Reply to: Comment on: The Impact of Abnormal Uterine Bleeding on Adolescents’ Quality of Life: Results of the Adolescent Menstrual Bleeding Questionnaire

Dear Editor: We sincerely thank Drs. Wang and Liu for their valuable comments on our article entitled “The Impact of Abnormal Uterine Bleeding on Adolescents’ Quality of Life: Results of the Adolescent Menstrual Bleeding Questionnaire [1].” Their thoughtful observations highlight key areas that warrant further consideration in future studies. The authors suggested in our article that we should be more objective, considering our subjective assessment [2]. In fact, as we mentioned in our article and cited in the reference section, we examined patients' laboratory values ​​and ultrasound findings in a previous study. In this study, we aimed to investigate whether the Adolescent Menstrual Bleeding Questionnaire (aMBQ) could be used as a tool to quickly distinguish between heavy and light menstrual bleeding in outpatient settings. Furthermore, this tool could be used as a screening tool in schools. Pictorial menstrual bleeding assessment tools can be challenging to use outside the hospital, but understandable and quick-to-administer questionnaires, such as the aMBQ, would be easier to administer. Secondly, the authors commented on the sample size of patients admitted to the hospital. Conducting the study with larger groups who do not present to the hospital could be considered in the future. However, we wanted to see how the quality of life of adolescents in more traditional societies, such as those in eastern Turkey, changes in treatment and non-treatment groups. Although the sample size is small, the results may inform future studies. Concerning questionnaire adaptation, the phrase “adult diaper” reflects terminology used in Turkish clinical practice and was retained to maintain linguistic and contextual accuracy. Finally, we share the authors’ view that multidisciplinary approaches—integrating clinical, psychological, and educational interventions—are essential to support adolescent girls affected by abnormal uterine bleeding. Such perspectives contribute to the collective goal of improving menstrual health awareness and adolescent well-being. We thank Drs. Wang and Liu, once again, for their constructive insights that enrich academic dialogue in this important field. The authors declare no conflict of interest.