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Menstrual disorders. Amenorrhea.

J R Pletcher1, G B Slap

  • 1Craig-Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

Pediatric Clinics of North America
|June 29, 1999
PubMed
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Adolescent amenorrhea (absence of menstruation) evaluation begins with primary care providers. Understanding pubertal physiology aids diagnosis and management, focusing on restoring cycles and hormone replacement.

Area of Science:

  • Pediatric Endocrinology
  • Adolescent Gynecology
  • Primary Care Medicine

Background:

  • Adolescent amenorrhea is a common presenting complaint in primary care.
  • Effective management hinges on understanding menstrual and pubertal physiology.

Purpose of the Study:

  • To outline a diagnostic and management approach for adolescent amenorrhea.
  • To emphasize the role of primary care providers in evaluating this condition.

Main Methods:

  • Clinical evaluation initiated by primary care providers.
  • Thorough history and physical examination focusing on pubertal development.
  • Application of an appropriate diagnostic algorithm based on findings.

Main Results:

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  • Accurate diagnosis is typically achieved rapidly.
  • Management strategies are tailored to individual patient needs.

    • Conclusions:

    • Primary care providers can effectively diagnose and manage most cases of adolescent amenorrhea.
    • Key management components include restoring ovulatory cycles, estrogen replacement when indicated, patient reassurance, and follow-up.