Abnormal Uterine Bleeding in Adolescent

Indonesian Journal of Obstetrics & Gynecology Science

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Field Value
 
Title Abnormal Uterine Bleeding in Adolescent
 
Creator Theresia, Evelyne
Cristopher, Andreas
Edelweishia, Melissa
 
Subject Abnormal uterine bleeding, adolescents, heavy menstrual bleeding
 
Description AbstractAbnormal uterine bleeding (AUB) is a frequent cause of visits to health care provider during adolescent period. Heavy menstrual bleeding is the most frequent clinical presentation of AUB. This condition particularly worrisome in this group not only when it occurs at menarche, but also anytime afterward when bleeding lasts longer than 7 days, blood loss is greater than 80 mL per cycle, or other warning signs that indicate a history of heavy bleeding such as anemia. Careful history and examination can help elucidate the best next steps for workup and management. The primary goal of treatment is prevention of hemodynamic instability. Therefore, assessing the severity and cause of bleeding is important. Therapeutic approach in the acute period should be established according to the degree of anemia and amount of flow. Treatment options for medical care of AUB generally include hormonal, nonhormonal and surgery. Additionally, long-term management with hormonal therapy in patients with severe uterine bleeding is known to be safe for developing HPO axis.Perdarahan Uterus Abnormal pada RemajaAbstrakPerdarahan uterus abnormal (PUA) sering menjadi penyebab kunjungan ke penyedia layanan kesehatan selama masa remaja. Perdarahan menstruasi yang berat adalah gambaran klinis yang paling sering dari AUB. Kondisi ini sangat mengkhawatirkan para remaja yang terjadi bukan hanya saat menarche, tetapi juga bila perdarahan berlangsung lebih dari 7 hari, kehilangan darah lebih dari 80 mL per siklus, atau gejala lain yang menunjukkan riwayat perdarahan berat seperti anemia. Anamnesa dan pemeriksaan yang cermat dapat membantu menentukan langkah selanjutnya untuk pemeriksaan lanjutan dan penatalaksanaan. Tujuan utama penatalaksanaan adalah untuk mencegah ketidakstabilan hemodinamik. Oleh karena itu, menilai tingkat keparahan dan penyebab perdarahan sangat penting. Pendekatan terapeutik pada periode akut harus disesuai dengan derajat anemia dan jumlah perdarahan. Pilihan pengobatan untuk perawatan medis pada PUA  umumnya termasuk hormonal, nonhormonal dan pembedahan. Selain itu, manajemen jangka panjang dengan terapi hormonal pada pasien dengan perdarahan uterus yang parah diketahui aman untuk perkembangan aksis HPO.Kata kunci: Perdarahan uterus abnormal, remaja, menstruasi berat
 
Publisher Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran
 
Contributor
 
Date 2021-09-29
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://www.obgynia.com/obgyn/index.php/obgynia/article/view/251
10.24198/obgynia/v4n2s.251
 
Source Obgynia; Special Issue: Article Review; 15-22
Indonesian Journal of Obstetrics & Gynecology Science; Special Issue: Article Review; 15-22
2615-496X
10.24198/obgynia/v4n2s.10
 
Language eng
 
Relation http://www.obgynia.com/obgyn/index.php/obgynia/article/view/251/pdf
http://www.obgynia.com/obgyn/index.php/obgynia/article/downloadSuppFile/251/189
 
Rights Copyright (c) 2021 Indonesian Journal of Obstetrics & Gynecology Science
 

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