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Menarche

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which is also susceptible to various forms of error. Most sources agree that the average age of menarche in girls in modern societies has declined, though the reasons and the degree remain subjects of controversy. From the sixth to the fifteenth centuries in Europe, most women reached menarche on average at about 14, between the ages of 12 and 15. The average age of menarche dropped from 14-15 years in the nineteenth century to 12-13 years in the present, but it seems that girls in the nineteenth century had a later age at menarche compared to girls in earlier centuries. A large North American survey reported only a 2–3 month decline from the mid-1970s to the mid-1990s. A 2011 study found that each 1 kg/m increase in childhood
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boys. Heredity also appears to play an important role. Compared to an overall age range of nine to 18 for menarche, the age difference for sisters averages only 13 months and for identical twins, less than three months. Body weight is a factor as well: puberty often begins earlier in heavier children of both sexes and later in thinner ones. The onset of menstruation, in particular, appears to be related to amounts of body fat. Girls with little body fat, especially athletes, often start menstruating at a later than-average age. Over the past 100 years, puberty has tended to begin increasingly early in both sexes (a phenomenon called the
1182: 255: 180: 1089: 73: 32: 165: 1127: 515: 690:, Turkey, in 2011 found the median age at menarche to be 12.7 years. In the United States, an analysis of 10,590 women aged 15–44 taken from the 2013–2017 round of the CDC's National Survey of Family Growth found a median age of 11.9 years (down from 12.1 in 1995), with a mean of 12.5 years (down from 12.6). 1168:
Menstruation is a cultural as well as scientific phenomenon as many societies have specific rituals and cultural norms associated with it. These rituals typically begin at menarche and some are enacted during each menstruation cycle. The rituals are important in determining a status change for girls.
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There were few systematic studies of timing of menarche before the later half of the 20th century. Most older estimates of average timing of menarche were based on observation of a small homogeneous population not necessarily representative of the larger population, or based on recall by adult women,
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The sequence and age range of the developmental changes associated with puberty can vary widely. Although most children begin puberty between the ages of 10 and 12, it can start at any age from 8 to 16. The most obvious determining factor is gender; on average, puberty arrives earlier for girls than
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program that teaches girls about menstruation and what to expect at the onset of menarche (often this takes place during the fourth grade). Historically menstruation has been a social taboo and girls were taught about menarche and menstruation by their mothers or a female role model. Then, and to an
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Apaches place high importance on their menarche ceremony and it is regarded as the most important ritual in their tribe. Each year, there is an eight-day event celebrating all of the girls who have menstruated in the past year. The days are split between feasting and private ceremonies reflecting on
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For young women in many cultures, the first menstruation is a marker that signifies a change in status. Post-menarche, the young woman enters a stage called maidenhood, the stage between menarche and marriage. There are cultures that have in past centuries, and in present, practiced rites of passage
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When a woman experiences menarche, the blood flow can vary from a slow and spotty discharge to a consistent blood flow for 3–7 days. While the color of the blood does range from a brown to bright red color, this is normal; some women have light periods while others have heavy ones; no two women will
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The timing of physical maturation varies widely. In the United States today, menarche, the first menstrual period, typically occurs around age 12, although some youngsters start puberty when they are only eight or nine, others when they are well into their teens. The duration of puberty also varies
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in the first year after menarche, 50% in the third and 10% in the sixth year. Regular ovulation is usually indicated by predictable and consistent intervals between menses, predictable and consistent durations of menses, and predictable and consistent patterns of flow (e.g., heaviness or cramping).
