Incorporating menstrual health into routine pediatric primary care

The onset of menstruation is an impactful developmental milestone for youth. Menarche marks the start of reproductive potential, and although frequently laden with stigma, serves as a social cue for transitioning further into adolescence. The first period is often confusing and can trigger shame and embarrassment. There are also significant potential negative physical and social outcomes for inadequately prepared youth, including an inability to recognize abnormal periods, such as heavy bleeding or intense pain, that disrupt daily activities of living and impact morbidity.