1/3. adolescent amenorrhea.The evaluation and treatment of amenorrhea in an adolescent woman presents many difficult situations and pitfalls. Individually, few of the etiologic entities are common. Interaction with the patients can be difficult as they are physically but not emotionally or sexually mature. There is no cure for some of the causes of amenorrhea, and others by their nature dictate that the woman will never bear children. In some cases, there are sexual identification problems with differences between the chromosomal, gonadal, and phenotypic sex of a person. Other cases require extensive operative procedures with associated acceptance and adjustment problems. The evaluation and treatment of adolescent amenorrhea therefore challenge the physician on several fronts. There is much satisfaction to be gained in meeting this challenge well.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/3. Symptoms associated with menstruation.Symptoms associated with menstruation during the teenage and young adult years may represent a spectrum of possibilities varying from a relatively benign deviation from normal to a serious life-threatening disease. Nevertheless, even for the young woman found to be without serious disease, menstrual problems have special meaning associated with the fear of being different from peers, concern about being less than complete or wholesome, and anxiety regarding future functioning as a normal woman. The physician must be aware of the adolescent's sensitivity in this area. Her apprehension should influence the manner in which the various abnormalities of menstruation are evaluated and managed. The physician must understand and appreciate the potential for profound emotional effects and psychological implications of menstrual conditions. The manner in which we care for the adolescent with menstrual symptoms will determine to a significant degree how successfully the patient will cope with abnormalities of menstruation.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
3/3. exercise-induced menstrual irregularities.exercise of sufficient rigor, particularly when coupled by weight loss and dietary restriction, is capable of producing reversible disturbances of reproductive function in many otherwise healthy women. However, it is clear that there are many health benefits for women who exercise regularly and in moderation. These include improved cardiovascular status, increased bone mineral content, improvement of dysmenorrhea and premenstrual syndrome symptoms, and general stress reduction. In addition, the inclusion of young women in high school and college athletics has provided many new opportunities. With these new opportunities, however, have come new challenges for physicians in assisting these women in maintaining optimal health.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |