Minjarez D A, Bradshaw K D
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, USA.
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.
不规则出血是青少年常见的主诉，约占该年龄组妇科就诊病例的50%。青少年的大多数异常出血是由下丘脑-垂体-卵巢轴不成熟导致无排卵引起的。约20%的青少年存在需要进行针对性诊断检查的潜在疾病。详细的病史、体格检查和实验室检查结果通常会揭示异常出血的原因。然后针对潜在病因进行适当治疗。
