Normal Menarche Research Articles

Hubungan Usia Menarche Dengan Usia Menopause Pada Wanita Di Desa Purworejo Kecamatan Bae Kabupaten Kudus

The age of menopause is influenced by many factors, presumably one of which is the age of menarche. There are different opinions regarding the relationship between the age of menarche and the age of menopause. Some studies have found that there was relationship between menarche age and menopause age, but some other studies have found the opposite. From the results of preliminary studies in the elderly posyandu of Purworejo Village, 30 respondents were obtained, of which 3 respondents experienced precocious menopause with early menarche and 27 respondents experienced normal menopause with normal menarche. This study aims to determine the relationship between menarche age and menopause age in women in RW 01 Purworejo Village, Bae District, Kudus Regency. This study used quantitative research methods with Cross Sectional approach. The population taken was women who entered menopause in RW 01 Purworejo Village, Bae District, Kudus Regency. The total population was 234 with a sample size of 100 respondents by purposive sampling. The results of statistical analysis using the Chi Square test obtained an asym.sig value of 0.626 0.05, it can be interpreted that H0 is accepted and Ha is rejected, so there is no significant relationship between menarche age and menopause age.Keywords : Age of Menarche; Age of Menopause

Hubungan Status Gizi dengan Usia Menarche pada Siswi SMP Kabupaten Ngada

Menarche is an important sign for a woman because it indicates normal hormone production made by the hypothalamus and then passed on to the ovaries and uterus. Late menarche can cause reproductive health problems in women. This study focuses on understanding the relationship between nutritional status and late menarche, which is still a major problem in adolescent reproductive health issues. This study aims to determine the relationship between nutritional status and age of menarche among junior high school students in Ngada Regency in 2023. The type of research used was an analytic survey with a research design using a Case-Control Study approach. The sample in this study was 94 female students, who were divided into 47 female students who experienced late menarche and 47 female students who experienced normal menarche among junior high school students in Ngada Regency. The analysis data used was univariate, bivariate, and odds ratio with the chi-square test. The results showed that those who had a relationship with the incidence of menarche were parents' income (p = 0.023), body mass index (p = 0.002) and food consumption patterns(p = 0.000). In contrast, psychological conditions had no relationship with the incidence of menarche in junior high school students, with a p-value = 0.168. Factors associated with the incidence of menarche are parents' income, nutritional status as measured using BMI and food consumption patterns as measured through the food frequency forum.

Reproductive factors and cardiovascular health in post-menopausal women: a special focus on natural menopause

ABSTRACT Female-specific reproductive factors might contribute to increased risk of cardiovascular disease, and the American Heart Association (AHA) recently proposed Life’s Essential 8 (LE8) score to quantify cardiovascular health (CVH). The study aimed to examine the relationships between reproductive factors and the LE8 score among post-menopause women in the United States. We enrolled 3223 post-menopause women from National Health and Nutrition Examination Survey (NHANES). CVH groups based on LE8 score were low (0–49), moderate (50–79), and high good CVH levels (80–100). Multivariate ordinal logistic regressions were applied to estimate the associations between reproductive factors and the LE8 score. In multivariate model, early menarche (OR: 0.69, 95 percent CI: 0.51–0.93) and early menopause (OR: 0.57, 95 percent CI: 0.43–0.77) were associated with LE8 score compared with normal menarche and menopause; Meanwhile, ages at menarche and menopause were positively correlated with LE8 score. The number of pregnancies and full-term pregnancies were negatively associated with LE8 (OR for per pregnancy increase and 95 percent CI, 0.93 (0.88, 0.98), 0.93 (0.87, 0.99), separately). Overall, natural menopausal women with early age at menarche and menopause, and a higher number of pregnancies may have a high risk of lower CVH, and need to focus on their CVH.

Comparison of body image and peer relations among girls with normal, early, and late menarche.

