Abnormal Uterine Bleeding in Adolescents

Elisabeth H. Quint, MD, Yolanda R. Smith, MD

Disclosures

J Midwifery Womens Health. 2003;48(3) 

In This Article

Prognosis

The majority of adolescents with AUB will spontaneously convert to normal menstrual cycles within 1 to 2 years, and this information and reassurance should be relayed to her. Education and support for the adolescent and her family are very important, because sustained heavy bleeding is a confusing and frightening event.

The prognosis is more guarded in the presence of acute anemia and in those women with continued irregular bleeding after several years. A 25-year prospective evaluation of adolescents with dysfunctional uterine bleeding showed that of those who continued to have abnormal bleeding after 2 years, persistent problems were noted in 50% after 4 years and in 30% after 10 years.[28]

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