Management of Menstrual and Gynecologic Concerns in Girls with Special Needs
Journal of Clinical Research in Pediatric Endocrinology, cilt.12, sa.1, ss.41-45, 2020 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 12 Sayı: 1
- Basım Tarihi: 2020
- Doi Numarası: 10.4274/jcrpe.galenos.2019.2019.s0174
- Dergi Adı: Journal of Clinical Research in Pediatric Endocrinology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.41-45
- Akdeniz Üniversitesi Adresli: Evet
Özet
For girls with physical and developmental disabilities and their families/caregivers, puberty and menstruation can present significantproblems such as vulnerability, abuse risk, unintended pregnancies, difficulties with managing menstrual hygiene, abnormal uterinebleeding, dysmenorrhea, behavioral difficulties/mood concerns or changes in seizure pattern. Healthcare providers may have an importantand positive impact for both the adolescents and their families/caregivers during this stage of life. Whether menstrual manipulation isindicated should be decided after a detailed history is taken from both the patient and the caregivers to determine the impact of currentproblems on quality of life. It should be explained that complete amenorrhea is difficult to achieve and realistic expectations should beaddressed. The goals for the management of menstrual concerns should be a reduction in the amount and total days of menstrual flow,reduction of menstrual pain and suppression of ovulatory or cyclic symptoms, depending on each individual patient’s needs. Advantagesand disadvantages of available treatment methods should also be discussed.