Rosenfield R L, Barnes R B
Department of Pediatrics, University of Chicago Pritzker School of Medicine, Illinois.
Endocrinol Metab Clin North Am. 1993 Sep;22(3):491-505.
Current concepts of normal and pathologic puberty have been reviewed because menstrual abnormalities are usually due to abnormal maturation of the reproductive endocrine system. Schema are presented for the initial evaluation of patients with amenorrhea or oligomenorrhea based upon whether they are hypoestrogenic or estrogenized. The role of the bone age in the differential diagnosis of delayed puberty is emphasized. The differential diagnosis and management of excessive genital bleeding and dysmenorrhea in adolescence are given.
鉴于月经异常通常是由于生殖内分泌系统成熟异常，故对正常和病理性青春期的当前概念进行了综述。根据患者是雌激素缺乏还是雌激素化，给出了对闭经或月经过少患者进行初步评估的方案。强调了骨龄在青春期延迟鉴别诊断中的作用。还给出了青春期大量生殖器出血和痛经的鉴别诊断及处理方法。
