RT Book, Section A1 Edman, Jennifer C. A1 Shafer, Mary-Ann A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 6737523 T1 Chapter 76. Menstrual Problems T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=6737523 RD 2024/04/20 AB The attainment of ovulatory menstrual cycles is one feature of maturation and synchronization of the hypothalamic-pituitary-gonadal axis. Despite frequent anovulatory cycles, the majority of menstrual cycles during adolescence range from 21 to 42 days with duration of menstrual flow lasting 2 to 8 days. Young women frequently complain of menstrual abnormality when their cycle falls within the expected range of normal. Charting cycles on a calendar is a useful tool to evaluate cycle irregularity.1 The most common menstrual disorders in adolescents, including amenorrhea, dysfunctional uterine bleeding, and dysmenorrhea, are discussed in this section.