Site icon New

MCQ – 88356

amit18289

Question

A 17-year-old female presents to your office with a 2-year history of irregular menstrual cycles. She reports that her cycles last 7-8 days on average, but some months she may spot in between or miss her cycle completely. She reports some cramping with her cycles and denies vaginal discharge, fever or chills, weight loss, fatigue. She reports she is not sexually active. What would be the most appropriate management for her abnormal uterine bleeding?
A. Perform pelvic ultrasound
B.

Prescribe oral contraceptive pills and schedule follow up
C.

Perform endometrial sampling
D.

Prescribe clomiphene and schedule follow up
Show Answer

Correct Answer � B

Explanation

Ans. b

Most teenagers with abnormal uterine bleeding can be treated with oral contraceptives and observation, as the risk of endometrial cancer is very low.

In adolescents who are distressed about their irregular bleeding or who continue to have abnormal uterine bleeding beyond 1 year, oral contraceptive pills are the first-line treatment.

Most cases of abnormal uterine bleeding in adolescents are secondary to anovulatory cycles as the hypothalamic-pituitary-ovarian axis matures.

If an adolescent does not respond to the oral birth control pills in 3-6 months, further workup may be required.

Exit mobile version