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factors. The mean age of menarche has declined over the last century, but the magnitude of the decline and the factors responsible remain subjects of contention. The worldwide average age of menarche is very difficult to estimate accurately, and it varies significantly by geographical region, race,
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Girls experience menarche at different ages. Having menarche occur between the ages of 9–14 in the West is considered normal. Canadian psychological researcher Niva Piran claims that menarche or the perceived average age of puberty is used in many cultures to separate girls from activity with boys,
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Fewer than 10% of U.S. girls start to menstruate before 11 years of age, and 90% of all U.S. girls are menstruating by 13.8 years of age, with a median age of 12.4 years. This age at menarche is not much different (0.3 years earlier) than that reported for U.S. girls in 1973. Age at menarche for
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on timing of puberty, especially female. Stress is a vague term and studies have examined conditions ranging from family tensions or conflict to wartime refugee status with threat to physical survival. The more dire social conditions have been found to be associated with delay of maturation, an
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experiences her first period as she showers after the school gym class. Unaware of what is happening to her, she panics and pleads for help, but the other girls respond by bullying her. Carrie's first period unleashes her violent powers and is central to her dangerous and out of control
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Despite the small magnitude of effect, interpretations of the data are politically controversial because of the ease with which this type of research can be used for political advocacy. Accusations of bias based on political agenda sometimes accompany scientific
860:, which would delay her menarche until after the end of the pregnancy. This goes against the widely held assumption that a woman cannot become pregnant until after menarche. A young age at menarche is not correlated with a young age at first sexual intercourse. 808:, consists of a combination of fresh and clotted blood with endometrial tissue. The initial flow of menarche is usually brighter than mature menstrual flow. It is often scanty in amount and may be very brief, even a single instance of "spotting". Like other 1372:(kinn-all-duh). Girls are expected to demonstrate their strength through footraces. The girls make a cornmeal pudding for the tribe to taste. The girls who experience menarche wear special clothes and style their hair like the Navajo goddess " 664:
ethnicity and other characteristics, and occurs mostly during a span of ages from 8 to 16, with a small percentage of girls having menarche by age 10, and the vast majority having it by the time they were 14. There is a later age of onset in
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populations compared to the West, but it too is changing with time. For example a Korean study in 2011 showed an overall average age of 12.7, with around 20% before age 12, and more than 90% by age 14. A Chinese study from 2014 published in
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surveys. Statistical associations are not necessarily causal, and a variety of secondary variables and alternative explanations can be possibly intervening. Effects of such small size can never be confirmed or refuted for any individual
1425:(2022), although the film also explores other aspects of puberty as a whole and the protagonist does not actually start her first period. Girls experiencing their first period is part of many movies, particularly ones that include 1148:
non-Hispanic black girls was significantly earlier than that of white girls at 10%, 25%, and 50% of those who had attained menarche, whereas non-white Mexican American girls were only slightly earlier than the white girls at 25%.
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effect that may be compounded by dietary inadequacy. There is more uncertainty and mixed evidence as to whether milder degrees of stress or early-life under-nutrition can accelerate puberty in girls as would be predicted by
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No specific hormonal signal for menarche is known; menarche as a discrete event is thought to be the relatively chance result of the gradual thickening of the endometrium induced by rising but fluctuating pubertal estrogen.
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to which she confines herself for the remainder of her menses. The hut is burned and she is bathed in the river at the end of menstruation. When she returns to the village, she is paired with a man who will be her husband.
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Studies have been conducted to observe the association of the timing of menarche with various conditions and diseases. Some studies have shown that there may be an association between early or late-age menarche and
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Belsky J, Steinberg L, Houts RM, Halpern-Felsher BL (January 2010). "The development of reproductive strategy in females: early maternal harshness --> earlier menarche --> increased sexual risk taking".
1334:. The Beta Jews built their villages surrounding and near bodies of water specifically for their women to have a place to clean themselves. The menstruation huts were built close to these bodies of water. 1074:. While correlation can be objectively measured, causation is statistically inferred. Some suggest that childhood stress is caused by precocious puberty recognized later, rather than being the cause of it. 1314:
is contacted to study the alignment of stars when the girl experiences menarche because it is believed that her future can be predicted. The women of the family then gather in her home and scrub her in a
1303:, where the women bathe her and recite spells. She will have to return to the menstruation hut every time she menstruates. Her parents build her a private hut that she will live in until she is married. 545: 2975:
Anderson SE, Dallal GE, Must A (April 2003). "Relative weight and race influence average age at menarche: results from two nationally representative surveys of US girls studied 25 years apart".
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Luijken J, van der Schouw YT, Mensink D, Onland-Moret NC (October 2017). "Association between age at menarche and cardiovascular disease: A systematic review on risk and potential mechanisms".
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showed similar results (overall average of age 12.8 in 2005 down to age 12.3 in 2014) and a similar trend in time, but also similar findings about ethnic, cultural, and environmental effects.
