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Figures
- Figure 1.
Caregiver concerns about menstrual cycles.
Tables
How long does the caregiver stay with the patient? What is your main concern or difficulty regarding puberty? Have there been secondary sexual characteristics? (breasts, hair, vaginal bleeding) If yes, at what age? How often does menstruation occur? Do you notice pain with menstruation? Changes in behavior? Does the patient use any medication to delay the onset of menstruation? Would you like some medication to be used to delay the onset of menstruation? Does the patient use any medication to control menstrual symptoms? Do you think it is necessary to use any method or medication to control bleeding/menstruation? What type of treatment to prevent pregnancy and/or reduce/abolish menstrual bleeding would you like the patient to use? Does the patient use any method of contraception? If so which type? Did you notice side effects? Have you had to stop using it? What reason? Does the occurrence of menstruation make it impossible or has already made it impossible for the patient to attend school, work, or other social activities? Would you allow/not allow a loving relationship (dating, without sex)? Would you allow/not allow intimate relationships, consensual sexual relations? Do you think there is a need for guidance on STDs (sexually transmitted diseases)? Do you agree to perform a surgical method to sterilize the patient? Has the patient ever consulted with a doctor or gynecologist? Has the patient ever had sexual intercourse in her life? Has the patient ever had treatment for vaginal infection/discharge? Does the patient perform personal hygiene alone? Characteristic (No.) Mean (SD) Range Age (n = 100), y 17.4 (8.4) 9-47 Weight (n = 98), kg 50.5 (14.8) 28-88 Height (n = 95), m 1.42 (0.1) 1.1-1.6 Thelarche (n = 77), y 11.1 (1.7) 8-15 Pubarche (n = 82), y 10.9 (1.6) 7-15 Menarche (n = 78), y 11.8 (1.5) 9-15 Symptoms related to menstruation, % Behavior changes 74.0 Pain 62.3 Pain and behavior changes 44.1 Did not answer 6.0 Frequency of menstruation, % Monthly 88.3 Unpredictable 9.1 Twice a month 2.6 Medications to control menstrual symptoms, % Antispasmodics 13.0 NSAIDs 11.0 Hormones 7.0 Analgesics 4.0 Others 3.0 NSAID = nonsteroidal anti-inflammatory drug.
Contraception Method No. (%) Side Effects No. Oral pills With interval 7 (50.0) Weight gain 4 Without interval 2 (14.4) Skin changesa 1 Quarterly injectable (MPA) 3 (21.4) Weight gain 1 Monthly injectable (MPA) 1 (7.2) Did not answer 1 Intrauterine device 1 (7.2) Weight gain 1 MPA = medroxyprogesterone acetate.
↵a Oily, acne, spots on the skin.
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