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ABNORMAL UTERINE BLEEDING IN PUBERTAL GIRLS, MANAGEMENT TACTICS

Abnormal uterine bleeding (AMC) is one of the most common pathologies of the reproductive system in girls of the pubertal period, which is certainly a medical and social problem. The solution of this issue has been relevant for many years, the main area of   which is the development of preventive, diagnostic and therapeutic measures. The aim of the study was to study the features of the clinical picture of pubertal AMC, assessing the effectiveness of therapy. The study involved 140 girls from the city of Togliatti aged 10 to 15 years, who underwent a full clinical examination, assessment of psychological status, excluded chronic somatic diseases and diseases associated with a violation of the hemostasis system, sexual development according to Tanner corresponded to age norms. Two groups were formed: the first 30 girls diagnosed with abnormal uterine bleeding, who were on inpatient treatment, 110 girls received outpatient therapy. It has been established that AMCs are recurrent, which certainly requires preventive measures. The method of hemostasis in AMC should be selected individually, depending on the severity of bleeding and the characteristics of the clinical course. Antianemic therapy is necessary for all patients with signs of ZHD depending on severity, choosing the routes of administration of the drug, the duration of therapy.