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women were separated from male society and sent to menstruation huts during menarche and every menstruation following as the blood associated with menstruation in the Beta Jewish culture was
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and timing of menarche; a meta-analysis and systematic review has determined that more studies must be conducted to make any definitive conclusions about this association.
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Atay Z, Turan S, Guran T, Furman A, Bereket A (July 2011). "Puberty and influencing factors in schoolgirls living in Istanbul: end of the secular trend?".
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The statistics are dispersed throughout the chapters specific to different countries around the globe, summarized and cited in several scientific papers.
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Zhang Z, Hu X, Yang C, Chen X (March 2019). "Early age at menarche is associated with insulin resistance: a systemic review and meta-analysis".
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Exploring the Meaning of Becoming a Woman in Non-Western Culture: A narrative Analysis of First Menstruation Stories of Ethiopian Jewish Women
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Chumlea WC, Schubert CM, Roche AF, Kulin HE, Lee PA, Himes JH, Sun SS (January 2003). "Age at menarche and racial comparisons in US girls".
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When menarche has failed to occur for more than three years after thelarche, or beyond 16 years of age, the delay is referred to as
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must be investigated and excluded. Growth is usually normal. Isolated premature menarche is rarely the first manifestation of
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In some cultures, a party, or celebration is thrown to show the girl's transition to womanhood. This party is similar to the
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treat a girl to "love magic". She is taught the ways of womanhood by the other women in her tribe. Her mother builds her a
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was the tradition of an ancient custom. The celebration was kept a secret from extended family until the rice was served.
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The understanding of these environmental effects is incomplete and the following observations and cautions are relevant:
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Lei, Yuanting; Luo, Dongmei; Yan, Xiaojin; Zhang, Jingshu; Hu, Peijin; Ma, Jun; Song, Yi; Lau, Patrick W. C. (2021).
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are not related. All the rice of ancient times of Japan was red. Since rice was precious in ancient Japan (usually,
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Some of the aspects of family structure and function reported to be independently associated with earlier menarche
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Girlwonder: Every Girl's Guide to the Fantastic Feats, Cool Qualities, and Remarkable Abilities of Women and Girls.
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Apter D (February 1980). "Serum steroids and pituitary hormones in female puberty: a partly longitudinal study".
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transformation. This theme is common to horror movies, another notable example being the Canadian horror movie
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Fluctuations of hormone levels can result in changes of adequacy of blood supply to parts of the endometrium.
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Marino JL, Skinner SR, Doherty DA, Rosenthal SL, Cooper Robbins SC, Cannon J, Hickey M (December 2013).
1437: 1380: 1141:(BMI) can be expected to result in a 6.5% higher absolute risk of early menarche (before age 12 years). 421: 2420:
Wei C, Crowne EC (May 2016). "Recent advances in the understanding and management of delayed puberty".
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Bobel, C.; Winkler, I. T.; Fahs, B.; Hasson, K. A.; Kissling, E. A.; Roberts, T. A.; Piran, N. (2020).
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ceremony. Her family then throws a familial party at which the girl wears white and may receive gifts.
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Mechanisms of these social effects are unknown, though a variety of physiological processes, including
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are not always discriminatory, underlying pathologies are not identified and the girl is classified as
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On the other hand, not every girl follows the typical pattern, and some girls ovulate before the first
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Tersigni C, Castellani R, de Waure C, Fattorossi A, De Spirito M, Gasbarrini A, et al. (2014).
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Leffler DA, Green PH, Fasano A (October 2015). "Extraintestinal manifestations of coeliac disease".
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extent now, menstruation was a private matter and a girl's menarche was not a community phenomenon.
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Levy J, Bernstein L, Silber N (December 2014). "Celiac disease: an immune dysregulation syndrome".
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Upon menarche and completion of the ritual, they have become a woman as defined by their culture.
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Death of some of the endometrial tissue from these hormone or blood supply fluctuations leads to
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into the abdomen of their girls during menarche. The lines are supposed to represent fertility.
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had her first period, the family sometimes celebrated by eating red-colored rice and beans
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in Latin America, except that a specific age marks the transition rather than menarche. In
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Certain systemic or chronic illness can delay menarche, such as undiagnosed and untreated
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Secular trend in decrease in age of menarche in Western European and North American girls
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Please help update this article to reflect recent events or newly available information.
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Gluckman PD, Hanson MA (January 2006). "Evolution, development and timing of puberty".
