Dickerson Kathryn E, Menon Neethu M, Zia Ayesha
Division of Hematology/Oncology, The University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Pediatric Hematology Oncology, Division of Hematology/Oncology, The University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Pediatr Clin North Am. 2018 Jun;65(3):543-560. doi: 10.1016/j.pcl.2018.02.008.
Abnormal uterine bleeding is common in adolescents and is thought to affect 9% to 14% of women in their reproductive years. Certain unique aspects of underlying inherited or acquired blood disorders exacerbate the "expected" hormonal imbalance at this age, thereby increasing the morbidity of the underlying problem. A multifactorial etiology demands a collaborative approach between hematologists and gynecologists or adolescent medicine physicians to effectively manage abnormal uterine bleeding in young women with blood disorders.
异常子宫出血在青少年中很常见,据认为在育龄期女性中发生率为9%至14%。潜在的遗传性或获得性血液疾病的某些独特方面会加剧这个年龄段“预期的”激素失衡,从而增加潜在问题的发病率。多因素病因需要血液科医生与妇科医生或青少年医学医生之间采取协作方法,以有效管理患有血液疾病的年轻女性的异常子宫出血。