Menstrual disorders are very common in female patients. In adolescents, they can be the cause of a significant amount of stress to both the patient and their parents. Variations of the menstrual cycle among this age group are broad and mainly caused by the immaturity of the hypothalamic-pituitary-ovarian (HPO) axis. Abnormal uterine bleeding, amenorrhea, and dysmenorrhea are all conditions that require a logical and stepwise framework to properly evaluate and manage.
Primary amenorrhea defines the condition in which menarche never occurs, while secondary amenorrhea describes an interruption of menses after they have already begun. In adolescence, one of the most urgent gynecological problems that patients present with is the onset of irregular, heavy, or prolonged abnormal uterine bleeding. Only when all structural or otherwise organic causes of abnormal menstruation have been ruled out should a patient be given the diagnosis of dysfunctional uterine bleeding.
Dysmenorrhea refers to painful menstruation and is the most common reason for which a female patient may refer to a gynecologist. Primary dysmenorrhea refers to dysmenorrhea devoid of any underlying organic disease; it is referred to as secondary when there is evidence of pelvic pathology. It is important to institute early and appropriate management to minimize the possibility of future complications regarding a woman's reproductive ability.
Concise lectures Highlight important key points Easy to understand The section on procedures is excellent could be more elaborate d
Concise and Clear first introduction to menstrual disorders, presentation, definitions, guidelines and salient information for management,
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