Managing adolescent menorrhagia

At a recent conference, one of the participants asked a question from the floor on how to manage heavy menstrual bleeding in a 15-year-old, before confessing that the young woman in question was her own daughter.

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Heavy menstrual bleeding in adolescents can be associated with negative impacts — missed school, interruption of sporting and leisure activities, fatigue, embarrassment and even low self-esteem.

The prevalence of heavy menstrual bleeding in adolescence is estimated to be 12-37%.1,2

Normal menstruation
In Australia, the average age of

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