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By including this information with the other vital signs within the Review of Systems and History of Present Illness, clinicians emphasize the important role of menstrual patterns in reflecting overall health status. Obstet Gynecol ;eā€”6. Curr Opin Obstet Gynecol ;ā€” Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Because menarche is such an important milestone in physical development, clinicians should educate adolescent girls and their caretakers about what to expect of a first menstrual period and the range for normal cycle length of subsequent menses.

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