Consensus Papers
8 May 2024
Vol. 3 No. 1 (2024)
https://doi.org/10.4081/btvb.2024.106

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)

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Abnormal uterine bleeding, adolescence, consensus paper
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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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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). (2024). Bleeding, Thrombosis and Vascular Biology, 3(1). https://doi.org/10.4081/btvb.2024.106
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