The onset of menstruation is a turning point in women's sexual maturity that, unlike other stages of growth, occurs abruptly and is a critical stage in girls' lives. The present study investigated body image and peer relations among girls with early, late, and normal menarche. This casual-comparative descriptive study included female students aged 9-17 in Isfahan. The participants were selected using multistage cluster random sampling. Out of 5,984 students, 56, 37, and 43 were selected for the normal, early, and late menarche groups. The Body Image Concern Inventory and Index of Peer Relations were the two tools used in this study. Moreover, the data were analyzed using a covariance statistical test. Girls with early menarche had better peer relations than those with late menarche (P = 0.01). In addition, there was a significant difference between adolescents with normal and late menarche in terms of body image (P = 0.01). Girls who experienced late menarche were more concerned about their body image and appearance; however, girls with early menarche experienced more impaired performance (P = 0.05). The first menstrual cycle, or menarche, affects psychological variables such as body image and peer relations. The later the menarche, the fewer problems in regard to body image and peer relations.

CORRELATION OF BODY MASS INDEX WITH MENARCHE AGE IN ELEMENTARY SCHOOL STUDENTS IN KRIAN

Introduction: Early menarche is increasing throughout the world, including in Indonesia. The average age of early menarche in Indonesia is less than 10 years based on the results of Riset Kesehatan Dasar or Basic Health Research 2013. Early menarche can cause stress, cardiovascular disease, and the risk of breast cancer. Early menarche can be influenced by various factors, one of which is nutritional status which can be assessed by body mass index.Objective: To determine the relationship between Body Mass Index and Menarche Age in elementary school “X” in Krian.Method: This study used a cross-sectional research design, conducted on a population of elementary school children in grades IV-VI aged 9-12 years at primary school “X” in Krian with the inclusion criteria being School Health Unit (Unit Kesehatan Sekolah or UKS) data and the exclusion criteria being having chronic diseases. Data analysis was carried out using the Spearman Correlation test.Results: 49 samples were obtained consisting of 7 people in class IV, 14 people in class V, and 28 people in class VI. From the sample, 8 children had a low BMI (16.3%), 30 children had a normal BMI (61.3%), and 11 children had a high BMI (22.5%). Meanwhile, for early menarche 6 people (12.2%), normal menarche 43 people (87.8%), and no late menarche (0%) obtained a p-value = 0.616 (p>0.05). The percentage of early menarche in obese BMIs is higher than in other BMIs with a percentage of 6.1%.Conclusion: There is no significant correlation between body mass index and age at menarche due to the small number of samples.

Characteristics Study of Polycystic Ovary Syndrome Patients at Asri Medical Center Hospital, Yogyakarta

Polycystic ovary syndrome (PCOS) is the major cause of woman infertility in reproductive age. The incidence of PCOS generally occurs in 6 out of 20 women in their reproductive age. This study aims to determine the characteristics of PCOS patients at Asri Medical Center (AMC), Muhammadiyah Hospital of Yogyakarta. Quantitative research with an observational and descriptive approach was employed. The sample included 39 PCOS patients at AMC. The data were analyzed univariately with frequency distribution. Most of PCOS patients were aged 26–35 years old, had job, had the first menstruation at normal menarche age (12–14 years), were married for more than 1 year, had a family history of diabetes mellitus or DM, were obese, and had insulin resistance with HOMA-IR indicators. Characteristics of PCOS patients at AMC Muhammadiyah Hospital of Yogyakarta can be classified into 2 main factors. First, health factors include age of menarche, body mass index or BMI, family history of DM, and insulin resistance. Second, non-health factors include age, occupation, marital status, and length of marriage.

