Most common cause of Pubey Menorrhagic :

Ans. is a i.e. Anovulation Pubey menorrhagia is excessive cyclical regular bleeding occuring in adolescents. Most common cause of pubey menorrhagia is anovulation which results in excess of estrogen or unopposed estrogen in absence of progesterone. Ilnd most common cause is - Bleeding disorders - blood dyscrasias and coagulation disorders. Other causes of Abnormal bleeding in Adolescents. Pregnancy related bleeding Sexually transmitted-Infections - paicularly chlamydia Sexual abuse Exogenous hormones Other endocrine or systemic problems eg. ?Hepatic dysfunction Hyperprolactinemia ( it can cause either amenorrhea or irregular bleeding) PCOS - It can occur during adolescence also Hypothyroidism Anatomical causes - Paially obstructive genetic anomalies.