Menstruation and its disorders in adolescence.
This monograph has presented a review of menstrual disorders in adolescents. It has been emphasized that health care professionals who deal with youths should consider a comprehensive approach that places the youth with a menstrual problem within the framework of her adolescent and pubertal development. Thus, a discussion of psychologic growth as well as important aspects of puberty were presented. A thorough medical history and carefully done pelvic examination remain the basis for any evaluation of these young women even in this age of rapidly-advancing medical technology. Many of the menstrual dysfunction problems are related to the sequential, physiologic events of puberty and can be effectively handled by the well-trained general clinician. Specific, complex situations should be referred to the appropriate specialist, preferably someone with an understanding of adolescence. Three basic types of menstrual disorders have been considered: dysmenorrhea, dysfunctional uterine bleeding and amenorrhea. Our conclusion is that there is much the general clinician can do for the adolescent who presents with menstrual dysfunction.
D000293:Adolescent; D000295:Adolescent Medicine / Q000379:methods; D000568:Amenorrhea / Q000209:etiology; D002648:Child; D003276:Contraceptives, Oral / Q000627:therapeutic use; D004054:Diethylstilbestrol / Q000009:adverse effects; D004412:Dysmenorrhea / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D004715:Endometriosis / Q000175:diagnosis; D005260:Female; D006176:Gynecology / Q000379:methods; D006801:Humans; D008598:Menstruation; D010808:Physical Examination / Q000379:methods; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D000297:Psychology, Adolescent; D011627:Puberty; D014592:Uterine Hemorrhage / Q000188:drug therapy* / Q000209:etiology
D003276:Contraceptives, Oral; D004054:Diethylstilbestrol