Characterization of patients with non-palpable breast lesions

Introduction: Nonpalpable breast lesions constitute a difficult health problem for both the patients and the attending physicians.Objective: To characterize patients with non-palpable breast lesions.Methods: A descriptive and cross-sectional observational study was carried out. The study universe consisted of 43 patients with non-palpable breast lesions. The variables evaluated were age, menarche, menopause, hormonal status, gestational history, conception of the first child, lactation, family pathological history, body mass index, lesion location. Results: The most frequent clinical and epidemiological characteristics were age 40-49 (39.5%); normal menarche and menopause with (48.8% and 51.2%) respectively; within the hormonal status, postmenopausal women resulted in 65.1%; as well as parity of the first child after 35 years and nulliparity for 83.7% and 62.8% respectively and the location of the most frequent lesion was in the upper outer quadrant for 32.6%. Microcalcifications were the most frequent lesions.Conclusions: Family history of breast cancer, age, menarche, menopause, gestational history and location of lesions were found.Microcalcifications were common, with a predominance of BIRADS IV lesions. Although predominantly benign, a notable group were malignant, requiring surgical treatment, with only one treated conservatively

Influence of Knowledge Level about Anemia and Menstrual Patterns on Adherence to Consumption Iron Supplement in Adolescents at A Public Senior High School in Magelang

Anemia is a health problem in all age groups, from toddlers to old age. Adolescent girls are prone to anemia due to their monthly menstrual cycle, so iron supplementation is needed, one of which is Supplementary Blood Tablets. This study was to find out the influence of the knowledge level about anemia and menstrual patterns on compliance of iron supplement consumption in adolescents at a public senior high school in Magelang. This analytical research was carried out in December 2022 using a survey method with a research instrument in the form of a questionnaire in the form of a Google Form which was distributed via the Whatsapp application. The sampling technique was probability sampling in the form of proportionate stratified random sampling with the inclusion criteria for young women, active high school students, menstruating, aged 15-18 years, as well as exclusion criteria for high school students who were not willing to participate as research respondents. A population of 500 students came from grades 10, 11, and 12 and was calculated using the slovin formula (e = 5%) to obtain a sample of 250 students. The research questionnaire was adapted from four different studies with a total of 39 question items that had been tested for instrument validity content using the Aiken index calculation, and all questionnaire items tested valid with results 0.8. The results showed that young women at a public senior high school in Magelang had a "good" level of knowledge about anemia with a percentage of 58.8%, 85.2% experienced normal menarche, 77.2% had normal menstrual cycles, 71.6% experienced dysmenorrhea, and adherence to iron supplement consumption was low. 84.4% of respondents "didn't comply" and 66.4% "forgot to consume" so it is necessary to increase socialization from health and education agencies regarding the importance of consumming iron supplement in adolescents . While the SPSS version 26 analysis was carried out using normality and homogeneity tests, non-parametric statistical tests were used with chi-square test yielded P values of 0.6240.05 and 0.2750.05, meaning that the level of knowledge about anemia and menstrual patterns had no effect on the adherence to iron supplement consumption in adolescents at a public senior high school in MagelangKeywords: knowledge of anemia, menstrual patterns, consumption compliance, iron tablets, young women

The relationship of reproductive factors with adiposity and body shape indices changes overtime: findings from a community-based study

BackgroundStudies focusing on the relationships of adiposity and body shape indices with reproductive factors have reported conflicting results. This study aimed to investigate the influence of reproductive factors on adiposity and body shape indices changes overtime.Materials and methodsIn this community-based prospective study, 1636 postmenopausal women were selected from Tehran Lipid and Glucose Study (TLGS). The unadjusted and adjusted Generalized Estimating Equation models (GEE) were applied to investigate secular longitudinal trends of adiposity and body shape indices.ResultsAccording to the adjusted GEE models, mean changes in body mass index (BMI) in women with early menarche was 1.18 kg/m2 higher than those with normal menarche age (P = 0.030). Moreover, the mean changes in BMI overtime were 0.11 kg/m2 higher in women with premature/early menopausal age than those with normal menopausal age (P = 0.012). Mean changes of waist circumference (WC) in women with late menopause were 2.27 cm higher than those with normal menopausal age (P = 0.036). We also observed higher mean changes in a body shape index (ABSI) in women with late menopause (P = 0.037), compared to those with normal menopausal age. We found a marginal effect of parity on BMI and WC as well.ConclusionsThis study demonstrated higher BMI in females with earlier menarche age. We also showed higher values of BMI overtime in women with premature/ early menopause, whereas women with late menopausal age had higher WC and ABSI values. However, more longitudinal studies investigating body composition indices by adjusting all potential confounders are still required to confirm our study findings.

