Abnormal uterine bleeding in adolescence - three cases of heavy menstrual bleeding (HMB)
DOI:
https://doi.org/10.12775/JEHS.2023.13.01.036Keywords
heavy menstrual bleeding, bleeding disorders, adolescents, anemiaAbstract
Heavy menstrual bleeding (HMB) is profuse, acyclic bleeding from the genital tract, with or without clots, usually lasting more than 10 days. They are the most common cause of abnormal uterine bleeding in adolescence. The following are used in the treatment: iron preparations, antifibrinolytic drugs, NSAIDs, estrogen-progestagen therapy or progestagen therapy. In cases where the Hb concentration is <7-8 g/dl, red blood cells preparation should be transfused. In the article we present a description of three cases of patients with heavy menstrual bleeding (HMB) who were treated in the Pediatric Department of the Independent Public Provincial Specialist Hospital in Chełm.
References
Skrzypulec-Plinta V, Drosdzol-Cop A, Krwawienia młodocianych u dziewcząt – diagnostyka, Postępowanie., Wybrane zagadnienia z ginekologii dziecięcej i dziewczęcej. [Haevy menstrual bleeding in adolescents in girls - diagnosis and management. Selected issues in children's and girls' gynecology.] Red. Skrzypulec-Plinta V, Radowicki S. Bielsko-Biała: Medical Project Poland. 2011; 133-144.
Wojtyś J, Starzyk J, Krwawienia młodocianych, [Haevy menstrual bleeding in adolescent] Endokrynologia Pediatryczna. 4/2005; 3(12), doi: 10.18544/EP-01.04.03.0132
Fisher M, Lara-Torre E. Update on key topics in adolescent gynecology., J Pediatr Adolesc Gynecol. 2013, 26 (1), 51-57. doi: 10.1016/j.jpag.2012.09.008.
James AH. Bleeding disorders in adolescents. Obstet Gynecol Clin North Am. 2009; 36(1): 153–162, doi: 10.1016/j.ogc.2008.12.002.
O’Brien B, Mason J, Kimble R. Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding: The Queensland Statewide Paediatric and Adolescent Gynaecology Service. J Pediatr Adolesc Gynecol. 2019; 32(2): 122–127, doi: 10.1016/j.jpag.2018.11.005.
Sarpatwari A, Bennett D, Logie JW, et al. Thromboembolic events among adult patients with primary immune thrombocytopenia in the United Kingdom General Practice Research Database. Haematologica. 2010; 95(7): 1167–1175, doi: 10.3324/haematol.2009.018390.
Wang W, Bourgeois T, Klima J, et al. Iron deficiency and fatigue in adolescent females with heavy menstrual bleeding. Haemophilia. 2013; 19(2): 225–230, doi: 10.1111/hae.12046.
Provan D, Stasi R, Newland AC, et al. International consensus report on the investigation and management of primary immune thrombocytopenia. Blood. 2010; 115(2): 168–186, doi: 10.1182/blood-2009-06-225565.
Boswell HB, The adolescent with menorrhagia: why, who, and how to evaluate for a bleeding disorder., J Pediatr Adolesc Gynecol. 2011, 24, 228-230. doi: 10.1016/j.jpag.2011.02.014.
Rekomendacje PTG dotyczące postępowania w zaburzeniach miesiączkowania u dziewcząt. [Recommendations of the Polish Ginecological Society for the management of menstrual disorders in girls.] Ginekologia po Dyplomie, Wyd. Spec. 2009, 09, 128-132.
https://aplikacje.nfz.gov.pl/umowy/Provider/Search (dostęp w dniu: 14.11.2022 r.)
Ustawa o zawodzie lekarza i lekarza dentysty z dnia 5 grudnia 1996 r. [The Act on the Profession of a Doctor and Dentist of December 5, 1996.] (Dz. U. z 2005 r. Nr 28, poz. 152 ze zmianami).
Drosdzol-Cop A, Skrzypulec-Plinta V, Guzik-Makaruk EM, Drozdowska U, Huzarska D, Rekomendacje Grupy Ekspertów Polskiego Towarzystwa Ginekologów i Położników dotyczące badania ginekologicznego i leczenia osoby małoletniej (stan na 1.01.2020 r.), [Recommendations of the Expert Group of the Polish Society of Gynecologists and Obstetricians regarding gynecological examination and treatment of a minor (as of 01/01/2020),] Ginekologia i Perinatologia Praktyczna 2019;4(4):164-167.
Sanchez J, Andrabi S, Bercaw JL, et al. Quantifying the PBAC in a pediatric and adolescent gynecology population. Pediatr Hematol Oncol. 2012; 29(5): 479–484. doi: 10.3109/08880018.2012.699165.
Sokkary N, Dietrich JE. Management of heavy menstrual bleeding in adolescents. Curr Opin Obstet Gynecol. 2012 Oct;24(5):275-80. doi: 10.1097/GCO.0b013e3283562bcb.
Levens ED, Scheinberg P, DeCherney AH. Severe menorrhagia associated with thrombocytopenia. Obstet Gynecol. 2007 Oct;110(4):913-7. doi: 10.1097/01.AOG.0000279138.64895.2b.
James AH, Hoots K. The optimal mode of delivery for the haemophilia carrier expecting an affected infant is caesarean delivery. Haemophilia. 2010 May;16(3):420-4. doi: 10.1111/j.1365-2516.2009.02142.x.
Frishman GN. Evaluation and treatment of menorrhagia in an adolescent population. J Minim Invasive Gynecol. 2008 Nov-Dec;15(6):682-8. doi: 10.1016/j.jmig.2008.08.014.
Gruszka J, Wrześniewska M, Adamczyk-Gruszka O, Wizyta u ginekologa – aspekt psychologiczny, diagnostyczny i leczniczy, [A visit to the gynecologist - psychological, diagnostic and therapeutic aspect], Medycyna Ogólna i Nauki o Zdrowiu, 2014; 20(4): 126-130.
Quint EH. Gynecological care for teenagers with disabilities. J Pediatr Adolesc Gynecol 2003; 16: 115, doi: 10.1016/s1083-3188(03)00025-1.
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