Gynaecological emergencies of adolescents are peculiar to particular period & can pose difficulties in diagnosis & management. It is clinically challenging for gynaecologists to manage adolescent with profuse bleeding per vaginum. Genital examination in this age group requires sensitive approach & gentleness to preserve their psychosexual health & future fertility potential, various etiological causes are explored with emphasis on anovulatory bleeding, coagulopathy, trauma, sexual abuse, tumours. 

Keywords: Adolescent; Per vaginum bleeding; Coagulopathy; Trauma; Tumour.