The age at which the first menstrual bleeding begins in young girls (menarche) is, on average, 11-13 years old. Menstrual bleeding is quite irregular, especially in the first 1-2 years, and then, as hormonal balances become regulated with age, menstrual irregularities disappear. However, in some young girls, menstrual irregularities may continue for longer periods. If a young girl has not had menstruation after reaching the age of 16, if other elements of sexual development are still not completed (such as breast development, armpit and pubic hair), if her irregular menstruation continues or if menstrual bleeding occurs at heavy and frequent intervals, she should consult a gynecologist. Primary amenorrhea, polycystic ovary. Disease, bleeding-clotting mechanism disorders, anemia due to frequent and heavy menstrual bleeding are conditions that require examination and treatment. and may continue with various metabolic diseases; This condition is called "polycystic ovary syndrome". With early diagnosis, it is possible to control the symptoms of the disease, regulate ovulation with appropriate treatments, prevent infertility and enable the woman to have children. Longer than 10 days), heavy menstrual bleeding (80 ml per day, that is, more than 3 pads on average) or frequent bleeding (with cleansing periods of less than 15 days) may cause iron deficiency anemia in young girls and women. Chronic anemia, especially in young girls of developmental age, can cause complaints such as slowing down development, decreased attention and concentration, loss of appetite, headache and palpitations. In more severe anemias, abnormal appetite changes, called "PIKA", such as the desire to eat soil, clay and coffee, may be observed. In such cases, supportive treatments with iron-containing drugs and hormonal treatments that regulate menstrual bleeding and reduce the intensity and frequency of bleeding should be given together. Our young girls should be informed by conscious mothers, educators and physicians during their adolescence, and should be evaluated by a specialist at regular intervals from the day they first menstruate, so that they can have a healthy life. It is important as it will enable them to enter the reproductive and fertile period.
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