Heavy menstrual bleeding in adolescence: who to investigate and how to manage it

S. L. Walter, S. Channing, N. S. Crouch
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引用次数: 0

Abstract

Adolescent heavy menstrual bleeding (HMB) is commonly related to hypothalamic pituitary ovarian axis immaturity, which improves with age. This article outlines when and how to investigate for underlying pathological causes. Medical treatment for adolescent HMB consists predominantly of hormonal contraceptives. Preparation choice depends upon patient preference, comorbidities and co‐existing conditions. Acute adolescent HMB is rare; a suggested framework for assessing and managing such cases is provided within this article. To understand how to clinically evaluate adolescent HMB. To understand when and how to investigate adolescent HMB. To understand the different medical treatment options for HMB, their efficacy, risks and alternatives. To understand the management of acute adolescent HMB. Duties of confidentiality must be balanced against safeguarding concerns.
青春期大量月经出血:调查对象和处理方法
青春期大量月经出血(HMB)通常与下丘脑垂体卵巢轴发育不成熟有关,这种情况会随着年龄的增长而改善。本文概述了何时以及如何检查潜在的病理原因。青少年 HMB 的药物治疗主要包括激素避孕药。了解如何对青少年 HMB 进行临床评估;了解何时以及如何对青少年 HMB 进行调查;了解 HMB 的不同医学治疗方案、其疗效、风险和替代方案;了解急性青少年 HMB 的处理方法;必须在保密义务与保护问题之间取得平衡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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