Obesity-Related Factors in Adult Women with Early Menarche.

The average menarche age among South Korean women has decreased over time. Early menarche in women causes a higher incidence of obesity owing to the continuous fat accumulation induced by prolonged exposure to estrogen and adrenal steroids. Identifying the factors affecting obesity in women who experience early menarche is essential for managing obesity in adult women. This study aimed to analyze the factors associated with obesity in adult women who experienced early menarche and to provide basic data for obesity management. This study was a cross-sectional and descriptive survey from the seventh Korea National Health and Nutrition Examination. A total of 371 women aged ≥ 19 years experienced early menarche, and the propensity matching method was used to analyze the obesity-related factors identified in previous studies. The results showed that obesity in adult women with early menarche was negatively associated with the level of aerobic exercise (OR = 0.53, 95% CI = 0.30-0.93, p = 0.028) and muscle-strengthening exercise (OR = 0.33, 95% CI = 0.17-0.64, p = 0.001). Future longitudinal studies on girls who experience early menarche are needed to address female obesity prevention at every stage of life, and, based on these findings, obesity management programs can be developed and applied and their effectiveness determined.

Hubungan Status Gizi, Status Ekonomi dan Akses Media Informasi dengan Status Menarche pada Remaja di SMPN 8 OKU Tahun 2021

Menarche is the first menstrual period that occurs when a woman enters puberty. Many factors influence menarche including nutritional status, economic status and access to information media. The purpose of this study was to determine the relationship between nutritional status, economi status and access to media information simultaneously with adolescent menarche status at SMPN 8 OKU. This research method is an analytic survey method with a cross sectional design. The population of 181 young women and the research sampel amounted to 70 young women who were taken from the inclusion criteria and exclusion criteria using purposive sampling technique. The research instrument used a questionnaire, weight and height measuring instrument to measure nutritional status, economic status and access to media. Of all 65,7% adolescents experienced normal menarche. Data analysis was performed using the chi square test, with a significance level of 0,05. The results of statistical tests on nutrional status related to menarche status with a p value of 0,002, economi status related to menarche status with a p value of 0,023, media access to information related to menarche status with a p value of 0,015. The results of this study are expected to be a reference for other researhers and health workers to pay more attention to and improve the health of young women.

Overall Survival and Related Factors of Advanced-stage Epithelial Ovarian Cancer Patients Underwent Debulking Surgery in Jakarta, Indonesia: A Single-center Experience

AIM: The worrisome prognosis of advanced-stage epithelial ovarian cancer (EOC) needs a new perspective from developing countries. Thus, we attempted to study the 5-year overall survival (OS) of advanced-stage EOC patients who underwent debulking surgery in an Indonesian tertiary hospital. METHODS: A retrospective study recruited forty-eight subjects between 2013 and 2015. We conducted multiple logistic regression analyses to predict risk factors leading to unwanted disease outcomes. The OS was evaluated through the Kaplan–Meier curve and Log-rank test. Cox proportional hazards regression examined prognostic factors of patients. RESULTS: Prominent characteristics of our patients were middle age (mean: 51.9 ± 8.9 years), obese, with normal menarche onset, multiparous, not using contraception, premenopausal, with serous EOC, and FIGO stage IIIC. The subjects mainly underwent primary debulking surgery (66.8%), with 47.9% of all individuals acquiring optimal results, 77.1% of patients treated had the residual disease (RD), and 52.1% got adjuvant chemotherapy. The risk factor for serous EOC was menopause (odds ratio [OR] = 4.82). The predictors of suboptimal surgery were serous EOC (OR = 8.25) and FIGO stage IV (OR = 11.13). The different OS and median survival were observed exclusively in RD, making it an independent prognostic factor (hazard ratio = 3.50). 5-year A five year OS and median survival for patients with advanced-stage EOC who underwent debulking surgery was 37.5% and 32 months, respectively. Optimal versus suboptimal debulking surgery yielded OS 43.5% versus 32% and median survival of 39 versus 29 months. Both optimal and suboptimal debulking surgery followed with chemotherapy demonstrated an OS 40% lower than those not administered (46.2% and 20%, respectively). The highest 5-year OS was in serous EOC (50%). Meanwhile, the most extended median survival was with mucinous EOC (45 months). CONCLUSION: Chemotherapy following optimal and suboptimal debulking surgery has the best OS among approaches researched in this study. RD is a significant prognostic factor among advanced-stage EOC. Suboptimal surgery outcomes can be predicted by stage and histological subtype.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN NYERI MENSTRUASI (DISMINORE) PADA REMAJA PUTRI

