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Menstrual disorders during adolescence.

J I Tuttle

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |July 1, 1991
    PubMed
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    Adolescent menstrual issues like delayed puberty, absent periods (amenorrhea), and abnormal bleeding are common in primary care. This review covers normal development and how to assess and manage these menstrual concerns.

    Area of Science:

    • Pediatrics
    • Adolescent Medicine
    • Gynecology

    Background:

    • Menstrual dysfunction is a frequent reason for adolescent primary care visits.
    • Understanding normal pubertal development and menstrual cycles is crucial for accurate diagnosis.
    • Common concerns include delayed menarche, amenorrhea, and dysfunctional uterine bleeding.

    Purpose of the Study:

    • To provide a comprehensive overview of the assessment and management of common menstrual disorders in adolescents.
    • To guide primary care providers in addressing menstrual concerns in this age group.
    • To review normal pubertal development and menstrual function as a foundation for clinical practice.

    Main Methods:

    • Literature review of normal pubertal development and menstrual function.

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  • Outline of primary care assessment strategies for menstrual abnormalities.
  • Discussion of management approaches for delayed menarche, amenorrhea, and dysfunctional uterine bleeding.

    • Main Results:

    • Normal pubertal progression and menarche timelines are detailed.
    • Diagnostic pathways for identifying causes of menstrual irregularities are presented.
    • Evidence-based management options for common adolescent menstrual problems are summarized.

    Conclusions:

    • Primary care plays a vital role in the early detection and management of adolescent menstrual dysfunction.
    • Effective assessment and timely intervention can improve long-term reproductive health outcomes.
    • This review serves as a practical resource for clinicians managing menstrual concerns in adolescent patients.