Treatment Options for the Adolescent Patient Experiencing Abnormal Uterine Bleeding

Opinion statement Abnormal uterine bleeding (AUB) is one of the most common reasons adolescent patients present for gynecologic care. A new classification system has been created to provide a universally accepted system of nomenclature to describe uterine bleeding causes in reproductive-aged women....

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Bibliographic Details
Published in:Current treatment options in pediatrics 2016-09, Vol.2 (3), p.184-195
Main Authors: Polis, Rachael L., Hertweck, S. Paige
Format: Article
Language:English
Subjects:
Anemia
Birth control
Chlamydia
Chronic illnesses
Contraindications
Critical Care Medicine
Estrogens
Family Medicine
General Practice
Gonorrhea
Hemodynamics
Hemoglobin
Histopathology
Iatrogenesis
Intensive
Maternal and Child Health
Medicine
Medicine & Public Health
Menstruation
Ovaries
Patients
Pediatric Gynecology (L Breech and K Stambough
Pediatrics
Pharmaceuticals
Polycystic ovary syndrome
Section Editors
Teenagers
Topical Collection on Pediatric Gynecology
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Summary:Opinion statement Abnormal uterine bleeding (AUB) is one of the most common reasons adolescent patients present for gynecologic care. A new classification system has been created to provide a universally accepted system of nomenclature to describe uterine bleeding causes in reproductive-aged women. The acronym PALM-COEIN (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic and not yet classified) was introduced in 2011. This classification will help to target not only treatment but also future research into treatment options in the AUB population. In order for treatments to be effective, an accurate diagnosis is paramount. Adolescents tend to have anovulatory, infectious, or pregnancy-related causes of AUB. Traditional treatment modalities have been hormonal in nature, the most common being the use of oral contraceptive pills. The latest development has been the recognition of the effective use of the levonorgestrel intrauterine systems (LNG-IUS) in successful treatment of AUB in the adolescent population.
ISSN:2198-6088
2198-6088
DOI:10.1007/s40746-016-0054-8