J Pediatr Adolesc Gynecol 2018 Dec 21;31(6):640-643. Epub 2018 Jul 21.
Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio; Pediatric and Adolescent Gynecology, Nationwide Children's Hospital, Columbus, Ohio.
Background: Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies.
Case: A 13-year-old, virginal girl was referred for prolonged, heavy vaginal bleeding despite combined oral contraceptive use and elected management with a levonorgestrel intrauterine device. A preprocedure exam revealed a plastic foreign body embedded in the posterior vaginal fornix, however, attempted removal in the office was unsuccessful. Read More