrial origin, which can be excessive, prolonged, or unpatterned.
- The primary cause of DUB in adolescents is typically anovulation.
Findings:
- This review details normal hormone feedback mechanisms in adult and adolescent menstrual cycles.
- Understanding these hormonal pathways is crucial for accurate DUB diagnosis in young patients.
Implications:
- Clinicians in pediatric, internal medicine, gynecology, and emergency settings can use this review for diagnostic guidance.
- The article provides insights into potential causes and recommended treatment strategies for DUB in adolescents.