Gynecologic Problems of Adolescence

In: Clinical Perspective in Obstetrics and Gynecology · 1985 · pp. 61–83 · doi:10.1007/978-1-4612-5064-7_6 · W3940341
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This paper outlines an approach to diagnosing and treating abnormal uterine bleeding in adolescents, emphasizing the importance of identifying underlying endocrinologic or hematologic issues.

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This paper/chapter reviews adolescent gynecologic problems, focusing on abnormal vaginal bleeding in adolescents and providing an orderly framework for differential diagnosis and treatment, emphasizing the need to identify underlying endocrinologic or hematologic abnormalities and to understand pathophysiology. It also discusses related adolescent menstrual disorders and issues such as amenorrhea, chronic pelvic pain, and evaluation approaches in an adolescent population at a high level. A major limitation is that the text is a general clinical overview rather than a single empirical study, and it does not provide study-specific data or quantify outcomes. Relevance to endometriosis: the chapter’s references include multiple studies on adolescent endometriosis and catamenial symptoms (e.g., “Adolescent endometriosis,” “Endometriosis in adolescents,” and several experimental/clinical endometriosis reports), though its main focus is broader adolescent gynecologic problems and abnormal uterine bleeding rather than endometriosis specifically. This paper is centrally about endometriosis — it is not; it includes endometriosis literature within a wider review of adolescent gynecologic disorders.

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Abstract

Abnormal vaginal bleeding is one of the most common adolescent gynecologic problems. It is a cause of anxiety both for patient and parent. This chapter presents an orderly approach to the differential diagnosis and treatment of abnormal uterine bleeding. The importance of defining an underlying endocrinologic or hematologic abnormality as well as understanding the pathophysiology of the problem is emphasized. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Am J Obstet Gynecol 140: 62–7, 1981 Sanfilippo J, Teichman J, Melvin J, etal: Influence of danazol on cytoplasmic and nuclear estrogen binding capacity in the uterus. Am J Obstet Gynecol 147: 364 - 8, 1983 Jenkin G, Cookson C, Th orb urn G: The interaction of human endometrial and myo- metrial steroid receptors with danazol. Clin Endocrinol 19: 377–88, 1983 Dmowski W, Kapetanakis E, Scommegna A: Variable effects of danazol on endometriosis at 4 low-dose levels. Obstet Gynecol 59: 408–15, 1982 Editor information Editors and Affiliations Rights and permissions Copyright information © 1985 Springer-Verlag New York,Inc About this chapter Cite this chapter Sanfilippo, J.S., Yussman, M.A. (1985). Gynecologic Problems of Adolescence. In: Lavery, J.P., Sanfilippo, J.S. (eds) Pediatric and Adolescent Obstetrics and Gynecology. Clinical Perspective in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5064-7_6 Download citation DOI: https://doi.org/10.1007/978-1-4612-5064-7_6 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-9547-1 Online ISBN: 978-1-4612-5064-7 eBook Packages: Springer Book Archive

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