The majority of adolescents with AUB will spontaneously convert to normal menstrual cycles within 1 to 2 years, and this information and reassurance should be relayed to her. Education and support for the adolescent and her family are very important, because sustained heavy bleeding is a confusing and frightening event.
The prognosis is more guarded in the presence of acute anemia and in those women with continued irregular bleeding after several years. A 25-year prospective evaluation of adolescents with dysfunctional uterine bleeding showed that of those who continued to have abnormal bleeding after 2 years, persistent problems were noted in 50% after 4 years and in 30% after 10 years.
J Midwifery Womens Health. 2003;48(3) © 2003 Elsevier Science, Inc.
Cite this: Abnormal Uterine Bleeding in Adolescents - Medscape - Jun 01, 2003.