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Table 4 Definition of irregular menstrual cycles in adolescents according to time post menarche

From: Adolescent polycystic ovary syndrome according to the international evidence-based guideline

Time post menarche

Definition of irregular menstrual cycles

Less than 1 year post menarche

Irregular menstrual cycles are normal pubertal transition

> 1 to < 3 years post menarche

< 21 or > 45 days

> 3 years post menarche

< 21 or > 35 days or < 8 cycles per year

More than 1 year post menarche

> 90 days for any one cycle

 

Primary amenorrhoea by age 15 years or > 3 years post thelarche (breast development)