Dysfunctional uterine bleeding in the adolescent patient is virtually always anovulatory. It is a diagnosis of exclusion, and history, physical examination, and appropriate laboratory studies are imperative. Mild cases may require only evaluation, explanation, and reassurance, in the hope that ovulation will soon begin. More difficult problems are managed hormonally, with surgical procedures rarely being necessary. Prolonged followup, with a search for a cause, is needed, since those patients with difficult problems can be expected to have recurrent problems and decreased fertility.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health