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https://www.readbyqxmd.com/read/27906711/polycystic-ovary-syndrome-in-adolescent-girls
#1
Natalie Hecht Baldauff, Selma Feldman Witchel
PURPOSE OF REVIEW: Polycystic ovary syndrome (PCOS) is a common heterogeneous disorder that appears to have its origins during the peripubertal years. The diagnostic conundrum is that the typical clinical features, irregular menses and acne, occur during normal female puberty. Understanding the physiologic origins and molecular basis of the dysregulated hypothalamic-pituitary-gonadal axis in PCOS is fundamental to interrupting the distinctive vicious cycle of hyperandrogenism and chronic anovulation...
November 30, 2016: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/27751907/assessment-of-an-electronic-intervention-in-young-women-with-heavy-menstrual-bleeding
#2
J E Dietrich, D L Yee, X M Santos, J L Bercaw-Pratt, J Kurkowski, H Soni, Y J Lee-Kim, M D Shah, D Mahoney, L V Srivaths
BACKGROUND: Bleeding disorders (BD) occur in up to 50% of adolescents with heavy menstrual bleeding (HMB). This presents unique challenges to healthcare providers given the complexity of treating the condition and such complexity can result in difficulty with patients understanding basic information about their condition, limit communication with medical providers, and patient compliance. SPECIFIC AIMS: To use an electronic approach to enhance patient compliance with medications used to treat their HMB...
October 14, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27649000/cross-sectional-observational-study-of-nipple-and-areola-changes-during-pubertal-development-and-after-menarche-in-313-italian-girls
#3
Vincenzo De Sanctis, Ihab Zaki Elhakim, Ashraf T Soliman, Heba Elsedfy, Nada Soliman, Rania Elalaily
: Obiective: To describe the characteristics of nipple development during puberty in Italian females. In addition this is compared with Tanner criteria for breast and pubic hair development at different stages and correlated with body mass index (BMI) and the menstrual age. DESIGN: Cross-sectional observational study. SETTING: Italian children and adolescents consecutively assessed at the Endocrine and Adolescent Outpatient Clinic of Private Accredited Quisisana Hospital of Ferrara...
2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27584558/assessment-of-the-menstrual-cycle-eating-disorders-and-self-esteem-of-polish-adolescents
#4
Agnieszka Drosdzol-Cop, Monika Bąk-Sosnowska, Dominika Sajdak, Agnieszka Białka, Agnieszka Kobiołka, Grzegorz Franik, Violetta Skrzypulec-Plinta
INTRODUCTION: Eating disorders are an important factor in menstrual cycle disorders in girls. Moreover, low self-esteem among adolescent girls may be a risk factor for eating disorders. The aim of the study was to assess the menstrual cycle, eating habits and self-esteem of Polish adolescents. METHODS: The study was conducted from January 2014 to March 2015 and included 623 girls, aged 15-19, from randomly selected junior high schools in Silesia, Poland, in which their menstrual cycle, risk of eating disorders and self-esteem were evaluated...
September 1, 2016: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27556110/bone-mineralization-disorders-as-a-complication-of-anorexia-nervosa-etiology-prevalence-course-and-treatment
#5
REVIEW
Gabriela Wiesława Jagielska, Jerzy Przedlacki, Zbigniew Bartoszewicz, Ewa Racicka
Anorexia nervosa (AN) most often has its onset in adolescence, which is a crucial period to achieve peak bone mass. The hormonal abnormalities (hypoestrogenism, hypercortisolism, decreased secretion of dehydroepiandrosterone, testosterone, insulin-like growth factor) and malnutrition are associated with profound bone mineralization disorders. Densitomertic bone mineral density (BMD) values for osteopenia and osteoporosis were found respectively in 35-98% and 13-50% of women with AN. Prospective studies indicate a further decline in BMD at the beginning of treatment and a crucial importance of weight gain and return of spontaneous menses for its growth...
