Management of Menstrual Disorders in Adolescents of All Abilities

Menstrual health is a key indicator of adolescent health and should be evaluated at routine visits using a patient-centered approach. It is important to understand normal menstrual patterns in order to better recognize when a presentation may be abnormal or concerning. Clinicians may frequently encounter challenges, particularly when caring for adolescents with disabilities. In this article, we review typical menstrual development and evaluation and management of abnormal uterine bleeding including amenorrhea, dysmenorrhea, and heavy menstrual bleeding. We also highlight special considerations for adolescents who are differently abled.