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The ABC of menstruation

by Dr Howard Lee
continued from page 2

Changes and variations
There are several variations, changes and abnormalities of the 'normal' menstrual cycle that can have varying effects and influences on a woman's life - especially as far as her fertility is concerned:

  1. 1. Amenorrhoea: the absence of the monthly menstrual cycle can be either primary or secondary. A significant delay in the time of the start of the first menstrual cycle is primary amenorrhoea. Delayed puberty is the commonest reason.

    Secondary amenorrhoea implies an absence of, or delay in, menstruation in a previously normal female and is most commonly due to pregnancy and breastfeeding. Menstruation re-appears after delivery or breastfeeding stops. Other causes are:



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