2016: Psychiatria Polska
https://www.readbyqxmd.com/read/27419327/diagnosis-and-treatment-of-polycystic-ovary-syndrome
#6
Tracy Williams, Rami Mortada, Samuel Porter
Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndrome is complex and there is no single defect from which it is known to result, it is hypothesized that insulin resistance is a key factor. Metabolic syndrome is twice as common in patients with polycystic ovary syndrome compared with the general population, and patients with polycystic ovary syndrome are four times more likely than the general population to develop type 2 diabetes mellitus...
July 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/27325636/menstrual-management-for-adolescents-with-disabilities
#7
Elisabeth H Quint, Rebecca F O'Brien
The onset of menses for adolescents with physical or intellectual disabilities can affect their independence and add additional concerns for families at home, in schools, and in other settings. The pediatrician is the primary health care provider to explore and assist with the pubertal transition and menstrual management. Menstrual management of both normal and abnormal cycles may be requested to minimize hygiene issues, premenstrual symptoms, dysmenorrhea, heavy or irregular bleeding, contraception, and conditions exacerbated by the menstrual cycle...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27184535/anti-mullerian-hormone-amh-in-female-adolescent-cancer-patients-prior-to-during-and-after-completion-of-therapy-a-pilot-feasibility-study
#8
Abha A Gupta, Amy Lee Chong, Catherine Deveault, Jeffrey Traubici, Anne Marie Maloney, Samantha Knight, Armando Lorenzo, Lisa Allen
OBJECTIVE: Alkylating agents are implicated in premature ovarian insufficiency (POI). To optimize counseling regarding future ovarian function in survivors of adolescent cancer, we describe AMH levels in female adolescents at diagnosis, during and shortly after completion of chemotherapy. METHODS: Prospective single institution study. Participants were a mixed population of newly diagnosed post-menarchal females with malignancy. AMH was performed at diagnosis (T1), 6 months from diagnosis (T2), end of therapy or 12 months [T3, whichever comes first], 1 year post end of therapy or 24 months from diagnosis [T4, whichever comes first], 18 months from diagnosis (T5)...
May 13, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27154049/effects-of-perceptual-body-image-distortion-and-early-weight-gain-on-long-term-outcome-of-adolescent-anorexia-nervosa
#9
Ilka Boehm, Beatrice Finke, Friederike I Tam, Eike Fittig, Michael Scholz, Krassimir Gantchev, Veit Roessner, Stefan Ehrlich
Anorexia nervosa (AN), a severe mental disorder with an onset during adolescence, has been found to be difficult to treat. Identifying variables that predict long-term outcome may help to develop better treatment strategies. Since body image distortion and weight gain are central elements of diagnosis and treatment of AN, the current study investigated perceptual body image distortion, defined as the accuracy of evaluating one's own perceived body size in relation to the actual body size, as well as total and early weight gain during inpatient treatment as predictors for long-term outcome in a sample of 76 female adolescent AN patients...
May 7, 2016: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/27125339/anti-m%C3%A3-llerian-hormone-and-inhibin-a-but-not-inhibin-b-or-insulin-like-peptide-3-may-be-used-as-surrogates-in-the-diagnosis-of-polycystic-ovary-syndrome-in-adolescents-preliminary-results
#10
Aylin Yetim, Çağcıl Yetim, Firdevs Baş, Oğuz Bülent Erol, Gülnaz Çığ, Ahmet Uçar, Feyza Darendeliler
OBJECTIVE: Polycystic ovary syndrome (PCOS) is a common endocrine problem in adolescents with an increasing prevalence of 30%. Pursuing new biomarkers with high specificity and sensitivity in the diagnosis of PCOS in adolescents is currently an active area of research. We aimed to investigate the diagnostic value of anti-Müllerian hormone (AMH), insulin-like peptide-3 (INSL3), inhibin-A (INH-A), and inhibin-B (INH-B) in adolescents with PCOS and also to determine the association, if any, between these hormones and clinical/laboratory findings related with hyperandrogenism...