Menstruation is endometrium releasing process included with bleeding and happened many times every month except in pregnancy. According to the World Health Organization (WHO) the number of disminore in the world is very large, the average more than 50 % of women in every country suffer from disminore. The aims of this research is to find out the correlation of menarche age, length of menstruation and family history with menstrual pain incident to the teenage girl of Social Class XI of Islamic Senior High School Number 1 year 2021. The method of this research used Survey Analitic with Cross Sectional approach. The populations in this research are all schoolgirls of Class XI of Islamic Senior High School Number 1 Palembang year 2021/2022, which amount 168 pepole. Big samples of this research are 63 respondents whom taken from using Stratified random sampling. Data collecting used questioner sheet. Data analysis used univariate and bivariate by using chi square test. Results : respondents who experience menstruation pain are 35 (55,6%) teenagers, normal menarche age respondents are 45 (71,4%) teenagers, respondents who experience normal menstruation length are 50 (79,4%) teenagers, respondents who have no disminore experiences family history are 42 (66,7%) teenagers. Bivariate result known that there is menarche age (length of menstruation) and family history (with menstruation pain incident to the teenage girls of Class XI of Islamic Senior High School Number 1 year 2021. The conclusion that there is correlation between menarche age, length of menstruation and family history with menstruation pain incident to the teenage girls of Social Class XI of Islamic Senior High School Number 1 year 2021. Suggestion : expected to the school authorities to cooperate with Health agencies to give counseling to the schoolgirls about female reproduction especially disminore.

GAMBARAN KEJADIAN DISMENORE PADA REMAJA PUTRI DI FAKULTAS ILMU KESEHATAN UNIVERSITAS PASIR PENGARAIAN

Dysmenorrhea is a painful condition that occurs during menstruation that can interfere with activities, causing pain in the lower abdomen, which spreads to the lower back and legs. The incidence of dysmenorrhea is experienced by young women around the world on average. The cause of pain is due to an imbalance of the hormone progesterone in the blood. Several factors triggering the occurrence of dysmenorrhea include the first menstruation at an early age, endocrine factors, psychological disorders, allergic, long menstrual periods, heavy menstrual blood flow, smoking, a history of obesity and alcohol consumption. Efforts to overcome dysmenorrhea can be done by non-pharmacological and pharmacological methods. This study aims to describe the incidence of dysmenorrhea in adolescent girls. This study used a descriptive survey method with a questionnaire that was distributed via google form to 73 students of the Faculty of Health Sciences, Pasir Pengaraian University. The results showed that the average menarche at the age of 13-16 years was 39 people (53.43%), the most experienced dysmenorrhea was 52 people (71.23%), the efforts made to reduce dysmenorrhea with rest were 35 people. (47.95 %) and 38 people (52.05%) who tried to reduce the feeling of dysmenorrhea, respondents used drugs to reduce dysmenorrhea, namely 26 respondents (35.62%). The conclusion of this study is that the average age of menarche for adolescent girl is 13-16 years, the majority experience dysmenorrhea, most of the adolescent girl make efforts to reduce dysmenorrhea pain with non-pharmacological and pharmacological methods.

