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Кровянистые выделения становятся непредсказуемыми, обильными и/или слишком длительными [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n\n**Длительность**: кровотечение продолжается более 7–8 дней [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n**Частота**: промежутки между менструациями сокращаются до менее чем 21 дня [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n**Интенсивность**: выделения настолько обильные, что гигиеническое средство (прокладку или тампон) приходится менять каждый час или два [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n**Наличие сгустков**: появление крупных кровяных сгустков [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n\n**Важно**: ЮМК — не диагноз, причину должен установить только врач [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/).\n\n## Причины\nЧаще всего такие кровотечения вызваны **ановуляцией** (отсутствием овуляции) из-за незрелости репродуктивной системы девочек [4](https://ProBolezny.ru/krovotecheniya-yuvenilnye/). В результате гормонального дисбаланса слизистая оболочка матки (эндометрий) разрастается слишком сильно, а затем отторгается неравномерно и долго, вызывая кровотечение [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n\n**Некоторые другие причины**: \n* стресс (сильные переживания, экзамены, конфликты в школе или дома) [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/); \n* физические перегрузки (интенсивные занятия спортом) [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/); \n* неправильное питание (строгие диеты, дефицит витаминов и минералов) [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/); \n* перенесённые инфекции (ОРВИ, грипп, ангина и другие заболевания, ослабляющие организм) [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/); \n* эндокринные нарушения (проблемы с щитовидной железой или надпочечниками) [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/).\n\n## Симптомы\n**Как правило, кровотечение начинается после задержки менструации** [4](https://ProBolezny.ru/krovotecheniya-yuvenilnye/). Иногда оно сопровождается болями внизу живота [4](https://ProBolezny.ru/krovotecheniya-yuvenilnye/). \n**При обильных, длительных кровотечениях** девочек может беспокоить слабость, недомогание, сонливость и головокружение — это могут быть признаки анемии (малокровия) из-за большой кровопотери [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/)[4](https://ProBolezny.ru/krovotecheniya-yuvenilnye/).\n\n## Диагностика\n**Диагностикой патологии занимается детский гинеколог** [3](https://www.smdoctor.ru/about/articles/matochnoe-krovotechenie-u-devochek/). Врач анализирует жалобы пациентки и её анамнез, проводит общий осмотр, оценку развития вторичных половых признаков и обследование на гинекологическом кресле [3](https://www.smdoctor.ru/about/articles/matochnoe-krovotechenie-u-devochek/). \n\n**Некоторые методы диагностики**: \n* **Анализы крови** — могут подтвердить наличие анемии или обнаружить нарушения в системе свёртывания крови [5](https://MedAboutMe.ru/articles/yuvenilnoe_krovotechenie_zabotimsya_o_zdorove_nashikh_docherey/). \n* **УЗИ органов малого таза** — позволяет судить об изменениях в эндометрии, указать наличие зрелых, атретических или персистирующих фолликулов, а также обнаружить кистозные изменения [5](https://MedAboutMe.ru/articles/yuvenilnoe_krovotechenie_zabotimsya_o_zdorove_nashikh_docherey/).\n\n## Лечение\n**План лечения индивидуален** — врач подбирает его, учитывая причину кровотечения, возраст девочки и её общее состояние здоровья [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). **Некоторые методы терапии**: \n* **Коррекция образа жизни**: нормализация режима сна и отдыха, сбалансированное питание, умеренные физические нагрузки [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n* **Витаминотерапия** — назначение витаминов, которые циклически принимаются в разные фазы цикла, чтобы помочь организму выработать правильный ритм [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n* **Лечение анемии** — приём препаратов железа [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n* **Гормональная терапия (при необходимости)** — иногда назначаются низкодозированные гормональные препараты на несколько месяцев [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/). \n\n**Игнорировать проблему нельзя** — если не обращать на неё внимания, могут возникнуть серьёзные последствия: хроническая железодефицитная анемия, нарушения в работе репродуктивной системы в будущем, включая проблемы с зачатием [1](https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/).","linksData":[{"sourceId":1,"url":"https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/","shownUrl":"https://novomed-deti.ru/stati/2025/yuvenilnye-krovotecheniya/","title":"Ювенильные маточные кровотечения у подростков: причины, симптомы, лечение | Клиника \"Новомед-Дети\"","shortUrl":"novomed-deti.ru","isTranslated":false,"description":"","greenUrl":"novomed-deti.ru"},{"sourceId":2,"url":"https://policlinica.ru/ginekolog/yuvenilnoe-krovotechenie.html","shownUrl":"https://policlinica.ru/ginekolog/yuvenilnoe-krovotechenie.html","title":"Ювенильное кровотечение. 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