Abstract:

Abnormal uterine bleeding (AUB) in adolescents often manifests as amenorrhoea, heavy menstrual bleeding and irregular menstruation. AUB is a common cause affecting the quality of life and physical and mental health of adolescents. Clarifying the etiology of abnormal uterine bleeding is helpful to improve the accuracy of diagnosis and treatment of AUB in adolescence. In clinical work, the initial diagnosis and treatment should be based on the menstrual bleeding pattern of patients with AUB in adolescence, as well as the relevant medical history and physical examination, and then appropriate laboratory tests, imaging tests, endoscopy and gene sequencing tests should be selected to further define the etiology of AUB and to guide the subsequent treatment. This paper reviews the research progress on the application of multidimensional evaluation methods of AUB in adolescence in recent years, in order to provide a certain reference for the selection of evaluation methods of AUB in adolescence, and provide new ideas for the clinical diagnosis and treatment of AUB in adolescence.

Key words: Puberty, Menstruation, Diagnosis, Ultrasonography, Gynecological examination, Pathogeny