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• W4285384986 abstract "I remember the place and the conversation. Dr. Larry Nelson and I were attending an interdisciplinary women's health education retreat in Chantilly, Virginia, in 2000 and chatted over lunch. 1. Cain JM Donoghue GD Magrane DM et al. Executive summary. Am J Obstet Gynecol. 2002; 187: S4-S8 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar Dr. Nelson was with the U.S. Public Health Service, working at the National Institute for Child Health and Disease, division of intramural research, and is known for his important work on defining and addressing primary ovarian insufficiency (POI). 2. Gordon CM Kanaoka T Nelson LM Update on primary ovarian insufficiency in adolescents. Curr Opin Pediatr. 2015; 27: 511-519 Crossref PubMed Scopus (24) Google Scholar Our lunch conversation was wide ranging, but the conversation struck a chord when we started talking about the menstrual cycle. He mused that the menstrual cycle got no respect, which resonated with me, and we went on to talk about how the menstrual cycle should be considered a “vital sign,” like temperature, pulse, respiration, and blood pressure. Given my work with the American College of Obstetricians and Gynecologists Committee on Adolescent Health, I felt that this topic deserved a Committee Opinion and drafted a paper that was eventually published as the Committee Opinion “Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign,” which was also endorsed by the American Academy of Pediatrics.3. ACOG Committee Opinion No. 651: Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Obstet Gynecol. 2015; 126: e143-e146 Crossref PubMed Scopus (26) Google Scholar ,4. American Academy of Pediatrics Committee on Adolescence and American College of Obstetricians and Gynecologists Committee on Adolescent Health Care: Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics. 2006; 118: 2245-2250 Crossref PubMed Scopus (332) Google Scholar This document made the case that the menstrual cycle should be considered a vital sign of overall health and that a diagnostic workup should be considered if menstrual cycle length is outside of a statistically derived normal range of 21-45 days on the basis of several large observational studies of menstrual cycle length in adolescence. I continue to believe that this construct is a useful one, as it allows us to pick up on a number of common pathologic conditions that otherwise can go undetected, including eating disorders and polycystic ovary syndrome (PCOS), but also uncommon conditions such as POI." @default.
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• W4285384986 date "2022-08-01" @default.
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• W4285384986 title "Using the Menstrual Cycle as a Vital Sign: What We Still Want to Know about Adolescent Menstrual Cycles" @default.
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• W4285384986 doi "https://doi.org/10.1016/j.jpag.2022.06.004" @default.
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