The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Menstrual patterns in adolescent Swiss girls: a longitudinal study
Abstract
Menstrual patterns were studied longitudinally in 140 adolescent Swiss girls. The mean cycle length was 32.2 (S.D. 11.24) d in the first year after menarche, and 29.9 (S.D. 7.12) d in the sixth year after menarche. The values of the mean cycle length became essentially constant from the sixth post-menarcheal year, the chronological age of 20 y and the 36th post-menarcheal cycle. No association was found between cycle length and age at menarche. The menarcheal age of mothers and that of their daughters were significantly correlated with each other (r = 0.29, P less than 0.001). The most frequent cycles of 21-27 and 28-34 days constituted 64-81% of all cycles depending on post-menarcheal age. Short cycles (14-20 d), representing 2-6% of all cycles, were present in 14-31% of the girls; long cycles (35-41 d), constituting 10-16% of all cycles, occurred in 46-68% of the girls. The frequency of the long cycles tended to decrease at higher post-menarcheal ages. There were minimal changes in the duration of menstrual flow throughout the first six years after menarche. The mean duration was 5.4 (S.D. 1.72) d for the first year, and 5.1 (S.D. 1.33) d for the sixth year. The most frequent flow duration was 3-7 d, present in 88-94% of cycles. Prolonged bleeding tended to decrease with rising post-menarcheal and chronological age. The intensity of menstrual flow was mild in 11-16%, moderate in 62-78% and severe in 11-25% of the girls. The frequency of these three categories remained essentially unchanged during the first five post-menarcheal years.
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“Legro et al. [69] found that over 90% of adolescent females have 10 or more menstrual cycles per year (average menstrual interval 36.5 days) 3 years after menarche.”
From The Diagnosis of Polycystic Ovary Syndrome during Adolescence (2015) · cites this paper as [69]
In the citing paper
“Nonetheless, 80% of cycles occur within a predictable range of 21 to 45 days. 65-68”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [65]
In the citing paper
“However, during the first few years postmenarche, cycles vary considerably. 64-66”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [65]
In the citing paper
“By the third postmenarcheal year, 95% of cycles fall into this range”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [65]
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Metadata
- Authors
- Flug, D., Largo, R. H., & Prader, A.
- Affiliations
- University of Zurich (CH)
- ORCID
- Largo, R.H.
- Venue
- Annals of Human Biology
- Publisher
- Informa UK Limited
- Published
- 1984-01
- Volume
- 11
- Issue
- 6
- Pages
- 495-508
- ISSN
- 0301-4460 (ISSN-L)
- 1464-5033
- OpenAlex
- W2034090715
- Cited by
- 140
- References
- 16
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 12 · 2021: 6 · 2020: 11 · 2019: 7 · 2018: 6 · 2017: 9 · 2016: 3 · 2015: 7 · 2014: 2 · 2013: 4 · 2012: 4
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Human Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- menstrual pattern, adolescent girls, menstrual cycle length, age at menarche, menstrual flow duration, prolonged bleeding, intergenerational correlation
- MeSH terms
- Adolescent, Adult, Age Factors, Child, Female, Humans, Longitudinal Studies, Menstrual Cycle, Menstruation, Switzerland
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