![]() ![]() Heavy menstrual bleeding (HMB) and heavy and prolonged menstrual bleeding are now the preferred terms for excessive menstrual blood loss intermenstrual bleeding is the preferred term for bleeding between periods. ![]() 1 Defining the symptomsĪbnormal uterine bleeding (AUB) is defined as a significant alteration in the pattern or volume of menstrual blood flow. The American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) strongly encourage medical providers to routinely assess patterns of menstrual bleeding in all adolescent girls in order to identify possible pathology and to improve their quality of life. Perhaps because their mothers or other family members struggled with troublesome menstrual periods, adolescents may not realize that their experiences are atypical or that help is available. Menstruation is a normal part of adolescence, but for girls with excessive uterine bleeding, it can be associated with significant morbidity. ![]()
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