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Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho. Skip to nav Skip to content. Conditions All Conditions A to Z. Vaginal Bleeding.
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We have never taken for granted the sacred trust you place in us to care for your child, and today we are more grateful than ever for that privilege. To learn about all the ways we are working to keep you, your family and our team members safe, visit our COVID updates page. Request an Appointment with codes: Gynecology. Refer a Patient. Accepted Insurance Plans. Pre-pubertal bleeding is any bleeding that occurs before a girl has reached puberty. The doctor will then perform a physical exam, which may include checking for any breast or pubic hair growth.
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Abnormal vaginal bleeding in the teenage years usually has nonorganic causes; however, a careful elimination of organic causes is necessary before the diagnosis of dysfunctional uterine bleeding is made. The differential diagnosis in the case of such a complaint and a management plan are discussed. Menstrual irregularities are the most common cause of abnormal vaginal bleeding in adolescence and can be managed easily in the office. On occasion an adolescent needs to be hospitalized for acute menorrhagia; very rarely a surgical procedure such as dilatation and curettage is necessary.
Many teens have bleeding or spotting between periods. A number of things can cause abnormal vaginal bleeding, including hormone problems, stress, ovulation, changes in weight, strenuous exercise, and some kinds of birth control. In these cases, if the bleeding is not heavy and occurs only now and then, there is probably no cause for concern.