Menstrual Irregularities - Conclusion

Menstrual irregularities are common in puberty and adolescence during the development of ovarian function and until a regular ovulatory cycle. Most irregularities are transient and self-limited but some are severe and prolonged and require exploration and treatment. Some symptoms (particularly oligomenorrhea) may herald an incipient or preexisting endocrinopathy that requires diagnosis and treatment. Abnormalities of the type of bleeding (menorrhagia, metrorrhagia, hypermenorrhea) are treated symptomatically, mainly with hormonal approaches. Of the abnormalities of bleeding rhythm, oligomenorrhea (much more than polymenorrhea) can signify a relevant underlying endocrinopathy.

Adolescents with persisting oligomenorrhea should be evaluated. A basic hormone panel is appropriate. Hypothalamic, pituitary, hyperprolactinemic, hyperandrogenemic and ovarian forms of oligomenorrhea should be distinguished to plan further diagnostic steps and prompt treatment.

References

Provided by ArmMed Media
Revision date: July 6, 2011
Last revised: by Tatiana Kuznetsova, D.M.D.

RELATED STORIES:
Human Papilloma Virus   Sexually Transmitted Diseases - Risk Factors   STD- The Most Common Infections   Neisseria gonorrhoeae   Herpes Simplex Virus   Sexually Transmitted Diseases Prevention   Hyperandrogenism in Adolescent Girls   The Physiological Hyperandrogenism of Puberty   Diagnosis of Hyperandrogenism in Female Adolescents   Causes of Hyperandrogenism in Female Adolescents   Adolescent Dysmenorrhea   Adolescent Dysmenorrhea Prevalence   Adolescent Dysmenorrhea Treatment   Adolescent Dysmenorrhea Etiology   Adolescent Dysmenorrhea Conclusion

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