{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:51:28Z","timestamp":1787507488511,"version":"build-2736575974"},"reference-count":30,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2017,6]]},"DOI":"10.1016\/j.jpag.2016.11.009","type":"journal-article","created":{"date-parts":[[2016,11,27]],"date-time":"2016-11-27T02:31:33Z","timestamp":1480213893000},"page":"349-355","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Polycystic Ovary Syndrome: An Under-recognized Cause of Abnormal Uterine Bleeding in Adolescents Admitted to a Children's Hospital"],"prefix":"10.1016","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6352-5395","authenticated-orcid":false,"given":"Sofya","family":"Maslyanskaya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hina J.","family":"Talib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Northridge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda M.","family":"Jacobs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5096-0953","authenticated-orcid":false,"given":"Chanelle","family":"Coble","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Coupey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpag.2016.11.009_bib1","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/GCO.0000000000000199","article-title":"Quality of life and menstruation in adolescents","volume":"27","author":"Knox","year":"2015","journal-title":"Curr Opin Obstet Gynecol"},{"key":"10.1016\/j.jpag.2016.11.009_bib2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1542\/peds.104.1.35","article-title":"Utilization of physician offices by adolescents in the United States","volume":"104","author":"Ziv","year":"1999","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpag.2016.11.009_bib3","doi-asserted-by":"crossref","first-page":"4638","DOI":"10.14260\/jemds\/890","article-title":"Analysis of menstrual cycle irregularities in adolescent girls in a tertiary care hospital","volume":"2","author":"Verma","year":"2013","journal-title":"Evol Med Dent Sci"},{"key":"10.1016\/j.jpag.2016.11.009_bib4","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1067\/mpd.2001.113042","article-title":"Bleeding disorders: a common cause of menorrhagia in adolescents","volume":"138","author":"Bevan","year":"2001","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpag.2016.11.009_bib5","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1515\/IJAMH.2004.16.2.183","article-title":"Coagulation disorders as the cause of menorrhagia in adolescents","volume":"16","author":"Kanbur","year":"2004","journal-title":"Int J Adolesc Med Health"},{"key":"10.1016\/j.jpag.2016.11.009_bib6","first-page":"761","article-title":"Dysfunctional uterine bleeding in adolescents","volume":"39","author":"Falcone","year":"1994","journal-title":"J Reprod Med"},{"key":"10.1016\/j.jpag.2016.11.009_bib7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/S1083-3188(98)70101-9","article-title":"Menorrhagia in adolescents requiring hospitalization","volume":"11","author":"Smith","year":"1998","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpag.2016.11.009_bib8","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1210\/jc.2003-032046","article-title":"The prevalence and features of the polycystic ovary syndrome in an unselected population","volume":"89","author":"Azziz","year":"2004","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jpag.2016.11.009_bib9","doi-asserted-by":"crossref","first-page":"1710","DOI":"10.1056\/NEJM199106133242406","article-title":"Management of abnormal genital bleeding in girls and women","volume":"324","author":"Desforges","year":"1991","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpag.2016.11.009_bib10","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1097\/AOG.0000000000001215","article-title":"Using the Menstrual Cycle as a Vital Sign","volume":"126","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2016.11.009_bib11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ijgo.2010.11.011","article-title":"FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age","volume":"113","author":"Munro","year":"2011","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.jpag.2016.11.009_bib12","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.jpeds.2011.04.027","article-title":"Screening for sleep-disordered breathing and excessive daytime sleepiness in adolescent girls with polycystic ovarian syndrome","volume":"159","author":"Nandalike","year":"2011","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpag.2016.11.009_bib13","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1097\/ACM.0b013e3181df0f3b","article-title":"Democratizing information creation from health care data for quality improvement, research, and education\u2014the Montefiore Medical Center experience","volume":"85","author":"Bellin","year":"2010","journal-title":"Acad Med"},{"key":"10.1016\/j.jpag.2016.11.009_bib14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1093\/humrep\/deh098","article-title":"Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS)","volume":"19","year":"2004","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jpag.2016.11.009_bib15","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1016\/j.fertnstert.2015.08.002","article-title":"Clinical utility of magnetic resonance imaging and ultrasonography for diagnosis of polycystic ovary syndrome in adolescent girls","volume":"104","author":"Kenigsberg","year":"2015","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2016.11.009_bib16","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1093\/humrep\/der102","article-title":"Clinical, ultrasound and biochemical features of polycystic ovary syndrome in adolescents: implications for diagnosis","volume":"26","author":"Hickey","year":"2011","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jpag.2016.11.009_bib17","unstructured":"Colby SL, Ortman JM: Projections of the size and composition of the US population: 2014 to 2060. Available: http:\/\/www.census.gov\/content\/dam\/Census\/library\/publications\/2015\/demo\/p25-1143.pdf. Accessed December 3,\u00a02016."