医学
基石
重症监护医学
生育率
介绍(产科)
儿科
外科
人口
环境卫生
艺术
视觉艺术
作者
Chimsom T. Oleka,Jennifer E. Dietrich
出处
期刊:Clinical Obstetrics and Gynecology
[Ovid Technologies (Wolters Kluwer)]
日期:2020-07-23
卷期号:63 (3): 553-560
被引量:7
标识
DOI:10.1097/grf.0000000000000523
摘要
Heavy menstrual bleeding in the adolescent is a cause for concern whether occurring acutely or chronically. There are a number of important considerations during the initial presentation that will help guide the practitioner during workup, which ultimately guides management strategies. The cornerstone of management in the adolescent is that of medical therapy (hormonal and nonhormonal), with avoidance of invasive and irreversible measures, as maintenance of fertility is paramount. Ultimately, the majority of adolescents can be successfully managed in the acute setting and transitioned to maintenance therapy for long-term control of heavy menses. Here, we will review the modern approach to this condition as well as tips and tricks for the practitioner.
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