Pravatta-Rezende Gabriela, Benetti-Pinto Cristina Laguna, Angerame Yela Gomes Daniela, Japur de Sá Rosa E Silva Ana Carolina, Soares José Maria
Department of Obstetrics and Gynecology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
Clinics (Sao Paulo). 2025 Mar 9;80:100608. doi: 10.1016/j.clinsp.2025.100608. eCollection 2025.
To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options.
A review of current evidence and guidelines was performed to create a structured approach for healthcare professionals.
Acute AUB, defined as excessive uterine bleeding unrelated to pregnancy, requires immediate intervention. Causes vary by age and include coagulopathies, anovulation, and structural anomalies. Clinical stability, lab workups, and imaging are pivotal in guiding management. Initial treatment focuses on hemodynamic stabilization followed by medical therapies such as antifibrinolytics, hormonal agents, or surgical intervention when necessary.
Early intervention in AUB ensures optimal outcomes, reduces complications, and allows transition to maintenance therapy to prevent recurrence.
提供一项针对初潮期急性异常子宫出血（AUB）的诊断与管理方案，涵盖常见病因、临床评估及治疗选择。
对当前证据和指南进行综述，为医疗保健专业人员制定结构化方法。
急性AUB定义为与妊娠无关的子宫大量出血，需要立即干预。病因因年龄而异，包括凝血障碍、无排卵和结构异常。临床稳定性、实验室检查和影像学检查对指导管理至关重要。初始治疗重点是血流动力学稳定，随后根据需要采用抗纤溶药物、激素药物等药物治疗或手术干预。
对AUB进行早期干预可确保最佳治疗效果，减少并发症，并可过渡到维持治疗以预防复发。
