Adolescent Dysfunctional Bleeding

Abstract

Functional uterine bleeding in adolescence is readily responsive to hormonal therapy. Newer progestational agents will arrest bleeding rapidly. Subsequent to arrest of bleeding, a withdrawal period should be expected. Cyclic progestational therapy should then be continued for several months or years, if necessary, until ovulatory menstrual cycles are re-established. Such month-to-month regulation of uterine bleeding in adolescent girls offers the greatest opportunity to salvage their reproductive capacity and establish normal menstrual function.