Implications and Management of Heavy Menstrual Bleeding in Adolescents

Bleeding disorders are relatively common in teens with heavy menstrual bleeding and call for evaluation.

Sponsoring Organization: American College of Obstetricians and Gynecologists

Background and Objective

When menstrual bleeding is sufficiently heavy to interfere with quality of life, evaluation is warranted. Bleeding disorders are present in up to 20% of adolescent girls with heavy menstrual bleeding. The following guidelines detail optimal approaches to screening and management of heavy uterine bleeding in this age group.

Key Recommendations

Adolescents presenting with heavy menstrual bleeding should be assessed for hemodynamic stability.
Evaluation should also include assessment for anemia, pregnancy, an endocrine disorder causing anovulation, and a bleeding disorder.
Coordinated evaluation and management with a hematologist are warranted if a …

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)