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Menstrual disorders in adolescence

R L Rosenfield1, R B Barnes

  • 1Department of Pediatrics, University of Chicago Pritzker School of Medicine, Illinois.

Endocrinology and Metabolism Clinics of North America
|September 1, 1993
PubMed
Summary
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This review covers normal and abnormal puberty, focusing on menstrual irregularities caused by reproductive endocrine system issues. It provides diagnostic schemas for amenorrhea and oligomenorrhea, highlighting bone age assessment for delayed puberty.

Area of Science:

  • Reproductive Endocrinology
  • Pediatric Gynecology
  • Adolescent Medicine

Background:

  • Menstrual abnormalities often stem from disruptions in the reproductive endocrine system's maturation during puberty.
  • Understanding normal and pathologic puberty is crucial for diagnosing and managing gynecologic issues in adolescents.

Purpose of the Study:

  • To review current concepts of normal and pathologic puberty.
  • To present diagnostic schemas for evaluating menstrual abnormalities like amenorrhea and oligomenorrhea.
  • To outline the differential diagnosis and management of excessive genital bleeding and dysmenorrhea in adolescence.

Main Methods:

  • Review of current scientific literature and clinical concepts regarding puberty and reproductive endocrinology.
  • Development of diagnostic algorithms based on hormonal status (hypoestrogenic vs. estrogenized) for amenorrhea/oligomenorrhea.

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  • Emphasis on the role of bone age assessment in diagnosing delayed puberty.

    • Main Results:

    • Established schemas for the initial evaluation of patients presenting with amenorrhea or oligomenorrhea.
    • Highlighted the significance of bone age in differentiating causes of delayed puberty.
    • Provided guidance on the differential diagnosis and management strategies for excessive genital bleeding and dysmenorrhea.

    Conclusions:

    • Abnormal maturation of the reproductive endocrine system is a primary cause of menstrual abnormalities.
    • Systematic evaluation, including hormonal assessment and bone age, is essential for diagnosing pubertal and menstrual disorders.
    • Effective management strategies exist for common adolescent gynecologic issues such as bleeding and dysmenorrhea.