Management of menstrual problems in adolescents with learning and physical disabilities
Correspondence: Anne Garden. Email: email@example.com
- The onset of menarche in adolescents with disabilities can cause significant disruption to their lives.
- Menstruation has an impact on the symptom control of various medical conditions.
- Signs and symptoms of dysmenorrhoea, menorrhagia and cyclical behavioural disturbances are frequent and distressing.
- There are parental and carer concerns regarding menstrual management and hygiene, vulnerability to sexual abuse and pregnancy, as well as inappropriate behaviour.
- Research on managing the menstrual problems of adolescents with disabilities is limited; consequently there is little guidance to best practice.
- To recognise the behavioural and emotional changes associated with menstruation.
- To be aware of the pros and cons of the different management options available for adolescents with disabilities.
- To understand the legislature and the legal issues of consent.
- The role of surgical options for management of menstruation in the adolescent girl.
- Informed counselling includes the short and long-term effects of the disability on menstruation and vice versa, which influence decision-making.
- The contribution of multidisciplinary team in the decision-making process involving the health and wellbeing of the adolescent.