Management of Abnormal Genital Bleeding in Girls and Women

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Abstract
Jane F. Desforges, M.D., Editor ABNORMAL genital bleeding occurs in girls and women of all ages. Included in the differential diagnosis are pregnancy, dysfunctional uterine bleeding, diseases of the genital tract, hemorrhagic diathesis, and systemic diseases (Table 1). Treatment is usually medical and must be appropriate for the reproductive status of the patient. Bleeding in children commonly results from infection, the presence of foreign bodies, trauma, or urethral prolapse. Rare causes include genital sarcoma or carcinoma. In adolescents and women of childbearing age abnormal bleeding is usually caused by ovulation disorders, pregnancy, or benign uterine conditions. Older women are more . . .