Institute of Maternal and Child Research (I.D.I.M.I.), School of Medicine, University of Chile, Santiago, Chile.
Pediatr Diabetes. 2012 Feb;13(1):108-23. doi: 10.1111/j.1399-5448.2011.00825.x. Epub 2011 Oct 13.
Adolescence is a critical period for girls with type 1 diabetes mellitus (T1D). Reproductive issues, such as menstrual abnormalities, risk of an unplanned pregnancy, and contraception, should be addressed during this phase of life. This paper reviews several reproductive issues that are important in the care of adolescents, including pubertal development, menstrual abnormalities, ovulatory function, reproductive problems, the effects of hyperglycemia, contraception, and treatment of an unplanned pregnancy. A review of the literature was conducted. A MEDLINE search January 1966 to March 2011 was performed using the following MESH terms: puberty, menarche, ovary, polycystic ovary syndrome, menstruation, contraception, contraception-barrier, contraceptives-oral-hormonal, sex education, family planning services, and pregnancy in adolescence. This literature search was cross-referenced with an additional search on diabetes mellitus-type 1, diabetes complications, and pregnancy in diabetes. All published studies were searched regardless of the language of origin. Bibliographies were reviewed to extract additional relevant sources.
青春期是 1 型糖尿病（T1D）女孩的关键时期。生殖问题，如月经异常、意外怀孕的风险和避孕，应在这一生命阶段得到解决。本文综述了青春期少女护理中几个重要的生殖问题，包括青春期发育、月经异常、排卵功能、生殖问题、高血糖的影响、避孕以及意外怀孕的治疗。对文献进行了回顾。使用以下 MeSH 术语在 MEDLINE 上进行了 1966 年 1 月至 2011 年 3 月的文献检索：青春期、初潮、卵巢、多囊卵巢综合征、月经、避孕、避孕屏障、口服激素避孕、性教育、计划生育服务和青少年妊娠。该文献检索与另外一个关于 1 型糖尿病、糖尿病并发症和糖尿病妊娠的搜索进行了交叉引用。无论原始语言如何，都搜索了所有已发表的研究。还查阅了参考文献以提取其他相关资料。
