Pregledni rad

Menstrual Cycle Characteristics and Disorders

Zlatko Topalović ; Dom zdravlja Zagreb - Centar

Sažetak

Menstrual cycle disorders are the most common gynecological problem in adolescence. The first menstruation (menarche) is the most obvious sign of ovarian function, i.e. the hypothalamic-pituitary-gonadal interaction. Evaluation is indicated in primary amenorrhea, i.e. in case of the absence of menarche by age 16 in girls with evidence of puberty or in case of its absence by age 14 in those with no evidence of puberty. The occasional absence of menstruation during sexual maturation, a period which lasts for five years following menarche, is normal and does not require any evaluation or treatment. The administration of hormonal contraceptives is wrong in this period, because it interferes with the physiological establishment of the hypothalamic-pituitary-gonadal interaction. The uncritical administration of hormonal contraceptives in adolescence may result in long-term amenorrhea, i.e. the so-called post pill amenorrhea. If necessary, it is more advisable to administer gestagens to regulate the menstrual cycle. Adolescence is a period of both sexual and mental development. Adolescents react more strongly to stressful events, and a strong stress may be a reason for menstrual cycle disorders. This is a period when a young woman is too focused on her physical appearance, or follows an exhausting diet or a strenuous exercise program, which may both cause cycle irregularities and most often amenorrhea. Therefore, the cause of any cycle disorder during sexual maturation should be investigated, rather than introducing hormonal therapy. Sometimes it is sufficient to explain a young patient the cause of the problem or refer her to a psychologist. Juvenile menometrorrhagia is an exception because menstrual bleeding must be stopped by the administration of high doses of estrogen-progesterone tablets.

Ključne riječi

menstrual cycle; menstrual cycle disorders; amenorrhea; oligomenorrhea; juvenile menometrorrhagia

Hrčak ID:

60001

URI

https://hrcak.srce.hr/60001

Datum izdavanja:

15.6.2010.

Podaci na drugim jezicima: hrvatski

Posjeta: 10.585 *