3038: 3011: 2886: 2864: 2839: 2779: 2754: 2715: 2689:"Association between Obesity and Puberty Timing: A Systematic Review and Meta-Analysis" 2688: 2120: 1888: 1861: 1790: 1763: 1739: 1704: 1461: 1449: 1401: 1316: 1204: 1193: 1001: 960: 932: 813: 768: 683: 306: 3449: 2236: 137: 4469: 4385: 4080: 4030: 3853: 3848: 3833: 3748: 3698: 3602: 2511: 2433: 1999: 1846: 1689: 1637: 1426: 1363: 1351: 1331: 1275: 1271: 1235: 964: 704: 51: 3413: 2930:
Amundsen Darrel; Dreis Carol Jean (1973). "The Age of Menarche in Medieval Europe".
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In very rare instances, menarche may occur at an unusually early age, preceding
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Lee, Mee-Hwa; Kim, Shin Hye; Oh, Minkyung; Lee, Kuk-Wha; Park, Mi-Jung (2016).
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greatly: eighteen months to six years in girls and two to five years in boys.
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Morris DH, Jones ME, Schoemaker MJ, Ashworth A, Swerdlow AJ (November 2010).
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Traggiai C, Stanhope R (February 2003). "Disorders of pubertal development".
2014: 1878: 1730: 4380: 4370: 4347: 4294: 4191: 4181: 4092: 4065: 4053: 4015: 3883: 3569: 3543: 2387: 2370: 2301: 1721: 1651: 1553: 1535:, who had her menarche at age 8 months and is the youngest mother in history 1516: 1501: 1307: 1255: 1242: 1053: 896: 857: 825: 746: 660: 637: 383: 358: 3405: 3146: 3138: 3096:
Steinberg, Laurence (2000). "Adolescence". In Strickland, Bonnie B. (ed.).
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condition. There is conflicting evidence regarding the association between
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Mumby HS, Elks CE, Li S, Sharp SJ, Khaw KT, Luben RN, et al. (2011).
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Thomas, F.; Renaud, F.; Benefice, E.; De Meeüs, T.; Guegan, J. F. (2001).
1419:. The theme of transformation around the menarche is similarly present in 755:
Over an interval of about 2 to 3 years, estrogen stimulates growth of the
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if you can. Unsourced or poorly sourced material may be challenged and
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Frisch RE (August 1987). "Body fat, menarche, fitness and fertility".
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communities, young women are given a special menarche ceremony called
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and do not remove this message until the contradictions are resolved.
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Best Practice & Research. Clinical Obstetrics & Gynaecology
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has occurred. In postmenarchal girls, about 80% of the cycles were
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When menarche occurs, it confirms that the girl has had a gradual
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International Journal of Environmental Research and Public Health
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Guandalini S, Assiri A (March 2014). "Celiac disease: a review".
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Most of these "effects" are statistical associations revealed by
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American Indian religious traditions: an encyclopedia, Volume 2
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The Modern Period: Menstruation in Twentieth Century America
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Early onset puberty causes emotional issues at preschool age
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Li W, Liu Q, Deng X, Chen Y, Liu S, Story M (October 2017).
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Kapil U, Bhadoria AS, Sareen N, Singh P, Dwivedi SN (2014).
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Mearin ML (June 2015). "The prevention of coeliac disease".
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Al-Sahab B, Ardern CI, Hamadeh MJ, Tamim H (November 2010).
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For mothers supporting their daughters as they come of age
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School-age Pregnancy and Parenthood: Biosocial Dimensions
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Current Problems in Pediatric and Adolescent Health Care
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term for this state of potential fertility is nubility.
3163:. New York: Aldine De Gruyter. 1986. pp. 273–275. 2465:
Best Practice & Research. Clinical Gastroenterology
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The Palgrave Handbook of Critical Menstruation Studies
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was eaten), it was eaten only during the celebration.
