Nomenclature of primary amenorrhea: A proposal document of the Japan Society of Obstetrics and Gynecology committee for the redefinition of primary amenorrhea
Nomenclature of primary amenorrhea: A proposal document of the Japan Society of Obstetrics and Gynecology committee for the redefinition of primary amenorrhea
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原发性闭经的命名：日本妇产科学会委员会关于原发性闭经重新定义的提案文件
DOI：
10.1111/jog.13442
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Kugu Koji
中科院分区：
文献类型：
--
作者：
Shozu Makio;Ishikawa Hiroshi;Horikawa Reiko;Sakakibara Hideya;Izumi Shun-ichiro;Ohba Takashi;Hirota Yasushi;Ogata Tsutomu;Osuga Yutaka;Kugu Koji
目的：本研究的目的是提供医学术语来描述女孩的情况，以便在适当的时候对其进行评估，以便在适当的时候进行干预。方法通过文献和临床指南搜索有关月经初潮的最新做法，并讨论委员会成员所经历的相关案例。此外，我们从理论上回顾了《日本妇产科学术语汇编》(日本妇产科学会，第3版)中定义的医学术语。结果原发闭经重新定义委员会建议引入两个术语，删除日本妇产科学会定义的一个术语，而不是改变原发闭经的年龄定义。“月经初潮延迟”指的是女孩在15-17岁之前从未经历过月经周期(月经初潮)的情况。“月经初潮后期”也被用来描述女孩在15岁或更大的时候经历过月经初潮的情况。删除了“月经延迟”这一定义为女孩在15-18岁经历月经初潮的情况。结论引入了“月经初潮延迟”和“月经初潮晚期”这两个新术语，删除了“月经延迟”一词。新系统可能有助于早期发现和适当治疗原发闭经。
AimThe aim of this study was to provide medical terms to describe the condition of a girl who should be evaluated for primary amenorrhea in order to facilitate intervention at an appropriate time.MethodsWe performed a literature and clinical guidelines search for recent practices with regard to menarche and discussed relevant cases that had been experienced by committee members. Additionally, we theoretically reviewed medical terms defined in theGlossary Book of Obstetrics and Gynecology in Japan(Japan Society of Obstetrics and Gynecology, 3rd edition).ResultsThe committee for the redefinition of primary amenorrhea proposed the introduction of two terms and the deletion of one term that had been defined by the Japan Society of Obstetrics and Gynecology, instead of changing the age definition of primary amenorrhea. ‘Delayed menarche’ was introduced to describe a condition in which a girl has never experienced cyclic menstruation (menarche) by 15–17 years of age. ‘Late menarche’ was also introduced to describe a condition in which a girl has experienced menarche at 15 years of age or older. ‘Delayed menstruation,’ which was defined as a condition in which a girl experiences menarche at 15–18 years of age, was deleted.ConclusionThe new terms ‘delayed menarche’ and ‘late menarche’ were introduced, and the term ‘delayed menstruation’ was deleted. The new system might help in the early detection and appropriate treatment of primary amenorrhea.