Disordered uterine bleeding can be used as a very broad term describing uterine bleeding that is irregular, heavy, or otherwise considered problematic. Historically, there is a variety of medical terminology for irregular menses; more recent terminology substitutes abnormal uterine bleeding AUB for dysfunctional uterine bleeding DUB. AUB is a diagnosis of exclusion having ruled out: genital tract pathology; systemic disease; iatrogenic causes including contraceptive hormones. The most common causes of AUB in adolescents are anovulation due to normal hyperandrogenism of adolescence or an immature hypothalamic-pituitary-ovarian HPO axis that resolves over time.

In-depth interviews were conducted with 81 Black MSM ages 20—39 years who were purposively recruited from four townships. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use.

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Metrics details. Adolescents living in HIV endemic settings face unique sexual health risks, and in the context of abject poverty, orphanhood, social marginalization, and discrimination, adolescents may be particularly at-risk of horizontal HIV transmission. Street-connected children and youth are a particularly vulnerable and marginalized population and therefore may be a key population at-risk. We sought to describe the sexual behaviours of street-connected children and youth in order to comprehend their sexual practices and elucidate circumstances that put them at increased risk of contracting HIV utilizing qualitative methods from a sample of street-connected children and youth in Eldoret, Kenya.