Menstrual Cycle Cycle Biomarkers
RRM Academy Synopsis
Charting the Cycle Helps Evaluate Teen PCOS and Bleeding
This 2017 review says charting a teen's bleeding can point toward PCOS (PMOS, Polyendocrine Metabolic Ovarian Syndrome) or abnormal uterine bleeding. Normal cycle frequency in teens is 21 to 45 days. Blood loss over 80 mL is linked with anemia.
Key Findings
- The article compares three PCOS diagnostic frameworks originally developed for adult women: the 1990 NIH criteria, the 2003 Rotterdam criteria, and the 2006 Androgen Excess Society criteria.
- Normal teen cycles are 21 to 45 days apart and last 2 to 7 days. Normal blood loss is about 30 mL; over 80 mL is linked with anemia.
- The paper describes cycle regularity as absent, regular, or irregular, with 90 days marking the upper limit of normal.
- Cited research found up to 30 out of 100 women with PCOS may have impaired glucose tolerance, and about 7 out of 100 may have diabetes.
- The FIGO PALM-COEIN classification, cited in the paper, sorts abnormal bleeding causes into structural (polyp, adenomyosis, fibroid, malignancy or hyperplasia) and non-structural types (coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, not-yet-classified).
Interpretation
This review by Dr. Shirley Gonzalez brings together medical guidelines on PCOS and abnormal bleeding in teens, explaining how charting a teen's own bleeding pattern can point toward either condition. NaProTechnology, the approach described in the paper, looks for the cause behind an irregular cycle.
RRM Context
The review describes NaProTechnology as a system that reads cycle charts along with targeted lab tests and ultrasound. The goal is to find the cause of PCOS or abnormal bleeding. Three groups already call for this kind of charting as a vital sign. The paper cites the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, and the New York Academy of Sciences.
Abstract not indexed.
Topics
Keywords
Female, Humans, Menstrual Cycle, Menstruation Disturbances, Vital Signs
