Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22523
Title: Reducing unnecessary investigations in adolescent gynaecology: The utility of pelvic ultrasonography for adolescents presenting with heavy menstrual bleeding.
Authors: Lazanyi, Mikhaila;Grover, Sonia R
Affiliation: International Federation of paediatrics and adolescent gynaecology (FIGIJ), Vic
Family Planning Unit, Austin Health, Heidelberg, Victoria, Australia
University of Melbourne, Melbourne, Victoria, Australia
Murdoch Children's Research Institute, Vic
Royal Children's Hospital, Vic
Western Health, Vic
Mercy Hospital for Women, Mercy Health, Heidelberg, Victoria, Australia
Issue Date: Feb-2020
Citation: Australian journal of general practice 2020; 49(1-2): 70-72
Abstract: Heavy menstrual bleeding (HMB) in adolecents is predominantly related to an immature hypothalamic-pituitary-ovarian axis. Structural causes in this population are extremely rare; therefore, pelvic ultrasonography is not required as a first-line investigation. Anecdotally, it has been observed that pelvic ultrasounds of adolescents with HMB are normal and do not change clinical care. The aim of this study was to analyse all female patients aged ≤18 years who were referred to a tertiary paediatric hospital for HMB over a 12-month period. Medical records were reviewed to determine if pelvic ultrasonography was ordered during the diagnostic process and whether the imaging altered management. No pelvic ultrasounds ordered for adolescents with HMB altered clinical management. General practitioners (GP) were the most likely to refer patients to the tertiary paediatric hospital and to order pelvic ultrasonography, likely reflecting that most female adolescents are seen by a GP within the community. Providing clinical updates and ongoing education to health professionals managing female adolescent patients is recommended.
URI: http://ahro.austin.org.au/austinjspui/handle/1/22523
DOI: 10.31128/AJGP-07-19-4989
PubMed URL: 32008262
Type: Journal Article
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.