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Other research has focused on the effect of childhood
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The average age of menarche was about 12.7 years in
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Gale Group. p. 528. 1007:Having experienced pre-eclampsia in the womb 3100:(Second ed.). Gale Group. p. 11. 1703:Karapanou O, Papadimitriou A (2010-09-30). 1338:Rituals of transformation and scarification 899:and other signs of puberty. This is termed 824:In most girls, menarche does not mean that 703:Menarche is the culmination of a series of 60:Learn how and when to remove these messages 3972: 3958: 3950: 3582: 3511: 3497: 3489: 2074:Lacroix AE, Gondal H, Langaker MD (2021). 833:Continuing ovulation typically requires a 719:(typically around 17% of total body mass). 546: 532: 231: 3037: 3027: 2863: 2778: 2714: 2704: 2585: 2396: 2386: 2178: 1887: 1877: 1789: 1779: 1738: 1720: 220:Learn how and when to remove this message 3246:Census of India, 1971: A. General report 1088: 1045:and demonstrated in many other mammals. 992:Effects of stress and social environment 644:and to begin transition into womanhood. 3484:Discusses some of the social influences 2261:Umławska W, Krzyzanowska M (2009). "". 1920:(2nd ed.). Blackwell. p. 29. 1544: 951:, among others. In some cases, because 454: 401: 345: 261: 243: 3386:Trends in Endocrinology and Metabolism 2910:Essentials of biological anthropology. 2241:Precocious Puberty (Complete, Partial) 1709:Reproductive Biology and Endocrinology 4343:Hypothalamic–pituitary–prolactin axis 3349:"A Brief History of Onscreen Periods" 2053:10.1093/oxfordjournals.humrep.a136582 2034: 2032: 1633: 1631: 7: 2958:"Average age of Menarche in History" 1638:US National Health Statistics Report 1283:Rituals of cleansing or purification 1215:. The color of blood and the red of 1072:Correlation does not imply causation 16:Female human's first menstrual cycle 4338:Hypothalamic–pituitary–gonadal axis 3098:The Gale Encyclopedia of Psychology 3064:The Gale Encyclopedia of Psychology 636:, as it signals the possibility of 3361:from the original on April 1, 2021 2121:10.1111/j.1365-2265.1980.tb02125.x 2007:National Health Statistics Reports 1173:for a girl experiencing menarche. 1144:This is called the secular trend. 1098:appears to contradict the article 1022:High-conflict family relationships 14: 3213:Information Please Girls' Almanac 2235:R. Stanhope; C. Traggiai (2006). 812:, menarche may be accompanied by 41:This article has multiple issues. 3347:Charisma, Tina (April 1, 2021). 2512:10.1001/jamapediatrics.2013.3858 2434:10.1136/archdischild-2014-307963 2422:Archives of Disease in Childhood 1911:Hamilton-Fairley, Diana (2004). 1087: 620: 'beginning') is the first 563: 513: 253: 178: 163: 71: 30: 3803:Premenstrual dysphoric disorder 3187:Boston: Houghton Mifflin, 2003. 2623:10.1016/j.maturitas.2017.07.009 852:shortly before her menarche to 49:or discuss these issues on the 1079:Changes in time of average age 892:have an identical experience. 99:add the appropriate references 1: 4506:Human female endocrine system 3450:10.1016/S1090-5138(03)00039-4 3216:. Houghton Mifflin Harcourt. 