Cause or Coincidence? Spontaneous Hematometra in Young Women Receiving Depomedroxyprogesterone Acetate: A Small Case Series.
J Pediatr Adolesc Gynecol
; 31(4): 416-419, 2018 Aug.
Article
em En
| MEDLINE
| ID: mdl-29454033
ABSTRACT
BACKGROUND:
Abdominal pain, secondary amenorrhea, and abnormal uterine bleeding are common gynecologic presentations in adolescence. Rarely this can be associated with an acquired hematometra. Hematometra is a condition of retained blood or clot within the uterus. High-dose progestogenic agents in this age group have been implicated in the accumulation of a hematometra without other explanation. CASES We present 4 cases of hematometra after depomedroxyprogesterone acetate (DMPA) therapy in previously menstruating adolescents. All 4 presented with abdominal pelvic pain and/or persistent abnormal uterine bleeding, with the diagnosis confirmed via ultrasound. Suction dilation and curettage was required in each case. SUMMARY ANDCONCLUSION:
DMPA is a possible cause of hematometra and should be considered in anatomically normal young women experiencing pain or abnormal bleeding out of character for typical long-term DMPA use.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Acetato de Medroxiprogesterona
/
Anticoncepcionais Femininos
/
Hematometra
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article