CORRELATION KNOWLEDGE WITH PSYCHOLOGY RESPONSE OF TEENAGE GIRLS IN CONFRONT MENARCHE

AbstractBackground: Adolescence is a transition from children to adulthood. In adolescence menarche will occur, menarche is the first menstruation in young women which occurs between 1.5 to 3 years after thelarche. The average menarche occurs at the age of 12 and 13 years. When Menarche happens, many changes occur, one of which is psychological change. Changes in the level of knowledge of adolescents about the level of knowledge of adolescents about menarche. Knowledge about menarche can be obtained through families, print media, electronics, or health workers (midwives, doctors, nurses). Examining the relationship of knowledge level with prepubertal adolescent girls psychological responses in menarche conversation. Method: This study was an observational analytic study with a cross sectional study design. The number of samples was 41 students with total sampling techniques. To find out the relationship between variables, the data test with the chi-square test. Results: The results showed that most teenagers' knowledge in the knowledge category was 70.73%. While the psychological response is mostly in the negative category (68.3%). Contingency coefficient results showed a p value of 0.270 (p <0.05). Conclusion: These data indicate that there is no correlation between knowledge and psychological responses of pre-puberty teenage girls in the face menarche.

Sexual Orientation and Age at Menarche in Three U.S. Longitudinal Cohorts

PurposeThe aim of this study is to examine age at menarche across sexual orientation groups. MethodsData were obtained from 131,090 female participants, born 1947–2001, in 3 longitudinal studies—the Growing Up Today Study and Nurses’ Health Study 2 and 3. We estimated the association between sexual orientation and age at menarche using regression models adjusted for age, race/ethnicity, birthweight, height, and body mass index. ResultsCompared to heterosexual participants, sexual minorities were younger at menarche. Sexual minorities were more likely to have early menarche (≤11 years) and less likely to have late menarche (≥14 years) compared to heterosexual girls. As an example of this pattern, Nurses’ Health Study 3 bisexual participants were >30% more likely than heterosexuals to have early versus average menarche (odds ratio 1.37, 95% confidence interval 1.09–1.72). ConclusionSexual minority girls have a younger age at menarche than heterosexual girls and may benefit from screening for adverse outcomes associated with early menarche.

Characterization of Reproductive and Morphological Variables in Female Elite Futsal Players.

We aimed to characterize the age of onset of training, age at menarche, menstrual periodicity, and performance perception during the menstrual cycle and examined the impact of these reproductive variables on body composition, morphology, and body weight satisfaction in Brazilian elite futsal players. The study consisted of 115 female Brazilian elite futsal players from the top national teams. Data were collected during the twentieth Women’s Brazil Futsal Cup. Players were interviewed and self-reported their age of onset of training, age at menarche, menstrual periodicity, and the menstrual period, where they performed best. We also asked for what they considered to be their ideal body weight as well as information related to their training (i.e., volume and frequency). Subsequently, anthropometric measurements (i.e., body mass, height, circumferences, diameters, and skinfold thickness) were performed to estimate the body composition and determine morphological characteristics (e.g., somatotype). Fifty-nine (53.2%) players were postmenarche-trained and 52 (46.8%) were premenarche-trained. Eighteen (16.2%), 65 (58.6%), and 28 (25.2%) were classified as early, normal, and late menarche, respectively. Only 11 (9.6%) and 1 (0.9%) had irregular menstrual cycles and were amenorrheic, respectively. Seventy-three (69.5%), 23 (21.9%), and 9 (8.6%) reported that their game performance was the best at the follicular phase, menses, and luteal phase of the menstrual cycle, respectively. No associations between the four reproductive-related variables were found. Postmenarche-trained players had significant lower age at menarche and higher percentage body fat. The somatotype profile registered lower ectomorphy rate for the postmenarche-trained participants after controlling for covariates. Early menarche group presented higher sum of six skinfold thickness and endomorphy rate compared to normal and late menarche groups. No differences were found when menstrual periodicity groups and best performance groups were compared, except for higher femur width in the regular menstrual cycle group compared to the irregular one. The association between body weight satisfaction and the four reproductive-related variables were not observed. Premenarche-trained Brazilian elite futsal players had the menarche later than the postmenarche-trained athletes. Most of the participants had menarche age classified as “normal,” presented “regular” menstrual cycles and perceived to perform better during the follicular phase of the menstrual cycle.