2658:10.1080/00325481.2019.1559429 1397:(1976), an adaptation of the 1274:, some public schools have a 1164:Seclusion of girls at puberty 1032:Lack of exercise in childhood 971:Conditions and disease states 3824:Menstrual hygiene management 3775:Premenstrual water retention 3749:Polymenorrhea (epimenorrhea) 3714:Menorrhagia (hypermenorrhea) 3430:Evolution and Human Behavior 3266:Crawford O'Brien SJ (2005). 2547:10.1016/j.cppeds.2014.10.002 1998:Martinez, Gladys M. (2020). 1664:10.1007/978-981-15-0614-7_18 1019:Previous exposure to smoking 457:Developmental stage theories 318:Emerging and early adulthood 2912:Prentice Hall, New Jersey, 957:constitutional growth delay 901:isolated premature menarche 778:, the lining of the uterus. 759:(as well as height growth, 715:Attainment of a sufficient 84:reliable medical references 4522: 4328:Reproductive endocrinology 1914:Obstetrics and Gynaecology 1705:"Determinants of menarche" 1366:have a celebration called 1246:their new womanly status. 1161: 1155: 1016:Not having been breast-fed 707:and anatomic processes of 613: 'month' and 403:Development and psychology 18: 4396:Human reproductive system 3719:Metropathia haemorrhagica 3629:Billings Ovulation Method 3398:10.1016/j.tem.2005.11.006 2759:British Journal of Cancer 2477:10.1016/j.bpg.2015.04.003 2375:Human Reproduction Update 2340:10.1038/nrgastro.2015.131 2243:. Armenian Health Network 1781:10.1186/s12978-016-0240-y 1611:10.1007/978-1-4899-8026-7 1456:Return to the Blue Lagoon 767:, and increased regional 682:in 2001, and 12.9 in the 187:This article needs to be 90:or relies too heavily on 3934:Sustainable menstruation 3914:Menstruation celebration 2856:10.2217/17455057.5.2.175 2805:Developmental Psychology 2587:10.4103/0019-509X.175345 2574:Indian Journal of Cancer 2215:www.medicalnewstoday.com 1879:10.1186/1471-2458-10-736 1158:Culture and menstruation 1000:Being non-white (in the 941:diabetes mellitus type 1 763:growth, widening of the 482:Psychosexual development 19:Not to be confused with 3876:In culture and religion 3299:Freidenfelds L (2009). 3243:Chockalingam K (1973). 2896:April 16, 2013, at the 2302:10.1053/ybeog.2003.0360 1722:10.1186/1477-7827-8-115 1295:call a girl's menarche 1025:Increased incidence of 872:-induced growth of the 726:pulse generator in the 4418:Diseases and disorders 4227:Sexual differentiation 3704:Irregular menstruation 3661:Lactational amenorrhea 3624:Calendar-based methods 3593:Basal body temperature 3139:10.1542/peds.111.1.110 2989:10.1542/peds.111.4.844 2771:10.1038/sj.bjc.6605978 2706:10.3390/ijerph14101266 2171:10.1542/peds.2012-3634 2109:Clinical Endocrinology 2076:"Physiology, Menarche" 1969:10.1542/peds.2010-2267 1402:novel of the same name 1189: 1177:Celebratory ceremonies 1133: 1105:Please discuss at the 978:cardiovascular disease 903:, but other causes of 722:Disinhibition of the 686:. A study of girls in 4476:Developmental biology 4450:Premature ejaculation 4445:Hard flaccid syndrome 4115:Human sexual activity 3904:Menstrual suppression 3866:Menstrual Hygiene Day 3798:Premenstrual syndrome 2908:Boaz, N.T. (1999): . 2646:Postgraduate Medicine 2388:10.1093/humupd/dmu007 1570:10.1353/hub.2001.0029 1438:The Company of Wolves 1332:believed to be impure 1184: 1129: 949:inflammatory diseases 820:Relation to fertility 657:environmental factors 520:Psychology portal 422:Nature versus nurture 346:Biological milestones 4481:Developmental stages 4440:Erectile dysfunction 1658:. pp. 201–214. 