Reindollar R H, McDonough P G
Clin Obstet Gynecol. 1983 Sep;26(3):690-701.
The adolescent years present a vulnerable period of time during which menstrual abnormalities may arise. These abnormalities may be related to the maturational processes of the neuroendocrine, gonadal, and anatomic components of the reproductive system. Adolescent menstrual disorders may be totally unrelated to these maturational changes or may occur after puberty is completed. Manifestation of pubertal and nonpubertal conditions is variable. Most patients with aberrations of puberty present with amenorrhea, and most adolescents with disorders unrelated to puberty present with abnormal bleeding. However, amenorrhea and bleeding problems may occur in both groups of patients. All adolescents with menstrual disorders must be treated aggressively because of the known association with these conditions and poor outcome. Morbidity, mortality, and reduced reproductive potential have been demonstrated for all such adolescents.
青少年时期是一个脆弱阶段，在此期间可能会出现月经异常。这些异常可能与生殖系统的神经内分泌、性腺及解剖结构的成熟过程有关。青少年月经紊乱可能与这些成熟变化完全无关，也可能在青春期结束后出现。青春期和非青春期情况的表现各不相同。大多数青春期异常的患者表现为闭经，而大多数与青春期无关的紊乱的青少年则表现为异常出血。然而，两组患者都可能出现闭经和出血问题。所有月经紊乱的青少年都必须积极治疗，因为已知这些情况与不良后果有关。已证实所有这类青少年都存在发病率、死亡率及生殖潜能降低的问题。
