Menarche

In teenage girls, one of the first signs of the onset of puberty is menstruation - on average, by the end of the ninth or beginning of the tenth year of life. This is the so-called first ossification of the cervix - a physiological process that occurs in parallel with an increase in the size of the uterus, which actually makes it possible to recognize the onset of menstruation. The first day of its onset in girls can be considered the first day of the appearance of bloody discharge from the genitals. Often adolescents experience the presence of pubertal hormones that have some effect on the appearance of menarche. After the end of puberty in an adult woman, the period of postmenopause begins, when the menstrual cycle stops. In adolescents, the absence or delay of the first menstruation, observed for 2 or more years, may indicate the presence of a serious endocrine disease, for the solution of which it is necessary to visit a gynecologist. Such delays are possible in the presence of a disease such as precocious pubertal development syndrome. It should also be noted that sometimes the absence of menstruation is preceded by pathological changes in the pituitary gland, thyroid gland or genital organs. The latter can cause hyporexia and a delay in the appearance of menstruation after the acceleration period has expired. The reason for contacting a doctor should be early manifestations of menarche, absence of menstruation before the age of 12-14 years and a delay in its appearance after 18-19 years. Also, a reason for the doctor will be the presence of concomitant gynecological and other diseases, the presence of problems with growth and development. When the first menstruation appears, the girl and her parents should visit a gynecologist to find out the presence or absence of pathology in the child’s body. However, the doctor must also give recommendations to the future woman about caring for the genitals, teach the teenager how to properly prepare for sexual intercourse and control their sensations during lovemaking. This will help avoid unwanted pregnancy. The doctor is obliged to tell the girl about contraception. With these simple methods you can protect yourself from many problems. Most often, adolescents are recommended such types of contraceptives as condoms and oral contraceptives, less often - a patch and a vaginal ring. The latter are recommended not only for their safety, but also for their effectiveness. Any of the proposed contraceptives