Diagnosis and management of abnormal uterine bleeding in adolescence

An expert Consensus Statement of SIGO (Italian Society of Gynecology and Obstetrics) and SISET (Italian Society for the Study of Hemostasis and Thrombosis)

Submitted: 28 December 2023
Accepted: 22 April 2024
Published: 8 May 2024
Abstract Views: 104
PDF: 58
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Authors

  • Roberto Mario Santi rsanti@ospedale.al.it https://orcid.org/0000-0002-3463-2749 Thrombosis and Hemostasis Center, Azienda Ospedaliera Universitaria “SS. Antonio e Biagio e Cesare Arrigo”, Alessandria, Italy.
  • Annamaria Fulghesu Department of Surgery, University of Cagliari, “D. Casula” Hospital, Monserrato (CA), Italy.
  • Ezio Zanon Hemophilia Center, Department of Medicine, University of Padua Medical School, Italy.
  • Erica De Candia https://orcid.org/0000-0003-0942-2819 Department of Translational Medicine and Surgery, Catholic University of Sacred Heart School of Medicine, Rome; Hemostasis and Thrombotic Disease Unit, “A. Gemelli” Academic Hospital Foundation IRCCS, Rome, Italy.
  • Elvira Grandone https://orcid.org/0000-0002-8980-9783 Obstetrics and Gynecology Department University of Foggia, Italy; Thrombosis and Hemostasis Unit, IRCCS “Casa Sollievo della Sofferenza” Foundation, S. Giovanni Rotondo (FG), Italy; Department of Obstetrics, Gynecology and Perinatal Medicine, the First I.M. Sechenov Moscow State Medical University, Moscow, Russian Federation.
  • Giancarlo Di Renzo Department of Obstetrics, Gynecology and Perinatal Medicine, the First I.M. Sechenov Moscow State Medical University, Moscow, Russian Federation; Centre of Perinatal and Reproductive Medicine, University of Perugia, Italy; PREIS International and European School of Perinatal, Neonatal and Reproductive Medicine, Florence, Italy.
  • Claudia Succu https://orcid.org/0000-0002-3843-5064 Department of Surgery, University of Cagliari, “D. Casula” Hospital, Monserrato (CA), Italy.
  • Valentina Tosto https://orcid.org/0000-0001-6228-3390 Department of Obstetrics and Gynecology, “Giannina Gaslini” Children’s Hospital, Genoa, Italy.
  • Vincenzina Bruni https://orcid.org/0009-0006-3069-0630 University of Florence, Italy.
  • Paolo Gresele Department of Medicine and Surgery, University of Perugia, Italy.

During menarche and adolescence, abnormal uterine bleeding (AUB) may serve as a crucial indicator of a hidden bleeding disorder. When a young woman is suspected of having a bleeding disorder, the obstetrician-gynecologist should collaborate with a hemostasis specialist to arrange the necessary laboratory testing and determine the best course of action. The Italian Society for the Study of Hemostasis and Thrombosis and the Italian Society of Gynecology and Obstetrics jointly offer recommendations on the diagnosis and treatment of AUB. They also suggest diagnostic and therapeutic pathways to decrease diagnostic delay and improve treatment effectiveness and safety.

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How to Cite

Santi, R. M., Fulghesu, A., Zanon, E., De Candia, E., Grandone, E., Di Renzo, G., … Gresele, P. (2024). Diagnosis and management of abnormal uterine bleeding in adolescence: An expert Consensus Statement of SIGO (Italian Society of Gynecology and Obstetrics) and SISET (Italian Society for the Study of Hemostasis and Thrombosis). Bleeding, Thrombosis and Vascular Biology, 3(1). https://doi.org/10.4081/btvb.2024.106