What is the most common cause of abnormal uterine bleeding?
The most common causes of such bleeding are uterine fibroids, uterine adenomyosis, or endometrial polyps. Fibroids are benign masses in the muscle layer of the uterus (myometrium), while adenomyosis is a condition in which the lining of the uterus (endometrium) grows into the myometrium.
Why is my 13 year old bleeding?
Many teens have bleeding or spotting between periods. A number of things can cause abnormal vaginal bleeding, including hormone problems, stress, ovulation, changes in weight, strenuous exercise, and some kinds of birth control.
What causes teenage bleeding?
The most common cause of abnormal bleeding in teens is irregular ovulation. This happens because connections between the brain, pituitary gland, and ovaries are still maturing. Ovulation is when the ovaries release an egg.
What are the types of abnormal uterine bleeding?
Coagulopathy (AUB-C)—abnormal bleeding due to an underlying bleeding condition. Ovulatory dysfunction (AUB-O)—abnormal bleeding because you are not ovulating regularly….Structural causes (changes in your uterus):
- Polyps (AUB-P)
- Adenomyosis (AUB-A)
- Leiomyoma (AUB-L)
- Malignancy and hyperplasia (AUB-M)
How common is abnormal uterine bleeding?
Not everyone who experiences abnormal uterine bleeding reports their symptoms. As a result, 10% to 35% of women worldwide may have abnormal uterine bleeding. But the numbers may be higher. It’s most common during menarche (when menstruation begins) and perimenopause (the years leading up to menopause).
What is the treatment for abnormal uterine bleeding?
Surgical options include dilation and curettage (D&C), endometrial ablation, uterine artery embolization, and hysterectomy. The choice of surgical modality (eg, D&C versus hysterectomy) is based on the aforementioned factors plus the patient’s desire for future fertility.
Can a 13 year old have menorrhagia?
It is not uncommon for an adolescent to experience heavy menstrual bleeding if they have irregular periods. Heavy menstrual bleeding can interfere with an adolescent’s normal activities and cause anemia.
Is it normal for a teenage girl to have her period every 2 weeks?
It’s often normal during the teen years to have irregular periods. When a girl’s period is irregular, it might come more than once a month or only come every few months. Some girls find they get their period more than once some months, then they might not have another for several months.
How do you manage abnormal uterine bleeding?
Medical management should be the initial treatment for most patients, if clinically appropriate. Options include intravenous conjugated equine estrogen, multi-dose regimens of combined oral contraceptives or oral progestins, and tranexamic acid.
Can stress cause abnormal uterine bleeding?
Most types of stress will show physical symptoms. Each month a female undergoes hormonal changes while preparing for the menstrual cycle and cause abnormal bleeding. Stress can interrupt the hormonal shifts and throw off a female’s menstrual cycle.
Which woman is at greatest risk for dysfunctional uterine bleeding?
There are a number of risk factors that can contribute to the development of abnormal uterine bleeding. These include: Age: The risk is higher in adolescents and women over the age of 45. Obesity: The risk is higher in women who are overweight or obese.
Can stress cause abnormal bleeding?
Mental stress can cause changes in menstrual cycles, which can range from skipped or irregular periods , to heavy menstrual bleeding.
What causes abnormal uterine bleeding (AUB) in adolescents?
(See “Abnormal uterine bleeding in adolescents: Evaluation and approach to diagnosis” .) Anovulatory uterine bleeding is the primary cause of AUB in adolescents and generally resolves with maturation of the hypothalamic-pituitary-ovarian axis.
What is abnormal uterine bleeding?
Keywords: Abnormal uterine bleeding, heavy menstrual bleeding, adolescents Introduction Abnormal uterine bleeding (AUB) is defined as bleeding from the uterine corpus that is abnormal in duration, volume, frequency and/or regularity.
What are the symptoms of abnormal menstrual bleeding in teenagers?
Introduction Adolescents have frequent menstrual problems such as irregular menses, painful cycles and prolonged or heavy menstrual bleeding (HMB). Abnormal uterine bleeding (AUB) is defined as bleeding from uterine corpus that is abnormal in duration, volume, frequency and/or regularity.
Can anovulatory uterine bleeding in adolescents be managed?
Anovulatory uterine bleeding is the primary cause of AUB in adolescents and generally resolves with maturation of the hypothalamic-pituitary-ovarian axis. The management of AUB in otherwise healthy adolescents is the focus of this topic review.