Menarche and Dysmenorrhea

  • Jerry R. Klein
  • Iris F. Litt


Menarche is one of the more dramatic signs of female puberty. It occurs late in puberty; for example, menarche occurs during Tanner Stage 4 in two-thirds of females, and in another stage for the other one-third. Tanner staging or classification of sex maturity rating is the clinical determination of secondary sex characteristics for ascertaining developmental age (see Daniel, Chapter 3). Staging of secondary sex characteristics is a relatively convenient and practical method for determining developmental age. Developmental age is superior to chronological age as a predictor for many hormonal, biochemical, and behavioral characteristics during adolescence (Gross and Duke, 1980; Rauh, 1976).


Mefenamic Acid Ovulatory Cycle School Absence Primary Dysmenorrhea Prostaglandin Inhibitor 
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Copyright information

© Springer Science+Business Media New York 1983

Authors and Affiliations

  • Jerry R. Klein
    • 1
  • Iris F. Litt
    • 2
  1. 1.Department of Pediatrics, Division of Adolescent MedicineMichael Reese Hospital, University of Chicago Pritzker School of MedicineChicagoUSA
  2. 2.Department of PediatricsStanford University School of MedicineStanfordUSA

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