Bleeding that is excessive in flow, outside of regular menstrual cycles, or occurs daily for >8 days
Adolescents typically do not establish regular ovulatory cycles until their mid...
A complete history should be obtained both with and without the presence of adolescent’s caregiver.
A complete menstrual history includes:
Assessment of the amount of bleeding and confi...
The initial step in evaluating AUB is to determine pregnancy status and assess hemodynamic stability.
Any adolescent who exhibits signs or symptoms of hemodynamic instability ...
Bleeding usually tapers after the first few doses of hormone therapy.
After 6 to 12 months, if patient does not wish t...
ACOG Committee Opinion No. 651: menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Obstet Gynecol. 2015;126(6):e143–e146. [View Abstract on Ovid...
626.8 Other disorders of menstruation and other abnormal bleeding from female genital tract
626.5 Ovulation bleeding
626.9 Unspecified disorders of menstruation and other abnormal bleeding fro...
Q: If most girls have anovulatory cycles, why do only some present with AUB?
A: Most girls do have irregular menstrual cycles during the first 2 years after menarche. However, in most, the negative...
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Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery crosses over the ureter and is ligated beyond this point at the uterine corpus. (<bold>B</bold>) Hypogastric artery ligation. Ligation of the anterior division of the internal iliacartery is performed after careful identification and retraction of the ureter, which usually overlies the bifurcation of the iliac artery into the external and internal iliac branches. (C) "Lynch" suture, compressing endometrial vascular bed as well as uterine arteries.
Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery cross...