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Vol. 15 - Num. 57

Clinical Reviews

Persistent metrorrhagia in a teenager’s first menstrual cycles

Luisa González de Suso Baróna, Salvador Piris Borregasa, Carmen García Rebollarb

aMIR-Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
bPediatra. CS Calesas. Madrid. España.

Correspondence: L González de Suso. E-mail:

Reference of this article: González de Suso Barón L, Piris Borregas S, García Rebollar C. Persistent metrorrhagia in a teenager’s first menstrual cycles. Rev Pediatr Aten Primaria. 2013;15:57.e11-e15.

Published in Internet: 20-03-2013 - Visits: 39585


Metrorrhagia in teenagers is often caused by anovulatory cycles, characteristic of the first menstruations, that produce episodes of dysfunctional uterine bleeding. Only sometimes there is an underlying organic lesion.

We present a 12 years old teenager who consulted for heavy bleeding during menstruation that extended in time, with secondary ferropenic anemia. An abdominal ultrasound showed a right adnexal mass compatible with an ovarian endometrioma or a hemorrhagic follicle.

The persistence of bleeding beyond 3 to 6 months from the first consultation makes mandatory an abdominal ultrasound and a blood test. The referral to a specialist should be considered.


Adnexal mass Menstrual disorders Metrorrhagia Ovarian follicle



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