18. The Probability of Anovulatory Cycles in Primary Dysmenorrhea in Adolescents

Primary-Dysmenorrhea (PD) is believed to be caused in large part by the overproduction of uterine prostaglandins leading to the assumption “ovulation is necessary for the development of PD”. However several studies have reported the possibility of dysmenorrhea with anovulation. Although serial transvaginal ultrasound is the gold standard method for ovulation confirmation, it’s not a practical method in adolescents. Determining th e luteal phase SP level could be the second-best method. When the literature is reviewed, the serum progesterone (SP) threshold value for the adolescent age group showing ovulation should be updated.

Source: Journal of Adolescent Health - February 1, 2021 Category: Child Development Authors: Alkim Oden Akman, Gurkan Bozdag, Melis Kizilkan-Pehlivanturk, Sinem Akgul, Orhan Derman, Nuray Kanbur Source Type: research