Adolescent menstrual cycle pattern, body mass index, endocrine and ovarian ultrasound characteristics of PCOS and future fertility, cardiovascular-, and metabolic health: a 25-year longitudinal follow-up study
2024

Long-term effects of adolescent menstrual cycle patterns on fertility and health

Sample size: 160 publication 10 minutes Evidence: moderate

Author Information

Author(s): van Hooff Machiel H A, Caanen Mirte R, Peters Henrike E, Laven Joop S E, Lambalk Cornelis B

Primary Institution: Franciscus Gasthuis en Vlietland, Rotterdam, The Netherlands

Hypothesis

What is the predictive value of oligomenorrhea and other PCOS diagnostic characteristics in adolescence for future fertility and health?

Conclusion

Adolescents with oligomenorrhea have similar chances of having children as those with regular periods, but persistent oligomenorrhea may lead to more cardiovascular and metabolic issues.

Supporting Evidence

  • Adolescents with oligomenorrhea had a similar number of children as those with regular cycles.
  • 50% of girls with adolescent oligomenorrhea developed a regular cycle later.
  • Subfertility was reported in 26% of those with adolescent oligomenorrhea.

Takeaway

Girls who have irregular periods as teenagers can still have babies just like those with regular periods, but they might have more health problems later on.

Methodology

A 25-year prospective follow-up study based on a unique population-based adolescent study on menstrual irregularities.

Potential Biases

Potential bias due to self-reported data and small subgroup sizes.

Limitations

The study had a small sample size and relied on self-reported data, which may introduce bias.

Participant Demographics

The participants were primarily Caucasian women from the Netherlands.

Statistical Information

P-Value

0.04

Confidence Interval

[0.7–3.7]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/humrep/deae262

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