Skip to main content Accessibility help
×
Hostname: page-component-5d59c44645-dknvm Total loading time: 0 Render date: 2024-02-28T18:41:39.928Z Has data issue: false hasContentIssue false

9 - Menarcheand associated problems

Published online by Cambridge University Press:  05 August 2013

Paula Briggs
Affiliation:
Southport and Ormskirk Hospital NHS Trust
Gabor Kovacs
Affiliation:
Monash University, Victoria
John Guillebaud
Affiliation:
University College London
Get access

Summary

A review of the qualitative literature on young women's experiences of menarche revealed that menarche had a major impact on lives physically, psychologically, socially and culturally. Pubertal development before the age of eight and menarche before the age of nine should be investigated by an endocrinologist. Early menarche is associated with an increase in all cancer mortality, whereas late menarche is associated with increased risk of osteoporosis and fractures. Sometimes girls will continue to have heavy bleeding on combined hormonal contraception (CHC). A recent addition to treatment options is oestradiol valerate with dienogest (Qlaira) with a license to treat heavy menstrual bleeding. The authors have found it useful in the treatment of peri-menarchal dysfunctional uterine bleeding (DUB) and also useful for young girls who find it difficult to tolerate oestrogenic side effects including headache and nausea.
Type
Chapter
Information
Contraception
A Casebook from Menarche to Menopause
, pp. 78 - 89
Publisher: Cambridge University Press
Print publication year: 2013

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.

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.

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.

Available formats
×