The Royal Children's Hospital Melbourne

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Clinical Practice Guidelines

This guideline has been adapted for statewide use with the support of the Victorian Paediatric Clinical Network
See also
Menorrhagia

View flowchart

Assessment

Menstrual history (Last menstrual period, duration, flow, pain )
Sexual activity: if active discuss safe sex and contraception
Associated symptoms (bowel, bladder, fever, nausea, vomiting)
Consider performing hCG in all patients, and always consider urinary or GI aetiology