PPT-Abnormal Uterine Bleeding in Adolescence

Laura OShea RDN CNM MSN March 17 2023 Objectives Recognize normal and abnormal uterine bleeding in adolescence Learn the recommended terminology Understand the initial workup for a patient who presents to the schoolbased health center with a complaint of abnormal uterine bleeding. Betsy . Pfeffer. MD. Assistant Clinical Professor Pediatrics. Morgan Stanley Children’s Hospital of New York Presbyterian. Columbia University. Overview of Adolescence . Through the Ages. What is Adolescence ?. Chapter 8. DEP 2004 Human Development Across the Lifespan. Guiding Questions. How do theorists view adolescents’ thought and understanding?. How do these views inform our ideas about adolescents’ development of the self?. Studies. PCP version . 061014. Case Study 1. Yvonne, a 24-year-old married female, calls the clinic as soon as it opens with a complaint of heavy vaginal bleeding. . “I bled through my tampon and pad again, and my nightgown and bedding are soiled. I’m sick of this –- I just want it to stop!”. David A. Wolfe, Ph.D.. Centre for Prevention Science. CAMH/University of Toronto. David_Wolfe@CAMH.net. Why Relationships are Key. Developmental goals and transitions . Autonomy / transition / experimentation / intimacy. The FIGO classification of causes of abnormal . uterine bleeding . in the reproductive years. Munro MG et al-for . the FIGO . Menstrual Disorders . Working . Group. Fertility and Sterility Vol. 95, No. 7, June . Sonnie. Kim-. Ashchi. , MD. FACOG. Patient No 1. Emily is 14 years old, started her first menses last year, irregular at the beginning , now regular monthly. But she reports heavy bleeding that soaks through her uniform. And very “ inconvenient” to have heavy bleeding during her soccer/ lacrosse/crew practices. Lesson objective – to learn how adolescence develop emotionally during this life stage . What is going on here?. Has anyone challenged their parents in this way?. Lesson objective – to learn how adolescence develop emotionally during this life stage . Objectives. To define normal and abnormal. To decide between methods of deciding normality. To recognize the use of the bell-shaped curve showing normal distribution. To develop and analyze surveys to determine normal personality qualities and behaviors. G. eneral Practice . Dr. Lubna Qayam. Outline. Causes. Approach. Management. Scenario 1. . A 32 year old lady P2 c/o spotting in between her periods, post coital bleeding with regular periods which lasts for 4-6 days, mild dysmenorrhoea, no dyspareunia. There is no significant medical history. There was a h/o STI in past which was treated successfully and she is in stable relationship for . reproductive-aged women : medical management. (. AUB. ) is . a common clinical problem. , affecting . up to . 14% of women . during their . reproductive years and . impairing their . quality of life by creating . Brent E. Seibel, MD. Chief, Benign Gynecology. Medical Director, UF Health North Jacksonville. Associate Professor of Obstetrics and Gynecology. University of . F. lorida College of Medicine-Jacksonville. . Prof.Fadia J Alizzi. Consultant OBG & Reproductive Medicine. Al-Mustansiriyia Medical College / Al-Yarmouk Teaching Hospital . Objective . At . the . end . of this presentation, the . student . Al-Qahtani. Obstetrician and Gynecologist. Kuwaiti Board . Maternity . H. ospital. Abnormal uterine bleeding. Abnormal uterine bleeding. Abnormal uterine bleeding is a term . which refers to menstrual bleeding of abnormal quantity, duration, or schedule. Central objective. At the end of the teaching session the student will gain knowledge in . abnormal . uterene. bleeding . and able to apply this knowledge into practice.. Specific objective. The student will be able to .