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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Published in: | Current treatment options in pediatrics 2016-09, Vol.2 (3), p.184-195 |
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container_title | Current treatment options in pediatrics |
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creator | Polis, Rachael L. Hertweck, S. Paige |
description | 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. |
doi_str_mv | 10.1007/s40746-016-0054-8 |
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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.</description><identifier>ISSN: 2198-6088</identifier><identifier>EISSN: 2198-6088</identifier><identifier>DOI: 10.1007/s40746-016-0054-8</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>Current treatment options in pediatrics, 2016-09, Vol.2 (3), p.184-195</ispartof><rights>Springer International Publishing AG 2016</rights><rights>Springer International Publishing AG 2016.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2048-6218a4eaff267fd8a3d480d5644b42ae81462be958238a86fa7bbe0d3029e5153</citedby><cites>FETCH-LOGICAL-c2048-6218a4eaff267fd8a3d480d5644b42ae81462be958238a86fa7bbe0d3029e5153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Polis, Rachael L.</creatorcontrib><creatorcontrib>Hertweck, S. Paige</creatorcontrib><title>Treatment Options for the Adolescent Patient Experiencing Abnormal Uterine Bleeding</title><title>Current treatment options in pediatrics</title><addtitle>Curr Treat Options Peds</addtitle><description>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.</description><subject>Anemia</subject><subject>Birth control</subject><subject>Chlamydia</subject><subject>Chronic illnesses</subject><subject>Contraindications</subject><subject>Critical Care Medicine</subject><subject>Estrogens</subject><subject>Family Medicine</subject><subject>General Practice</subject><subject>Gonorrhea</subject><subject>Hemodynamics</subject><subject>Hemoglobin</subject><subject>Histopathology</subject><subject>Iatrogenesis</subject><subject>Intensive</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menstruation</subject><subject>Ovaries</subject><subject>Patients</subject><subject>Pediatric Gynecology (L Breech and K Stambough</subject><subject>Pediatrics</subject><subject>Pharmaceuticals</subject><subject>Polycystic ovary syndrome</subject><subject>Section Editors</subject><subject>Teenagers</subject><subject>Topical Collection on Pediatric Gynecology</subject><issn>2198-6088</issn><issn>2198-6088</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1UE1LxDAQDaLgsu4P8FbwXJ2kaZMe12X9gIUV3D2HtJ2uXdqkJl3Qf29qBb14mA9m3nszPEKuKdxSAHHnOQiexUBDQMpjeUZmjOYyzkDK8z_9JVl4fwQAKr7TjLzuHOqhQzNE235orPFRbV00vGG0rGyLvhxXL3poxrr-6NGFrmzMIVoWxrpOt9F-CEOD0X2LWIXNFbmodetx8VPnZP-w3q2e4s328Xm13MQlAx4eYlRqjrquWSbqSuqk4hKqNOO84EyjpDxjBeapZInUMqu1KAqEKgGWY0rTZE5uJt3e2fcT-kEd7cmZcFKxPGEJTYXIAopOqNJZ7x3WqndNp92noqBG-9Rknwr2qdE-JQOHTRwfsOaA7lf5f9IXO85xug</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Polis, Rachael L.</creator><creator>Hertweck, S. 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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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s40746-016-0054-8</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | Treatment Options for the Adolescent Patient Experiencing Abnormal Uterine Bleeding |
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