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J Pediatr. 2019 Sep;212:232-234. doi: 10.1016/j.jpeds.2019.04.051. Epub 2019 May 23.

Incidence of Thyroid Disease in Adolescent Females Presenting with Heavy Menstrual Bleeding.

Author information

1
Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI. Electronic address: acweyand@med.umich.edu.
2
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI.
3
Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI; Division of General Pediatrics, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI; Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI.

Abstract

The incidence of thyroid disease in adolescents with heavy menstrual bleeding is unknown. A retrospective cross-sectional study of 427 adolescents presenting with heavy menstrual bleeding found 0.23% (95% CI 0%-0.7%) had thyroid disease, lower than that expected in the general population. Thyroid testing should only be considered when other symptomatology is present.

KEYWORDS:

clinical guidelines; primary care

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