Management of Anovulatory Dysfunctional Uterine Bleeding in the Adolescent

In: Clinical Perspectives in Obstetrics and Gynecology · 1991 · pp. 300–317 · doi:10.1007/978-1-4613-9086-2_21 · W426063747
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Anovulatory dysfunctional uterine bleeding remains a frequent urgent gynecologic problem for adolescents, although sexually transmitted diseases and pregnancy complications have become more common.

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This chapter reviews the management of anovulatory dysfunctional uterine bleeding (DUB) in adolescents, describing how the condition presents as a common urgent gynecologic problem and discussing underlying neuroendocrine mechanisms and contributing factors in this age group. It summarizes diagnostic and therapeutic considerations referenced in the literature, including menstrual cycle hormonal patterns, impaired estrogen-induced luteinizing hormone release, and differential causes such as polycystic ovary syndrome and anemia or coagulation-related issues. A key limitation is that the text is a narrative clinical perspective/chapter that does not provide new prospective study data or a detailed, evidence-rated treatment comparison within the excerpt. Relevance to endometriosis: it does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match upstream related to uterine bleeding disorders.

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Abstract

Until recently anovulatory dysfunctional uterine bleeding (DUB) was the most common urgent gynecologic problem of the adolescent. In recent years, with changing sexual mores and more frequent and earlier sexual activity, sexually transmitted disease and pregnancy complications may have become more common. Nevertheless DUB is still a frequent urgent problem. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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About this chapter Cite this chapter Altchek, A. (1991). Management of Anovulatory Dysfunctional Uterine Bleeding in the Adolescent. In: Altchek, A., Deligdisch, L. (eds) The Uterus. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9086-2_21 Download citation DOI: https://doi.org/10.1007/978-1-4613-9086-2_21 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-9088-6 Online ISBN: 978-1-4613-9086-2 eBook Packages: Springer Book Archive

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