1444:An Angel at My Table 1429:plot lines, such as 1391:In the horror movie 837:of at least 22%. An 374:Language acquisition 4219:reproductive system 4207:Vaginal lubrication 3985:sexual reproduction 3839:Cloth menstrual pad 3808:Menstrual psychosis 3770:Menstrual synchrony 3619:Fertility awareness 3442:2003EHumB..24..376Q 3029:10.1155/2011/180729 2237:"Isolated Menarche" 1768:Reproductive Health 1358:Rituals of strength 1250:Rituals of learning 1043:life history theory 835:body fat percentage 717:body fat percentage 497:Cultural-historical 4217:Development of the 4128:Sexual intercourse 3421:Quinlan R (2003). 3016:Journal of Obesity 2983:(4 Pt 1): 844–50. 2041:Human Reproduction 1468:A Walk on the Moon 1190: 1134: 1132:After: Boaz (1999) 982:insulin resistance 916:primary amenorrhea 909:precocious puberty 850:sexual intercourse 814:abdominal cramping 626:menstrual bleeding 412:Pre- and perinatal 4501:Sexuality and age 4463: 4462: 4232:Sexual dimorphism 4197:Postpartum period 3947: 3946: 3642: 3641: 3527:Events and phases 3210:Siegel A (1995). 3170:978-0-202-30321-5 3074:978-0-7876-4786-5 1927:978-1-4051-2066-1 1866:BMC Public Health 1831:10.1111/apa.15441 1673:978-981-15-0613-0 1620:978-1-4899-8025-0 1124: 1123: 1027:childhood obesity 953:biochemical tests 876:, especially the 556: 555: 230: 229: 222: 212: 211: 172: 171: 148: 64: 4513: 4202:Mechanics of sex 4011:Follicular phase 3981:Human physiology 3974: 3967: 3960: 3951: 3919:Menstruation hut 3899:Menstrual stigma 3859:Period underwear 3829:Feminine hygiene 3765:Folliculogenesis 3709:Menometrorrhagia 3583: 3539:Follicular phase 3513: 3506: 3499: 3490: 3467: 3465: 3464: 3458: 3452:. Archived from 3427: 3417: 3371: 3370: 3368: 3366: 3344: 3338: 3337: 3329: 3323: 3322: 3320: 3319: 3296: 3290: 3289: 3287: 3286: 3263: 3257: 3256: 3254: 3253: 3240: 3234: 3233: 3231: 3230: 3207: 3188: 3183:Hartman, Holly. 3181: 3175: 3174: 3157: 3151: 3150: 3122: 3116: 3115: 3093: 3087: 3086: 3058: 3052: 3051: 3041: 3031: 3007: 3001: 3000: 2972: 2966: 2965: 2954: 2948: 2947: 2927: 2921: 2906: 2900: 2889:, 3 April 2013. 2884: 2878: 2877: 2867: 2835: 2829: 2828: 2817:10.1037/a0015549 2799: 2793: 2792: 2782: 2750: 2729: 2728: 2718: 2708: 2684: 2678: 2677: 2641: 2635: 2634: 2606: 2600: 2599: 2589: 2565: 2559: 2558: 2530: 2524: 2523: 2495: 2489: 2488: 2460: 2454: 2453: 2417: 2411: 2410: 2400: 2390: 2366: 2360: 2359: 2323: 2314: 2313: 2285: 2279: 2278: 2258: 2252: 2251: 2249: 2248: 2232: 2226: 2225: 2223: 2222: 2207: 2201: 2200: 2182: 2156: 2147: 2141: 2140: 2104: 2098: 2097: 2095: 2094: 2071: 2065: 2064: 2036: 2027: 2026: 2004: 1995: 1989: 1988: 1952: 1946: 1945: 1943: 1942: 1936: 1930:. Archived from 1919: 1908: 1902: 1901: 1891: 1881: 1857: 1851: 1850: 1819:Acta Paediatrica 1810: 1804: 1803: 1793: 1783: 1759: 1753: 1752: 1742: 1724: 1700: 1694: 1693: 1647: 1641: 1640:, September 2020 1635: 1626: 1624: 1596: 1590: 1589: 1549: 1299:. She goes to a 1264:menstruation hut 1119: 1116: 1110: 1091: 1090: 1083: 905:vaginal bleeding 672:Acta Paediatrica 598: 592: 591: 588: 587: 584: 581: 578: 575: 572: 569: 548: 541: 534: 518: 517: 516: 417:Infant and child 257: 232: 225: 218: 207: 204: 198: 182: 181: 174: 167: 166: 158: 155: 149: 147: 106: 75: 74: 67: 56: 34: 33: 26: 4521: 4520: 4516: 4515: 4514: 4512: 4511: 4510: 4486:Menstrual cycle 4466: 4465: 4464: 4459: 4413: 4390: 4357: 4330:and infertility 4329: 4322: 4299: 4218: 4211: 4109: 4039:Spermatogenesis 4025: 3993:Menstrual cycle 3987: 3978: 