Puberty menorrhagia
Excessive
polycystic ovarian disease, leukemia and coagulation disorders.[2] The most common physiological reason for puberty menorrhagia is the immaturity of hypothalamic-pituitary-ovarian axis, leading to inadequate positive feedback and sustained high estrogen levels. Most patients present with anemia
due to excessive blood loss.
The patient is assessed with a thorough medical history, physical examination (to look for features of anemia), gynaecological examination (to rule out local causes) and laboratory investigations (to rule out coagulopathies and malignancy). It is mandatory to exclude pregnancy. The treatment is determined based on the cause of menorrhagia. In case of puberty menorrhagia due to immaturity of hypothalamic axis, hormonal therapy is beneficial. Treatment for blood loss should be done simultaneously with
iron therapy
in mild to moderate blood loss and blood transfusion in severe blood loss.
References
- ^ Gillani, Salma (January 2012). "Puberty Menorrhagia : Causes and Management" (PDF). Journal of Medical Sciences (Peshwar). 20 (1): 15–18.
- ^ Rao, Sanjay (April 2004). "Medical Interventions in Puberty Menorrhagia". Bombay Medical Journal. Retrieved 6 April 2020.