ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Abnormal uterine bleeding in adolescence[1-4]

Abnormal uterine bleeding in adolescence[1-4]
Symptom Definition
Primary amenorrhea Lack of menarche by 15 years of age or by 3 years after the onset of breast development*
Secondary amenorrhea More than 90 days without a menstrual period, after previously menstruating
Oligomenorrhea
(infrequent abnormal uterine bleeding)
  • Year 0 to <1 post-menarche – Average cycle length >60 days (fewer than 6 periods per year)
  • Year 1 to <3 post-menarche – Average cycle length >45 days (fewer than 8 periods per year)
  • Year 3 post-menarche to perimenopause – Average cycle length >38 days (fewer than 9 periods per year)
Excessive uterine bleeding Menstrual bleeding that is more frequent than every 21 days (or 19 days in year 1 post-menarche) or prolonged (lasts more than 7 days) or heavy (soaking pads or tampons sufficiently to interfere with quality of life)
* Bone age of 15 years may be substituted for chronologic age in girls with early pubertal onset.
¶ Encompasses frequent intermenstrual bleeding, "polymenorrhea" and "menometrorrhagia." Traditionally termed "dysfunctional uterine bleeding."
Adapted from: Rosenfield RL. Adolescent anovulation: Maturational mechanisms and implications. J Clin Endocrinol Metab 2013; 98:3572.
Updated with information from:
  1. Rosenfield RL. The diagnosis of polycystic ovary syndrome in adolescents. Pediatrics 2015; 136:1154.
  2. Teede HJ, Misso ML, Costello MF, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril 2018; 110:364.
  3. Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Committee. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet 2018; 143:393.
  4. Rosenfield RL. Perspectives on the International Recommendations for the Diagnosis and Treatment of Polycystic Ovary Syndrome in Adolescence. J Pediatr Adolesc Gynecol 2020; S1083.
Graphic 93199 Version 10.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