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Cited by 80Ovarian function and disordersHypothalamic control of reproductive hormonesMenstrual Health and Disorders

Prospective follow‐up of menstrual disorders in adolescence and prognostic factors

WIKSTEN‐ALMSTRÖMER, MARIANNE, HIRSCHBERG, ANGELICA LINDÉN, HAGENFELDT, KERSTIN·2008·Acta Obstetricia et Gynecologica Scandinavica
DOI 10.1080/00016340802478166
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Abstract

Objective. Clinical follow‐up of menstrual status and eating behavior in grown‐up women diagnosed with menstrual disturbance in adolescence. Design. Prospective follow‐up study six years after the initial study. Setting. A youth clinic that is part of the school health system in Stockholm. Population. Eighty‐seven women diagnosed with secondary amenorrhea or oligomenorrhea in adolescence. Methods. Subjects underwent gynecological examination, evaluation of eating behavior and endocrine status. Main outcome measures. Menstrual status and eating behavior changes. Results. Menstrual disturbances were still present in 62% of the subjects not using hormonal contraception, 59% of which fulfilled the criteria for polycystic ovary syndrome (PCOS). The frequency of persistent menstrual disturbance was significantly more common in women with previous oligomenorrhea than secondary amenorrhea. The occurrence of eating disorders was decreased by half to 31% in women diagnosed with secondary amenorrhea at the initial study, whereas it was unchanged (40%) in women with previous oligomenorrhea. Recovery from anorectic behavior, primarily in the group of secondary amenorrhea, significantly predicted resumption with menses. Conclusion. Menstrual disturbances and eating disorders were still frequent after six years in a follow‐up of women who had menstrual disturbance in adolescence. PCOS was the main cause explaining persistent menstrual disorder, whereas recovery of anorectic eating disorders predicted resumption of menses. The findings call for a continued follow‐up of women diagnosed with menstrual disturbance in their teens.

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Crossref · 10.1080/00016340802478166

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  • Anovulatory cycles can persist until nearly 5 years after menarche.

    “Both Metcalf et al. [62] and Apter [63] reported that anovulatory cycles can persist until nearly 5 years after menarche.”

    From The Diagnosis of Polycystic Ovary Syndrome during Adolescence (2015) · cites this paper as [63]

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Authors
WIKSTEN‐ALMSTRÖMER, M., HIRSCHBERG, A. L., & HAGENFELDT, K.
Affiliations
Karolinska Institutet (SE)
ORCID
HIRSCHBERG, ANGELICA LINDÉN
Venue
Acta Obstetricia et Gynecologica Scandinavica
Publisher
Wiley
Published
2008-11
Volume
87
Issue
11
Pages
1162-1168
ISSN
  • 0001-6349 (ISSN-L)
  • 1600-0412
DOI
10.1080/00016340802478166
OpenAlex
W2135851189
Cited by
80
References
16
Citations by year
2024: 4 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 7 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 5 · 2012: 4
FWCI
2.70
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 790 d)
Locations
  • Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Keywords
menstrual disorders, secondary amenorrhea, oligomenorrhea, polycystic ovary syndrome, eating disorders, anorexia nervosa, resumption of menses, adolescent girls, long-term follow-up, prognostic factors, hormonal contraception
MeSH terms
Adolescent, Amenorrhea, Anorexia Nervosa, Feeding and Eating Disorders, Contraceptives, Oral, Female, Follow-Up Studies, Follicle Stimulating Hormone, Humans, Luteinizing Hormone, Oligomenorrhea, Polycystic Ovary Syndrome, Prognosis, Prolactin, Prospective Studies, Risk Factors, Sex Hormone-Binding Globulin, Testosterone, Thyrotropin, Body Mass Index

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