3948: 3943: 3909:Menstrual taboo 3894:Menstrual leave 3870: 3812: 3784: 3780:Sexual activity 3753: 3744:Polymenorrhagia 3729:Oligoamenorrhea 3689:Cryptomenorrhea 3665: 3638: 3634:Creighton Model 3607: 3574: 3553: 3522: 3520:Menstrual cycle 3517: 3475: 3470: 3462: 3460: 3456: 3425: 3420: 3383: 3379: 3377:Further reading 3374: 3364: 3362: 3346: 3345: 3341: 3331: 3330: 3326: 3317: 3315: 3313: 3298: 3297: 3293: 3284: 3282: 3280: 3265: 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1542: 1528:Delayed puberty 1483: 1432:The Blue Lagoon 1389: 1360: 1340: 1301:menstrual house 1285: 1252: 1179: 1166: 1160: 1154: 1139:body-mass index 1131: 1120: 1114: 1111: 1104: 1092: 1081: 1013:Low birthweight 994: 973: 945:cystic fibrosis 929: 927:Chronic illness 924: 866: 839:anthropological 822: 745:in response to 728:arcuate nucleus 701: 696: 622:menstrual cycle 596: 566: 562: 552: 514: 512: 459: 314: 298: 287: 247:and development 246: 226: 215: 214: 213: 208: 202: 199: 196: 183: 179: 168: 164: 159: 153: 150: 107: 96: 92:primary sources 76: 72: 35: 31: 24: 17: 12: 11: 5: 4519: 4517: 4509: 4508: 4503: 4498: 4493: 4488: 4483: 4478: 4468: 4467: 4461: 4460: 4458: 4457: 4452: 4447: 4442: 4437: 4432: 4427: 4421: 4419: 4415: 4414: 4412: 4411: 4406: 4400: 4398: 4392: 4391: 4389: 4388: 4383: 4378: 4373: 4367: 4365: 4359: 4358: 4356: 4355: 4350: 4345: 4340: 4334: 4332: 4324: 4323: 4321: 4320: 4315: 4309: 4307: 4301: 4300: 4298: 4297: 4292: 4283: 4282: 4281: 4276: 4271: 4266: 4261: 4256: 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3644: 3643: 3640: 3639: 3637: 3636: 3631: 3626: 3621: 3615: 3613: 3609: 3608: 3606: 3605: 3600: 3598:Cervical mucus 3595: 3589: 3587: 3580: 3576: 3575: 3573: 3572: 3567: 3561: 3559: 3555: 3554: 3552: 3551: 3546: 3541: 3536: 3530: 3528: 3524: 3523: 3518: 3516: 3515: 3508: 3501: 3493: 3487: 3486: 3481: 3474: 3473:External links 3471: 3469: 3468: 3418: 3380: 3378: 3375: 3373: 3372: 3339: 3332:Tal I (2004). 3324: 3312:978-0801892455 3311: 3291: 3278: 3258: 3235: 3223:978-0395694589 3222: 3189: 3176: 3169: 3152: 3117: 3106: 3088: 3073: 3053: 3002: 2967: 2949: 2922: 2901: 2887:The Australian 2879: 2850:(2): 175–190. 2844:Women's Health 2830: 2794: 2730: 2679: 2636: 2601: 2560: 2541:(11): 324–27. 2525: 2490: 2471:(3): 493–501. 2455: 2412: 2361: 2334:(10): 561–71. 2315: 2280: 2253: 2227: 2202: 2165:(6): 1028–36. 2142: 2099: 2066: 2028: 1990: 1947: 1926: 1903: 1852: 1825:(2): 549–555. 1805: 1754: 1695: 1672: 1642: 1627: 1619: 1591: 1564:(2): 271–290. 1543: 1541: 1538: 1537: 1536: 1530: 1525: 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3699:Hypomenorrhea 3697: 3695: 3692: 3690: 3687: 3685: 3682: 3680: 3677: 3676: 3674: 3672: 3668: 3662: 3659: 3657: 3654: 3653: 3651: 3649: 3645: 3635: 3632: 3630: 3627: 3625: 3622: 3620: 3617: 3616: 3614: 3610: 3604: 3603:Mittelschmerz 3601: 3599: 3596: 3594: 3591: 3590: 3588: 3584: 3581: 3577: 3571: 3568: 3566: 3563: 3562: 3560: 3556: 3550: 3547: 3545: 3542: 3540: 3537: 3535: 3532: 3531: 3529: 3525: 3521: 3514: 3509: 3507: 3502: 3500: 3495: 3494: 3491: 3485: 3482: 3480: 3477: 3476: 3472: 3459:on 2017-08-09 3455: 3451: 3447: 3443: 3439: 3436:(6): 376–90. 3435: 3431: 3424: 3419: 3415: 3411: 3407: 3403: 3399: 3395: 3391: 3387: 3382: 3381: 3376: 3360: 3356: 3355: 3350: 3343: 3340: 3336:. p. 64. 3335: 3328: 3325: 3314: 3308: 3305:. 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