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An 18-year-old girl-virgin, Indonesian, Bataknese, Moslem, student-was admitted to the Emergency Department of Haji Adam Malik Hospital, Medan, and presented with prolonged menstruation for the past 3 years, volume 5-6 pads/day, lasting for ±3 weeks, dark red, clotting (+), regular menstrual cycles. Vital signs were within normal limits. Physical examination revealed pale inferior conjunctiva palpebral and soft abdomen, with no palpable mass. As the patient was unmarried, speculum and vaginaldoi:10.5455/ijmsph.2016.11122015316 fatcat:iemnkpz3kbdntmdfhvobjcrlqu