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The management of menstrual disorders in early reproductive life

Department of Obstetrics and Gynaecology, University of Western Australia and Women and Infants Research Foundation, King Edward Memorial Hospital, 374 Bagot Rd. Subiaco, Western Australia WA 6008 (corresponding author).

Sari Lester, MRCOG

SHO in Accident and Emergency, West Middlesex University Hospital, Isleworth, Middlesex, UK.

Gynaecological disorders in adolescence are relatively uncommon, but may present diagnostic and management challenges for the obstetrician and gynaecologist. This review describes the normal patterns of sex steroid and gynaecological development during puberty and discusses the common and uncommon menstrual disorders that may arise in early reproductive life, giving guidance on their investigation and management. Some of the rarer but important conditions that the gynaecologist should be aware of are briefly mentioned.

Keywords Keywords / adolescence / menstruation / polycystic ovary syndrome / PCOS / amenorrhoea / dysfunctional uterine bleeding