Heavy menstrual bleeding has a high prevalence and is well documented in adult patients with hypermobile-type Ehlers-Danlos syndrome, but there is limited research surrounding work-up and treatment for the adolescent population. Excessive menstrual blood loss can significantly interfere with emotional and physical quality of life. A provider should acquire a comprehensive medical and menstrual history and focused physical examination, as well as baseline laboratory studies, to determine the presence of anemia or underlying bleeding disorder. Use of a pictorial blood assessment chart may be considered to help quantify the amount of bleeding. Treatment to reduce heavy menstrual flow and referral to specialty care should be initiated swiftly to improve quality of life for this population. [Pediatr Ann. 2024;53(3):e104-e108.].

中文翻译：

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患有关节过度活动综合症/过度活动型埃勒斯-当洛斯青少年的月经大量出血：综述。


月经过多的发生率很高，并且在患有过度活动型埃勒斯-当洛斯综合征的成年患者中已有充分记录，但围绕青少年人群的检查和治疗的研究有限。月经失血过多会严重影响情绪和身体的生活质量。医疗服务提供者应获取全面的病史和月经史、重点体检以及基线实验室研究，以确定是否存在贫血或潜在的出血性疾病。可以考虑使用血液评估图来帮助量化出血量。应迅速开始减少月经量过多的治疗并转诊至专科护理，以改善该人群的生活质量。 [小儿安。 2024；53(3)：e104-e108。]。