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Menstruation: Another necessary sign

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Roberta Heale Deputy Editor, EBN @robertaheale @EBNursingBMJ

During a presentation on the fortieth National Pediatric Nanoparticle Association in New Orleans in early March 2019, Joan Mezera and Meara Henley shared some necessary ideas in regards to the changes needed in the best way health care providers perceive and evaluate menstruation in adolescent and adolescent patients. They suggested that we want to maneuver away from judging pregnancy and contraception towards understanding that menstrual problems are symptoms of a complete range of conditions. https://bit.ly/2J06z5h

Missing periods can, after all, be an indication of pregnancy. However, other types of amenorrhea include primary amenorrhea, when periods don’t begin, or secondary amenorrhea, when periods grow to be irregular, scanty, or stop altogether. They may result from ovulation abnormalities, congenital defects, anatomical abnormalities, eating disorders, obesity, excessive or strenuous exercise, or thyroid disorders. https://bit.ly/2TG77l4

Dysmenorrhea is severe and frequent menstrual cramps and pain related to menstruation. There are also primary and secondary causes, which can include aspects comparable to chemical imbalances within the body, endometriosis, pelvic inflammatory disease, uterine fibroids, abnormal pregnancy, infection, tumors or polyps within the pelvic cavity. Women and girls are at increased risk of dysmenorrhea in the event that they smoke, drink excessive amounts of alcohol during times, are obese or began menstruating before the age of 11. In addition to cramps and pain, women may additionally experience nausea, vomiting, diarrhea, fatigue, weakness, fainting, and headaches. https://bit.ly/2TG77l4

The last common menstrual condition is dysfunctional uterine bleeding (DUB). There are several variations of this phenomenon, including menorrhagia, which is heavy and prolonged menstrual bleeding, many months of excessively frequent periods, scanty periods, infrequent or light menstrual cycles, and menorrhagia, which is irregular non-menstrual bleeding that happens between periods. There are many possible causes of DUB, starting from hormonal imbalance, infections, negative effects of certain contraceptive devices, and more. https://bit.ly/2TG77l4

The menstrual cycle carries many clues in regards to the health of teenagers and young women, so a full assessment of it shouldn’t be omitted. Mezera and Henley indicated that they perform urine pregnancy tests on all young women of their care, no matter whether or not they have been sexually energetic. In addition, they conduct a radical assessment of the history and nature of the client’s menstruation. In addition, they assess changes in mood, vision or weight. They also examine the client’s exercise patterns; presence of galactorrhea; headaches; problems with sleeping; sexual intercourse; unwanted hair growth; and vaginal discharge. If they’ve concerns about their eating patterns, they’ll ask for a 24-hour weight-reduction plan reminder. https://bit.ly/2J06z5h

Nurses are sometimes a very important link in access to health take care of adolescent clients. Providing access to health take care of sexual health advice and contraception will not be enough. We have to transcend the fundamentals and include the extensive menstrual history and associated assessment of each young woman we meet.

Coppock, K. (March 9, 2019). Menstruation: a very important tool for assessing women’s health. Contemporary clinichttps://bit.ly/2J06z5h which references the next information:

Mezera J, Henley M. Menstrual Period Management: What NPs Need to Know About Menstrual Management. Session presented at: fortieth National Conference of the Association of Pediatric Nurse Practitioners; March 7, 2019; New Orleans, Los Angeles. https://www.napnap.org/sites/default/files/userfiles/Conferences/2019Speakerhandouts/103%20-%20Henley%20Mezera.pdf. Accessed: March 7, 2019

Summa Zdrowie (2019). Women’s health Obstetrician gynecologist, menstrual disorders. https://bit.ly/2TG77l4

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