Practice Guideline: Evaluation and Management of Abnormal Vaginal Bleeding in Adolescents

Abstract

Abnormal vaginal bleeding is a common cause for concern among adolescents and their families, as well as a frequent cause of visits to the emergency department and health care provider. While there are many causes of abnormal vaginal bleeding, the most likely cause among otherwise healthy adolescents is dysfunctional uterine bleeding (DUB) resulting from an immature hypothalamic-pituitary-ovarian axis, which results in anovulatory cycles and unpredictable bleeding. However, abnormal vaginal bleeding also may be the presenting symptom of a more serious underlying condition or problem.