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Abnormal Uterine Bleeding in Adolescents
Author(s) -
Quint Elisabeth H.,
Smith Yolanda R.
Publication year - 2003
Publication title -
the journal of midwifery and womens health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/s1526-9523(03)00061-8
Subject(s) - menarche , breast development , anovulation , pubic hair , medicine , uterine bleeding , intervention (counseling) , menstruation , gynecology , adolescent development , obstetrics , pediatrics , psychology , developmental psychology , endocrinology , psychiatry , obesity , hormone , insulin resistance , polycystic ovary
Menarche is an important event during adolescence. For most girls, it marks completion of puberty and the onset of reproductive capability. Menarche usually occurs when both breast and pubic hair development are at Tanner stage 4. Menstrual problems are common during adolescence due to slow maturation of the hypothalamic‐pituitary‐ovarian axis and can last 2 to 5 years after menarche. Although most problems are explained by anovulation, other causes must be considered and excluded in a logical and cost‐effective manner. Frequently, the bleeding problems observed in adolescence require evaluation and intervention.