Management of menstrual problems in adolescents with learning and physical disabilities
Article first published online: 19 APR 2013
© 2013 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 15, Issue 2, pages 106–112, April 2013
How to Cite
Management of menstrual problems in adolescents with learning and physical disabilities. The Obstetrician & Gynaecologist 2013;15:106–12., , .
- Issue published online: 19 APR 2013
- Article first published online: 19 APR 2013
- Manuscript Accepted: 25 NOV 2012
- 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.