Pediatrics - Menstrual Disorders Clinic
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The Menstrual Disorders Clinic (MDC) is located in the Adolescent Center and diagnoses and treats a variety of menstrual disorders. Girls and young women, from ages 10-21, experiencing heavy menstrual periods, painful periods or who are missing periods or failing to menstruate will find expert care at the MDC.
The Clinic is designed to offer reassurance and answers, providing solutions to easily manage a disorder so girls can return to their normal and active lifestyles. Combining expertise in caring for teens and understanding blood disease, when a new patient arrives, she is screened for endocrine or gynecological issues and underlying blood and clotting disorders. To do this while saving the patient from multiple trips to the doctor, laboratory work-ups, evaluation, and treatment are performed in coordination with both specialties at one visit.
There are a number of common menstrual disorders in young women, including:
- polycystic ovary syndrome
- dysfunctional uterine bleeding
- amenorrhea (missing periods)
- dysmenorrhea (painful periods)
The clinic also offers menstrual period management for patients with special health care needs, such as wheel chair-bound individuals, evaluation for suspected or known bleeding disorder or clotting predisposition, anemia caused by periods, and help with birth control.
If necessary, the doctors can refer patients to another physician specialist such as those in gynecology, endocrinology and nutrition and weight management. The staff work close with a patient’s pediatrician or family medicine doctor to make appropriate referrals.
Yawkey Center 617.414.4841
Conditions We Treat
Polycystic ovary syndrome (PCOS) is a common endocrine system disorder in women where the ovaries become enlarged and retain fluid. PCOS symptoms include irregular or missed periods, excessive body hair, high levels of the hormone insulin, and weight gain. Exact causes are unknown, but excess insulin, general inflammation and heredity (in the family) are thought to play a role.
Abnormal vaginal bleeding is any bleeding that is outside a normal menstruation (period). This may occur as spotting (light bleeding) or involve heavier bleeding. Any abnormal bleeding should be investigated, as causes can range from polyps and cysts to uterine, cervical and endometrial cancer (reproductive system canders) and celiac disease (wheat protein intolerance).
Amenorrhea is the absence of a girl or woman’s menstrual cycle (period); for women, diagnosis is after 3 months without a period, and girls are diagnosed if they have not had a period by age 15. Causes range from pregnancy, breastfeeding and menopause (natural amenorrhea) to medications and lifestyle conditions, like low body fat and excessive training or exercise for girls.
Dysmenorrhea, or menstrual cramps (period cramps), are pain and cramping in the lower abdomen just before and/or during menstruation (period). If cramping is very severe, there could be underlying issues like uterine fibroids (non-cancerous growths) or endometriosis (when tissue from the inside of the uterus implants outside the uterus).
The Pediatrics - Menstrual Disorders Clinic Team
Assistant Professor of Pediatrics, Boston University School of Medicine
Adolescent Medicine, Adolescent contraception, Adolescent menstrual disorders, Adolescent addiction medicine, Adolescent primary care
sickle cell disease, iron deficiency, menstrual disorders, general pediatric hematology