Abnormal uterine bleeding in adolescents

Obstet Gynecol Clin North Am. 2000 Mar;27(1):63-78. doi: 10.1016/s0889-8545(00)80007-8.


Irregular bleeding is a common complaint of adolescents and is responsible for approximately 50% of gynecologic visits in that age group. Most abnormal bleeding in adolescents is caused by immaturity of the hypothalamic-pituitary-ovarian axis resulting in anovulation. Approximately 20% of adolescents have an underlying disorder requiring targeted diagnostic testing. A thorough history and physical examination and laboratory findings will often reveal the source of abnormal bleeding. Appropriate treatment is then directed to the underlying cause.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Blood Coagulation Disorders / complications
  • Female
  • Humans
  • Menstrual Cycle
  • Ovarian Diseases / complications
  • Pregnancy
  • Pregnancy in Adolescence
  • Uterine Cervical Diseases / complications
  • Uterine Diseases / complications
  • Uterine Hemorrhage* / epidemiology
  • Uterine Hemorrhage* / etiology
  • Uterine Hemorrhage* / therapy
  • Uterus / abnormalities
  • Vaginal Diseases / complications