Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-24T21:24:31.364Z Has data issue: false hasContentIssue false

10 - Delayed menarche

Published online by Cambridge University Press:  05 June 2014

Mary Ann Lumsden
Affiliation:
University of Glasgow
Margaret Rees
Affiliation:
University of Oxford
Get access

Summary

The age of menarche is determined by a combination of factors which include genetic influences, socio-economic conditions, general health and wellbeing, nutritional status, certain types of exercise, and family size. It is well known that delayed menarche is a feature of chronic disease. The role of birth weight and proportion of body fat in menarcheal age has received considerable attention. Girls who consume more (energy-adjusted) animal protein and less vegetable protein at ages 3 to 5 years have an earlier menarche. Conversely, a diet high in fibre is associated with a delayed menarche. Family size and birth order also influence age of menarche. The significance of early-life exposure to environmental or hormonally active chemicals is also a growing area of debate. Referral is essential earlier if secondary sex characteristics have not developed or there appear to be anatomical disorders of the genital tract or signs of a chromosome abnormality.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Delayed menarche
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.011
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Delayed menarche
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.011
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Delayed menarche
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.011
Available formats
×