September 1, 2016: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/27105877/association-of-genetic-polymorphisms-in-tnf-and-mif-gene-with-the-risk-of-primary-dysmenorrhea
#11
Hatice Yilmaz Dogru, Asker Zeki Ozsoy, Nevin Karakus, Ilhan Bahri Delibas, Cigdem Kunt Isguder, Serbulent Yigit
Primary dysmenorrhea, which affects 90 % of adolescent girls and more than 50 % of menstruating women worldwide, is characterized by recurrent pain during menses in the absence of a detectable organic disease. The aim of this study is to assess the association between MIF -173 and TNF -308 genetic polymorphisms and the clinical features of primary dysmenorrhea. The study population comprised 154 unrelated female patients with clinical diagnosis of dysmenorrhea, and a total of 144 control subjects were recruited consecutively...
August 2016: Biochemical Genetics
https://www.readbyqxmd.com/read/26841639/primary-dysmenorrhea-in-adolescents-prevalence-impact-and-recent-knowledge
#12
REVIEW
Vincenzo De Sanctis, Ashraf Soliman, Sergio Bernasconi, Luigi Bianchin, Gianni Bona, Mauro Bozzola, Fabio Buzi, Carlo De Sanctis, Giorgio Tonini, Franco Rigon, Egle Perissinotto
BACKGROUND AND OBJECTIVES: Dysmenorrhea is commonly categorized into two types; primary and secondary. Primary dysmenorrhea (PD) is the focus of this review. PD is defined as painful menses with cramping sensation in the lower abdomen that is often accompanied by other symptoms, such as sweating, headache, nausea, vomiting, diarrhea, and tremulousness. All these symptoms occur just before or during the menses in women with normal pelvic anatomy. In adolescents the prevalence of PD varies between 16% and 93%, with severe pain perceived in 2% to 29% of the studied girls...
December 2015: Pediatric Endocrinology Reviews: PER
https://www.readbyqxmd.com/read/26835887/differences-in-risk-factors-for-anemia-between-adolescent-and-adult-women
#13
Deepa L Sekhar, Laura E Murray-Kolb, Allen R Kunselman, Carol S Weisman, Ian M Paul
BACKGROUND: Iron deficiency anemia (IDA) affects 2%-5% of reproductive-age women. Screening is based on risk factors, such as a low-iron diet and menstruation. However, published IDA risk factors fail to consider age-related risks specific to adolescent women, potentially limiting identification of high-risk adolescents for objective testing. The goal of the study was to examine IDA risk factors in a nationally representative sample of younger (12-21 years) and older (22-49 years) reproductive-age women...
May 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/26617382/wilderness-preparticipation-evaluation-and-considerations-for-special-populations
#14
REVIEW
Elizabeth Joy, Karin Van Baak, Katherine L Dec, Barbara Semakula, Ashlea D Cardin, Jay Lemery, George C Wortley, Michael Yaron, Christopher Madden
Children, older adults, disabled and special needs athletes, and female athletes who participate in outdoor and wilderness sports and activities each face unique risks. For children and adolescents traveling to high altitude, the preparticipation physical evaluation should focus on risk assessment, prevention strategies, early recognition of altitude-related symptoms, management plans, and appropriate follow-up. As the risk and prevalence of chronic disease increases with age, both older patients and providers need to be aware of disease and medication-specific risks relative to wilderness sport and activity participation...
December 2015: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/26612118/treatment-of-acute-abnormal-uterine-bleeding-in-adolescents-what-are-providers-doing-in-various-specialties
#15
Patricia S Huguelet, Eliza M Buyers, Jill H Lange-Liss, Stephen M Scott
STUDY OBJECTIVE: The purpose of this study was to assess whether variability exists in the management of acute abnormal uterine bleeding (AUB) in adolescents between pediatric Emergency Department (ED) physicians, pediatric gynecologists, and adolescent medicine specialists. DESIGN: Retrospective chart review. SETTING: Tertiary care medical center ED. PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We included girls aged 9-22 years who presented from July 2008 to June 2014 with the complaint of acute AUB...
