Excessive menstruation at puberty
ICD-10 N92.2 is a billable code used to indicate a diagnosis of excessive menstruation at puberty.
Excessive menstruation at puberty, also known as menorrhagia, refers to abnormally heavy or prolonged menstrual bleeding occurring during the onset of menstruation in adolescents. This condition can manifest as a result of various physiological and hormonal changes that occur during puberty. The onset of menstruation typically occurs between ages 9 and 16, and excessive bleeding can lead to significant physical and emotional distress. Factors contributing to excessive menstruation at puberty may include hormonal imbalances, underlying medical conditions such as polycystic ovary syndrome (PCOS), or coagulation disorders. It is crucial for healthcare providers to assess the adolescent's menstrual history, family history, and any associated symptoms such as fatigue or anemia. Management may involve lifestyle modifications, hormonal therapies, or further investigation to rule out underlying pathologies. Early intervention is essential to prevent complications such as iron deficiency anemia and to support the adolescent's overall reproductive health.
Detailed menstrual history, family history of menstrual disorders, and any associated symptoms.
Adolescents presenting with heavy menstrual bleeding, fatigue, or signs of anemia.
Consideration of developmental milestones and psychosocial factors affecting the adolescent.
Comprehensive evaluation of menstrual cycles, pelvic examinations, and laboratory tests.
Young females with menorrhagia requiring hormonal treatment or further diagnostic workup.
Awareness of the impact of excessive menstruation on reproductive health and future fertility.
Used when evaluating excessive menstrual bleeding in adolescents.
Indication for biopsy and results of prior evaluations.
Pediatric gynecologists may have specific protocols for adolescent patients.
Common causes include hormonal imbalances, polycystic ovary syndrome, and bleeding disorders. It is essential to evaluate each case individually to determine the underlying cause.
