Adolescent gynaecology – heavy menstrual bleeding

Adolescent gynaecology – heavy menstrual bleeding was an existing Victorian CPG that has been revised then reviewed by CPG Committee members. It will be considered for PIC endorsement on 8 October.

Key Points

  1. The most common cause of Heavy Menstrual Bleeding (HMB) in adolescents is anovulatory cycles
  2. Mild bleeding with a normal haemoglobin can be managed with reassurance, non-hormonal treatments and observation
  3. Pregnancy related bleeding and bleeding disorders are important differentials to consider
  4. Hormonal therapy aims to stabilise the endometrium

 

 

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