[Principles of the management of patients with juvenile uterine hemorrhage].

A total of 1685 pubertal patients with dysfunctional uterine bleeding were investigated using the conventional tests of ovarian function and measurements of gonadotropic and sex hormones as well as the assessment of some hemostatic parameters and hysteroscopically controlled diagnostic and endometrial curettage. The patients were investigated before and after hormonal treatment aimed at restoring normal hemostasis and the control of menstrual function. On the basis of results achieved symptomatic therapy is recommended as the 1st stage of treatment for juvenile uterine bleeding followed by hormonal therapy and subsequent substitution therapy for hormonal deficiencies. For recurrent bleeding which does not respond to conservative treatment diagnostic curettage is indicated preferably under hysteroscopic control. Treatment for hemostatic disorders should be added to the complex management of girls with dysfunctional uterine bleeding. (authors modified) (summary in ENG)