Period problems: disorders of menstruation in adolescents

Abstract

Adolescence is a time of great psychological and physical change. In the UK, girls enter puberty around the age of 10 years with a median age of menarche of 12.9 years; thereafter, it may be several years before regular menstrual cycles are established. Variations in the type and the frequency of periods may create anxiety regarding ill health or serious underlying disorders. With the increase in childhood obesity and subsequent polycystic ovary syndrome, there is a greater awareness and presentation of girls with disorders of menstruation. This review focuses on normal variations of menses and common pathological causes of menstrual problems, including amenorrhoea, dysmenorrhoea and menorrhagia. Further consideration is given to the variations of presentation of polycystic ovary syndrome. It provides a guide to evaluate the various symptoms, investigations and management options.

Menstrual Problems and Health Awareness of Tribal Adolescent School Girls of Odisha- A Cross-Sectional Study

“…Mean age of menarche is 12.7 years. This corresponds to the mean age of menarche quoted in various studies done by Peacock et al, 5 Shahbazian et al, 10 and Singh et al, 11 Shipra Nagar. 12 The regular rhythm of the menstruation cycle in this study was 76.09%.…”

“…Hence, there is underutilisation of health care services by adolescents. 2,3,4,5 Not uncommonly they feel shy to talk about the menstruation and are afraid of seeing doctors. Due to lack of appropriate advice and guidance what they generally get from their peer groups and mother, they undergo silent suffering and acceptance of menstrual problems.…”

Paratubal cysts, obesity, and hyperandrogenism

“…Polycystic ovarian syndrome (PCOS) is characterized by the presence of hyperandrogenism (HA) and menstrual irregularities [1,2]. The exact prevalence of polycystic ovaries in adolescents is unknown; however, previous literature suggests that PCOS affects 5% to 10% of all reproductive-age women and that it may be higher in ☆ Capsule: An association between PTCs and obesity was established in this retrospective chart review.…”

El sangrado menstrual excesivo afecta la calidad de vida en adolescentes

“…La menstruación es un proceso fisiológico que marca el potencial reproductivo de una mujer 1 . Inicialmente los ciclos menstruales suelen ser anovulatorios pudiendo producir menometrorragia, término reemplazado el 2011 por el de sangrado menstrual excesivo (SME) 2 .…”