In adolescents the three most common presentations of abnormal vaginal bleeding are anovulation, menorrhagia, and amenorrhea. It is normal for menstrual cycles to be anovulatory for an average of 18 months after menarche in adolescents while the hypothalamic-pituitary axis matures. Menorrhagia (heavy bleeding) is quite common in adolescent patients and is most often caused by anovulation (Rim-sza, 2002). In some young women, however, menorrhagia at menarche can be a sign of a bleeding disorder. Up to 24% of adolescents with menorrhagia may have an undiagnosed bleeding disorder (Strickland, 2004). Evaluation of men-orrhagia in adolescents includes a complete blood count (CBC), coagulation profile, and von Willebrand's screening test if clinically indicated. Treatment of both anovulation and menorrhagia in adolescents is usually hormonal contraception for cycle control.

The most common causes of primary amenorrhea include pregnancy, chromosomal abnormalities, (e.g., Turner's or Sawyer's syndrome); hypothalamic hypogonadism; congenital absence of the uterus, cervix, or vagina; and structural abnormalities (e.g., transverse vaginal septum or imperforate hymen). Evaluation of primary amenorrhea includes a careful history, pelvic examination, pelvic ultrasound to document the presence of pelvic organs, and chromosome analysis if clinically indicated.

Getting Rid Of Warts Forever

Getting Rid Of Warts Forever

All wart sufferers, this is the day to stop the shame. How I Got Rid Of My Warts Forever and How You Can Get Rid Of Warts Naturally In 3 Days. With No Blisters, No Scars, And No Pain Without medications or expensive procedures. All by applying a simple, very natural and unbelievable FREE substance that can be found in almost every household.

Get My Free Ebook

Post a comment