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Management of Abnormal Uterine Bleeding in Adolescents

Published:September 28, 2010DOI:https://doi.org/10.1016/j.jpag.2010.08.007
      Adolescence in girls is marked by a host of physical and psychological changes, including those associated with menstruation. Abnormal uterine bleeding (AUB) is one of the most commonly encountered medical problems in this transition from childhood to maturity. Although common, this problem is likely under-reported and population-derived prevalence rates are not well described for adolescents. Small studies, however, suggest that the problem transcends ethnic and geographic boundaries. In Nigeria, 12.1% of adolescents experienced heavy menstrual bleeding which affected their work or school performance.
      • Barr F.
      • Brabin L.
      • Agbaje S.
      • et al.
      Reducing iron deficiency anaemia due to heavy menstrual blood loss in Nigerian rural adolescents.
      In Hong Kong, 17.9% of girls at a mean age of 15 reported heavy menstrual bleeding.
      • Chan S.
      • Yiu K.
      • Yuen P.
      • et al.
      Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls.
      In Sweden, 37% of girls with an average age of 16.7 reported heavy menstruations.
      • Friberg B.
      • Ornö A.
      • Lindgren A.
      • et al.
      Bleeding disorders among young women: a population-based prevalence study.
      Similar rates have been reported in Malaysia and Turkey.
      • Lee L.K.
      • Chen P.
      • Lee K.K.
      • et al.
      Menstruation among adolescent girls in Malaysia: a cross-sectional school survey.
      • Cakir M.
      • Mungan I.
      • Karakas T.
      • et al.
      Menstrual pattern and common menstrual disorders among university students in Turkey.

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