June 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/26595586/acog-committee-opinion-no-651-menstruation-in-girls-and-adolescents-using-the-menstrual-cycle-as-a-vital-sign
#16
(no author information available yet)
Despite variations worldwide and within the U.S. population, median age at menarche has remained relatively stable-between 12 years and 13 years-across well-nourished populations in developed countries. Environmental factors, including socioeconomic conditions, nutrition, and access to preventive health care, may influence the timing and progression of puberty. A number of medical conditions can cause abnormal uterine bleeding, characterized by unpredictable timing and variable amount of flow. Clinicians should educate girls and their caretakers (eg, parents or guardians) about what to expect of a first menstrual period and the range for normal cycle length of subsequent menses...
December 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26595581/committee-opinion-no-651-summary-menstruation-in-girls-and-adolescents-using-the-menstrual-cycle-as-a-vital-sign
#17
COMMENT
(no author information available yet)
Despite variations worldwide and within the U.S. population, median age at menarche has remained relatively stable-between 12 years and 13 years-across well-nourished populations in developed countries. Environmental factors, including socioeconomic conditions, nutrition, and access to preventive health care, may influence the timing and progression of puberty. A number of medical conditions can cause abnormal uterine bleeding, characterized by unpredictable timing and variable amount of flow. Clinicians should educate girls and their caretakers (eg, parents or guardians) about what to expect of a first menstrual period and the range for normal cycle length of subsequent menses...
December 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26542013/adolescents-with-special-needs-clinical-challenges-in-reproductive-health-care
#18
REVIEW
Elisabeth H Quint
Adolescents with special needs have unique reproductive health care needs related to their physical and cognitive issues. This review discusses some of the most common concerns that are encountered in clinical practice, as the clinician will partner with the adolescent and her family to guide her through the pubertal transition and to help navigate the risks and rights of reproduction. Families often seek anticipatory guidance before menarche on menstrual hygiene, abuse risk and sexuality and can be reassured that most teens with special needs do very well with menstruation...
February 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/26345685/sexual-dichotomy-of-gonadal-function-in-prader-willi-syndrome-from-early-infancy-through-the-fourth-decade
#19
H J Hirsch, T Eldar-Geva, F Bennaroch, Y Pollak, V Gross-Tsur
STUDY QUESTION: At what age does the type of hypogonadism, namely hypothalamic or primary gonadal defect, become established in men and women with Prader-Willi syndrome (PWS)? SUMMARY ANSWER: The type of hypogonadism becomes established only in late adolescence and early adulthood. WHAT IS KNOWN ALREADY: The etiology of hypogonadism in PWS is heterogeneous and the clinical expression is variable. Primary testicular failure is common in PWS men, while combinations of ovarian dysfunction and gonadotrophin deficiency are seen in women...
November 2015: Human Reproduction
https://www.readbyqxmd.com/read/26343844/nature-and-prevalence-of-menstrual-disorders-among-teenage-female-students-at-zagazig-university-zagazig-egypt
#20
Ahmed M Nooh, Atiea Abdul-Hady, Nadia El-Attar
STUDY OBJECTIVE: To determine the nature and prevalence of menstrual disorders among teenage girls. DESIGN: An observational descriptive cross-sectional study. SETTING: Zagazig University Students' Hospital, Zagazig, Egypt. PARTICIPANTS: A representative sample of female students who attended the university pre-enrollment medical examination. INTERVENTIONS: Self-administered questionnaire covering items on the adolescents' demographic data and menstruation characteristics...
April 2016: Journal of Pediatric and Adolescent Gynecology
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