Common Menstrual Problems of Adolescence

Menstrual symptoms and patterns of menstrual bleeding are common complaints of adolescent patients. All presenting menstrual concerns must be clearly defined and should not be minimized, including both the patient's and parent's or guardian's perceptions of the problem and possible consequences to health. The author outlines the initiation and control of menstrual cycles and the spectrum of menstrual problems, including evaluation and treatment strategies. Symptoms associated with dysmenorrhea and premenstrual strategies are reviewed, along with other diagnoses that should be considered.