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Prospective follow-up of menstrual disorders in adolescence and prognostic factors.
Acta Obstet Gynecol Scand. 2008; 87(11):1162-8.AO

Abstract

OBJECTIVE

Clinical follow-up of menstrual status and eating behavior in grown-up women diagnosed with menstrual disturbance in adolescence.

DESIGN

Prospective follow-up study six years after the initial study.

SETTING

A youth clinic that is part of the school health system in Stockholm.

POPULATION

Eighty-seven women diagnosed with secondary amenorrhea or oligomenorrhea in adolescence.

METHODS

Subjects underwent gynecological examination, evaluation of eating behavior and endocrine status.

MAIN OUTCOME MEASURES

Menstrual status and eating behavior changes.

RESULTS

Menstrual disturbances were still present in 62% of the subjects not using hormonal contraception, 59% of which fulfilled the criteria for polycystic ovary syndrome (PCOS). The frequency of persistent menstrual disturbance was significantly more common in women with previous oligomenorrhea than secondary amenorrhea. The occurrence of eating disorders was decreased by half to 31% in women diagnosed with secondary amenorrhea at the initial study, whereas it was unchanged (40%) in women with previous oligomenorrhea. Recovery from anorectic behavior, primarily in the group of secondary amenorrhea, significantly predicted resumption with menses.

CONCLUSION

Menstrual disturbances and eating disorders were still frequent after six years in a follow-up of women who had menstrual disturbance in adolescence. PCOS was the main cause explaining persistent menstrual disorder, whereas recovery of anorectic eating disorders predicted resumption of menses. The findings call for a continued follow-up of women diagnosed with menstrual disturbance in their teens.

Authors+Show Affiliations

Department of Woman and Child Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Stockholm, Sweden. marianne.wiksten@utbildning.stockholm.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18956264

Citation

Wiksten-Almströmer, Marianne, et al. "Prospective Follow-up of Menstrual Disorders in Adolescence and Prognostic Factors." Acta Obstetricia Et Gynecologica Scandinavica, vol. 87, no. 11, 2008, pp. 1162-8.
Wiksten-Almströmer M, Hirschberg AL, Hagenfeldt K. Prospective follow-up of menstrual disorders in adolescence and prognostic factors. Acta Obstet Gynecol Scand. 2008;87(11):1162-8.
Wiksten-Almströmer, M., Hirschberg, A. L., & Hagenfeldt, K. (2008). Prospective follow-up of menstrual disorders in adolescence and prognostic factors. Acta Obstetricia Et Gynecologica Scandinavica, 87(11), 1162-8. https://doi.org/10.1080/00016340802478166
Wiksten-Almströmer M, Hirschberg AL, Hagenfeldt K. Prospective Follow-up of Menstrual Disorders in Adolescence and Prognostic Factors. Acta Obstet Gynecol Scand. 2008;87(11):1162-8. PubMed PMID: 18956264.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective follow-up of menstrual disorders in adolescence and prognostic factors. AU - Wiksten-Almströmer,Marianne, AU - Hirschberg,Angelica Lindén, AU - Hagenfeldt,Kerstin, PY - 2008/10/29/pubmed PY - 2008/12/30/medline PY - 2008/10/29/entrez SP - 1162 EP - 8 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 87 IS - 11 N2 - OBJECTIVE: Clinical follow-up of menstrual status and eating behavior in grown-up women diagnosed with menstrual disturbance in adolescence. DESIGN: Prospective follow-up study six years after the initial study. SETTING: A youth clinic that is part of the school health system in Stockholm. POPULATION: Eighty-seven women diagnosed with secondary amenorrhea or oligomenorrhea in adolescence. METHODS: Subjects underwent gynecological examination, evaluation of eating behavior and endocrine status. MAIN OUTCOME MEASURES: Menstrual status and eating behavior changes. RESULTS: Menstrual disturbances were still present in 62% of the subjects not using hormonal contraception, 59% of which fulfilled the criteria for polycystic ovary syndrome (PCOS). The frequency of persistent menstrual disturbance was significantly more common in women with previous oligomenorrhea than secondary amenorrhea. The occurrence of eating disorders was decreased by half to 31% in women diagnosed with secondary amenorrhea at the initial study, whereas it was unchanged (40%) in women with previous oligomenorrhea. Recovery from anorectic behavior, primarily in the group of secondary amenorrhea, significantly predicted resumption with menses. CONCLUSION: Menstrual disturbances and eating disorders were still frequent after six years in a follow-up of women who had menstrual disturbance in adolescence. PCOS was the main cause explaining persistent menstrual disorder, whereas recovery of anorectic eating disorders predicted resumption of menses. The findings call for a continued follow-up of women diagnosed with menstrual disturbance in their teens. SN - 1600-0412 UR - https://www.unboundmedicine.com/medline/citation/18956264/Prospective_follow_up_of_menstrual_disorders_in_adolescence_and_prognostic_factors_ L2 - https://doi.org/10.1080/00016340802478166 DB - PRIME DP - Unbound Medicine ER -