Menstruation in girls and adolescents: using the menstrual cycle as a vital sign
Abstract
Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and duration of flow through adolescence. It is important to be able to educate young patients and their parents regarding what to expect of a first period and about the range for normal cycle length of subsequent menses. It is equally important for clinicians to have an understanding of bleeding patterns in girls and adolescents, the ability to differentiate between normal and abnormal menstruation, and the skill to know how to evaluate young patients' conditions appropriately. Using the menstrual cycle as an additional vital sign adds a powerful tool to the assessment of normal development and the exclusion of pathological conditions.
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Subfertility in adolescence and emerging adulthood is due to a high proportion of non-ovulatory cycles.
“due to a high proportion of non-ovulatory cycles”
From Emerging Adulthood, a Pre-adult Life-History Stage (2020) · cites this paper as [121]
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- Authors
- American Academy of Pediatrics, Committee on Adolescence, American College of Obstetricians and Gynecologists, & Committee on Adolescent Health Care
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2006-11-01
- Volume
- 118
- Issue
- 5
- Pages
- 2245-2250
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2158627290
- Cited by
- 651
- References
- 38
- Citations by year
- 2026: 27 · 2025: 37 · 2024: 49 · 2023: 66 · 2022: 51 · 2021: 45 · 2020: 46 · 2019: 28 · 2018: 37 · 2017: 24 · 2016: 35 · 2015: 42 · 2014: 26 · 2013: 33 · 2012: 16
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (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 › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- menstruation, menstrual cycle, menstrual cycle length, menstrual flow, adolescents, girls, menstrual irregularity, vital signs, menstrual health education, adolescent development
- MeSH terms
- Adolescent, Child, Female, Humans, Menstrual Cycle, Menstruation, Menstruation Disturbances, Time Factors
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