| Abstract | dc.description.abstract | Adolescence is a critical period for girls with type 1 diabetes mellitus
(T1D). Reproductive issues, such as menstrual abnormalities, risk of an
unplanned pregnancy, and contraception, should be addressed during
this phase of life. This paper reviews several reproductive issues that are
important in the care of adolescents, including pubertal development,
menstrual abnormalities, ovulatory function, reproductive problems, the
effects of hyperglycemia, contraception, and treatment of an unplanned
pregnancy.
A review of the literature was conducted. AMEDLINE search January
1966 to March 2011 was performed using the following MESH terms:
puberty, menarche, ovary, polycystic ovary syndrome, menstruation,
contraception, contraception-barrier, contraceptives-oral-hormonal, sex
education, family planning services, and pregnancy in adolescence.
This literature search was cross-referenced with an additional search
on diabetes mellitus-type 1, diabetes complications, and pregnancy in
diabetes. All published studies were searched regardless of the language of
origin. Bibliographies were reviewed to extract additional relevant sources. | es_CL |
