Isolated Vaginal Bleeding Before the Onset of Puberty
Endocrinology and Metabolism Clinics of North America(2024)
摘要
Isolated vaginal bleeding before the onset of puberty is a rare presentation of isosexual precocity. In most cases, isolated vaginal bleeding without an abnormal genital examination is self-limited with resolution usually within 1 to 3 episodes. Watchful waiting is appropriate in most patients who do not have persistent bleeding, other signs of puberty, or signs/symptoms of an underlying etiology. Workup for patients with concerning features may include puberty hormone levels and/or transabdominal and transperineal ultrasound.
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关键词
Premature menarche,Prepubertal vaginal bleeding,Isolated early menstruation,Isolated vaginal bleeding,Vaginal foreign body
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