Bipolar disorder and peripartum mood episodes: Epidemiology and clinical correlates

IntroductionIt is known that the peripartum period is a high-risk period of recurrence in bipolar disorder (BD). However, data on correlations between reproductive life events, such as age at menarche and peripartum period, are mixed in BD.ObjectivesThe aims of this retrospective study are to investigate the lifetime rate of peripartum mood episodes, the clinical correlates and the relationship between age at menarche and peripartum episode in a sample of women with BD.MethodsThe study focused on comparisons between women with vs. without peripartum mood episodes (n = 292). Socio-demographic and clinical characteristics between women with vs without BD peripartum episode were examined through descriptive statistics.Adjusted logistic regression analysis was run to examine the association between variables.ResultsIn our sample, 30% had at least one BD peripartum episode. Women with peripartum episode had significantly earlier age at menarche, earlier onset of BD and longer duration of untreated disorder compared to women without peripartum episode. After adjustment, the late menarche (>15 years) was associated with lower probability of BD episodes during the peripartum period compared to normal menarche (12-14 years).ConclusionsPeripartum mood episodes are common in BD and are correlated with early onset of BD and long duration of untreated disorder. Moreover, age at menarche may be related to the risk of peripartum mood episodes. The results deserve to be deepened in further studies.

Comparison of Mental Health of Female Students with Early, Late, and Normal Menarche in Isfahan, Iran

Comparison of Mental Health of Female Students with Early, Late, and Normal Menarche in Isfahan, Iran

CLINICAL ASPECTS IN WOMEN WITH MENSTRUAL DYSFUNCTION IN PUBERTY

The reproductive system is exposed to various adverse factors and harmful effects at all stages of functioning of an organism. Against the background of declining levels of women's reproductive health in recent years, there has been a clear tendency towards an increase in the number of patients with pathology of puberty. The low level of somatic and reproductive health before pregnancy causes a high incidence of complicated labors, which leads to a deterioration in the development of subsequent generations.The purpose of the study. To provide clinical characteristics of women who had menstrual dysfunction in puberty, which were based on the study of clinical and anamnestic data, laboratory and instrumental research methods, analysis of risk factors, clinical course, treatment effectiveness and dispensary observation.Materials and methods. According to the nature of the disfunctions, the main group of women (n = 210) who had menstrual disorders in puberty was divided into 3 subgroups (n = 70): the first - women with primary oligomenorrhea and timely average menarche, the second - with late menarche, the third - with pubertal bleeding. The control group included women (n = 70) with the correct rhythm of menstruation in puberty.Results. The clinical prospective study analyzed the social status of women with reproductive dysfunction in puberty, the frequency and structure of existing concomitant somatic diseases, the duration of the menstrual cycle, the nature of diseases of the female genital organs; the assessment of the comprehensive treatment of revealed disorders, which allowed to obtain a favorable reproductive prognosis. The majority of surveyed women (53.3%) planned a pregnancy, which occurred in 75.9% from among of planning ones.Conclusions. The conduction of clinical and anamnestic analysis of the reproductive function of women with menstrual dysfunction in puberty will increase the effectiveness of the treatment of identified disorders and will allow developing algorithms for management of such women during planning and during pregnancy.