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Menstrual bleeding in adolescents can be chaotic. When is it best to reassure, and when is it necessary to evaluate? Although anovulatory cycles are common in the years after menarche, there are established norms and, alternatively, abnormal findings that require further investigation. Uterine bleeding that is coming more often than every three weeks, lasting longer than seven days in a row, or resulting in excessive product use and frequent bleeding through clothes should be evaluated. In this video, adolescent gynecologist Eliza Buyers, MD, discusses the initial evaluation and management of abnormal uterine bleeding (AUB) in adolescent patients. She provides an overview of the physiology and evaluation of AUB, including recommendations on when to consider referring patients to our Spots and Dots Clinic. Dr. Buyers also reviews treatment options, including menstrual suppression, with a focus on key counseling points to help patients and families decide which method is best for them. For more information, visit https://www.childrenscolorado.org/doc.... Connect with Children’s Colorado: Instagram: / childrenscolo Facebook: / childrenshospitalcolorado Twitter: / childrenscolo LinkedIn: / children's-hospital-colorado Website: http://www.childrenscolorado.org