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Anovulation is the most common cause of abnormal uterine bleeding in adolescents, especially during the first 2 years after menarche. However, 20% to 40% of adolescents with abnormal uterine bleeding might have an underlying bleeding disorder. To examine screening practices for coagulation disorders, investigators reviewed charts of 84 adolescent patients (age range, 10–18) who presented with abnormal uterine bleeding (e.g., passage of clots, soaking a pad or tampon within 60 minutes, bleeding for >7 days) to outpatient clinics at an academic medical center.
Patients were evaluated by pediatricians (38%), gynecologists (43%), or pediatric gynecologists (19%). Charts of about one third of patients evaluated by pediatricians or gynecologists a…