Isolated Menarche

Isolated Menarche
This is a condition where young girls have cyclical uterine bleeding without any other signs of sexual maturation, and they have normal growth. The natural history during childhood has been described and the pattern of gonadotrophin secretion has also been documented, which is predominantly FSH. A clue to the diagnosis is often obtained because of the frequency of uterine bleeding, which is more often 6-weekly than monthly. It is important to exclude a local labial or vaginal cause for the bleeding, and there is often confusion about whether this is related to sexual abuse. No treatment is available and there tends to be a resolution of the condition after 1 or 2 years.

No long-term sequelae have been described.

RELATED STORIES:
Diaper Dermatitis in Infancy   Precocious Puberty (Complete, Partial)   Gonadotrophin-Independent Precocious Puberty   Ambiguous Genitalia in the Newborn: Diagnosis, Etiology and Sex Assignment   Diagnosis of Ambiguous Genitalia in the Newborn   Etiology of Ambiguous Genitalia in the Newborn   Sex Assignment of the Intersex Child at Birth   Labial Adhesions   Tumoral and Hamartomatous Diseases of the Vulva   Infectious Diseases (Except Sexually Transmitted Diseases)   Lichen Sclerosus   Vulvo-Perineal Localization of Dermatologic Disorders   Adrenal Dysfunction   Central Precocious Puberty   Isolated Premature Thelarche

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