Kabra Rashi, Fisher Martin
Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York, USA.
Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Curr Probl Pediatr Adolesc Health Care. 2022 May;52(5):101185. doi: 10.1016/j.cppeds.2022.101185. Epub 2022 May 4.
Abnormal uterine bleeding (AUB) is a common diagnosis in the adolescent female population. In recent years, changes have been made to standardize nomenclature, evaluation and management of AUB in adolescents. The terms "abnormal uterine bleeding" and "heavy menstrual bleeding" have replaced terms including "dysfunctional uterine bleeding," "menorrhagia," "metrorrhagia", and "menometrorrhagia." Due to a high prevalence of these diagnoses in this population and resulting effects on quality of life, clinicians should understand and practice current evidence-based care, yet variability continues to exist. Evaluation should be focused on common etiologies of AUB in adolescents, namely non-structural causes, rather than those etiologies more common in adult females. The aim of this article is to review the existing definition, etiologies, pathophysiology, evaluation and management of AUB in adolescent females, with an emphasis on current universally accepted nomenclature and guidelines for use in clinical care.
异常子宫出血（AUB）是青春期女性群体中的常见诊断。近年来，为规范青少年AUB的命名、评估和管理做出了一些改变。“异常子宫出血”和“月经过多”这两个术语已取代了包括“功能失调性子宫出血”“月经过多”“子宫不规则出血”和“月经过多与子宫不规则出血并存”等术语。由于这些诊断在该人群中的高患病率及其对生活质量的影响，临床医生应了解并践行当前基于证据的治疗方法，但差异仍然存在。评估应聚焦于青少年AUB的常见病因，即非结构性原因，而非成年女性中更常见的那些病因。本文旨在综述青少年女性AUB的现有定义、病因、病理生理学、评估和管理，重点关注当前普遍接受的命名以及临床护理中使用的指南。
