Most adolescents with AUB have dysfunctional uterine bleeding secondary to anovulatory bleeding and are easily treated with either prostaglandin inhibitors or oral contraceptives. A thorough history and physical examination rules out the majority of disorders in the differential diagnosis. However, if an adolescent does not respond in the expected fashion in 3 to 6 months, or has initial low hemoglobin, a further evaluation and work-up and/or referral is in order.
Address correspondence to Elisabeth H. Quint, MD, Department of Obstetrics and Gynecology, University of Michigan Health System, L4000 Women's Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI, USA 48109-0276.
J Midwifery Womens Health. 2003;48(3) © 2003 Elsevier Science, Inc.
Cite this: Abnormal Uterine Bleeding in Adolescents - Medscape - Jun 01, 2003.