},{"key":"10.1016\/j.jpag.2016.11.009_bib18","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.fertnstert.2013.04.001","article-title":"Prevalence of polycystic ovary syndrome in adolescents","volume":"100","author":"Christensen","year":"2013","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2016.11.009_bib19","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.steroids.2013.04.006","article-title":"Ethnic differences in the phenotypic expression of polycystic ovary syndrome","volume":"78","author":"Zhao","year":"2013","journal-title":"Steroids"},{"key":"10.1016\/j.jpag.2016.11.009_bib20","doi-asserted-by":"crossref","first-page":"5198","DOI":"10.14260\/jemds\/2015\/759","article-title":"Pubertal menorrhagia: evaluation and management","volume":"4","author":"Sri","year":"2015","journal-title":"Evol Med Dent Sci"},{"key":"10.1016\/j.jpag.2016.11.009_bib21","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.1016\/j.fertnstert.2011.03.001","article-title":"Extent of metabolic risk in adolescent\u00a0girls with features of polycystic ovary syndrome","volume":"95","author":"Hart","year":"2011","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2016.11.009_bib22","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.jpeds.2011.01.018","article-title":"Sex hormone-binding globulin, oligomenorrhea, polycystic ovary syndrome, and childhood insulin at age 14 years predict metabolic syndrome and class III obesity at age 24 years","volume":"159","author":"Glueck","year":"2011","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpag.2016.11.009_bib23","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.fertnstert.2011.09.024","article-title":"Consensus on women's health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE\/ASRM-Sponsored 3rd PCOS Consensus Workshop Group","volume":"97","author":"Fauser","year":"2012","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jpag.2016.11.009_bib24","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.steroids.2013.04.011","article-title":"Diagnosis of adolescent polycystic ovary syndrome","volume":"78","author":"Hardy","year":"2013","journal-title":"Steroids"},{"key":"10.1016\/j.jpag.2016.11.009_bib25","doi-asserted-by":"crossref","first-page":"4565","DOI":"10.1210\/jc.2013-2350","article-title":"Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline","volume":"98","author":"Legro","year":"2013","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jpag.2016.11.009_bib26","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/j.jpeds.2011.08.014","article-title":"Underdiagnosed menorrhagia in adolescents is associated with underdiagnosed anemia","volume":"160","author":"Revel-Vilk","year":"2012","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpag.2016.11.009_bib27","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0897.2007.00481.x","article-title":"Association between Chlamydia trachomatis and abnormal uterine bleeding","volume":"57","author":"Toth","year":"2007","journal-title":"Am J Reprod Immunol"},{"key":"10.1016\/j.jpag.2016.11.009_bib28","doi-asserted-by":"crossref","first-page":"3","DOI":"10.24218\/jgob.2016.02","article-title":"The prevalence of Chlamydial endometritis in women with menorrhagia at an Egyptian tertiary university hospital","volume":"1","author":"Wahba","year":"2016","journal-title":"J Gynecol Obstetr Bull"},{"key":"10.1016\/j.jpag.2016.11.009_bib29","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jpeds.2010.03.009","article-title":"Cost-utility analysis of von Willebrand disease screening in adolescents with menorrhagia","volume":"157","author":"Sidonio","year":"2010","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpag.2016.11.009_bib30","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1097\/01.AOG.0000462932.18418.7a","article-title":"Committee Opinion No. 629: Clinical guidelines and standardization of practice to improve outcomes","volume":"125","year":"2015","journal-title":"Obstet Gynecol"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318816302844?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318816302844?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T13:44:08Z","timestamp":1761054248000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318816302844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["S1083318816302844"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2016.11.009","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2017,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Polycystic Ovary Syndrome: An Under-recognized Cause of Abnormal Uterine Bleeding in Adolescents Admitted to a Children's Hospital","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2016.11.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}