No matter how many times we hear the words, "not what you have is what you do with it that counts" is not it? We all want to know where we stand on the issue of size.

But suppose I say that some men are born with a condition known as micro-penis, which have almost no penis. How do you respond to that?

Well, what about the memory of John Holmes, the porn star of the 70s that had a reputation of having an erect penis 30 inches?

I mention this because in a sense the irony of our concern with the size we are very attached to what we have given our genes. Perhaps, then, all our efforts should turn to be happy with what we have rather than constantly looking for something to verify our position in competition on the size. But I know it is not easy. In a society where somehow assume that the maximum symbol of masculinity is the penis, it follows that the bigger your penis, the more masculine you are. But I wonder if many women are aware that the size of the penis of a man has any bearing on how much love, love, or want your man to be around her. (The answer is no, in case you’re wondering. The woman wants a man – among many other things, values such as loyalty and honesty – intimacy, support, understanding and love. These are not, as I know qualities of a penis is flaccid or erect.)

No, the fact is that this issue is a matter of the size of males. And I think that is a subject matter far too much of our time. But I know that is an issue for many men, and suggest that we have a responsibility to ourselves to focus on personal development, so as not to depend more on things like the size of our dick in our sense of self-esteem, will not do that ceases to be a problem.

Statistics and surveys

Honestly, the research I have done about it. First, the largest of all – no, the largest survey, I mean: the Definitive Penis Size Sixth Edition, no less, driven by the Internet, with results scientifically analyzed more than 3100 men and teenage boys. Are you ready for this?

The average erect length, measured along above the tip of the penis to the abdomen, was 16.3 cm with a standard deviation of 3 cm.

The average circumference at its widest point, irrespective of whether he was the head, trunk or base of the penis was 12.7 cm. with a standard deviation of 2.5 cm.

Definitely there is little or no correlation between the size of the flaccid penis and its ability to assume a "normal" size while erect. The study shows that a penis that is smaller than 7.5 centimeters long while flaccid size increases by an average of 260% to become erect, as one of more than 7.5 cm. long flaccid only be increased by a 165% size. What this means in practice is that most of the male penis measure between 13 and 15.5 cm. be upright.

This fits well with data from a survey of manufacturers of condoms whose results were basically the same. In addition, this study reports that the widest part of the penis was the coronal ridge of the glans for about 42% of men somewhere in the trunk for 27% of men, and around the base to 12%. The rest answered that question – 14% – said that his cock was the same diameter throughout its length.

Now, do you feel better or worse?

The most interesting results are those that show how many men fall into each size category, here are the results of a study in the United States with college boys, where you’ll find the following results for the length of the erect male member (with the foreskin retracted uncircumcised men):

* The circumference was measured midway along the trunk! Results of our own survey on the size of the penis!

There are many surveys that asked the subjects about the size of their penises – and so did it! – But there is little to determine how we feel with our members, and what we do with them. That is where this survey was different. Anyway, guess what? The average length of an erect penis ranges to 15 inches or less. But unless the penises are shrinking, the average is less than what we have been led to believe. ¿Happy now? It must be!

A question of perspective

The trouble is that every man sees his own penis in a foreshortened view. The angle at which you look down inevitably makes your penis seem shorter than it is.

But when you glance at another man’s organ, there’s no such foreshortening effect, so very often it’ll look as though the other guy is slightly better endowed.

A lifetime of comparison of this sort (and virtually every male does a quick mental check on each naked man he sees) can easily make you feel a bit inadequate. But it’s important to realise the facts about penis length.

Have not included all the raw data, but here are the most important (about the size):
The age and size
Children destined to have a small penis, must discover or realize at some point in their teenage years, they will not have something bigger. I guess that happens later rather than early, because hope is eternal … But you know how, as a teenager, if you’re going to be one of the men with little in the world? Well, I really do not know until as late as 17 years, I think that is when the penis growth has finally ended, although I imagine that most kids have a sense of how changes in their bodies compared with the changes in the bodies of others. So what value can have a table of average penis size vs. age? Well, not much for guys who are worried about how to measure. But it may reassure some individuals who are following a path of development towards the average penis size 15 or something.

Differences between breeds
The ethnographic record has numerous anatomical distinctions …
These include:
- The location of the female genital organs (the eastern front and high, black and back down);
- Angle and texture of erection (the Orientals parallel to body and hard black at right angles to the body and flexible); ….
- Muscle (the eastern threshold, the maximum black);
- And size of the genitals (the Orientals smallest, blacks largest). Averaged the ethnographic data on erect penis and found that the averages were approximately:

- East, 10 to 14 centimeters long and 3 cm. in diameter.

- Caucasian, 14 to 15.2 cm. long and 3.8 cm. in diameter.

- Black, 16 to 20 cm. long and 5 cm. in diameter.

Women were proportionate to men, with the East having smaller vaginas and black bigger compared to the Caucasian.
The size clitoridiano differed in length: in European women, 3 cm. In African women, 5 cm.

Variations were noted in the French West Indies, the size of the penis and the vagina varied with the amount of mixing black [genetic mixing]: Arab men who often have had mixed with the black penises bigger than Europeans.

Conclusions
Well, what I said? The Internet has many messages begging for help and information for men and teenage boys obsessed with penises have to assume that abnormal: too long, too short, or incorrect size, or whatever.
But the real problems can be much less frequent than you’d think by reading all these messages. When you have a medical problem that might be the cause, you are probably looking at a penis that is approximately less than 10 cm. standard length erect. But suppose that some genetic or physiological problem caused by the development of a small penis. Once a man has reached maturity, there is no medical treatment that alters the size of their penis, including the treatment of testosterone, although clearly this may be useful in another sense if testosterone is low – see page for Andropause details.

Also, the studies clearly establish that there is no clear correlation between the flaccid and erect sizes – if you have a little flaccid, the question to you is how big is when you are erect? Somewhat longer than 10 cm. has to be considered normal, at least with respect to what is often found in the population generally.

A key finding in the data of Kinsey is that half of all men have an erect penis of about 15.2 cm. or less. The Definitive Survey reports that this divisor is 16 cm. which is more or less the same. And when you reach 17 cm., You have covered sixty percent of men.

Like everything else in the human body, the penis is a very variable. Perhaps the best advice is try and remember the truth that you are a human being complete, and is the whole package that attracts others to you, not only their strength and sexual ability

Most girls notice a yellow or white stain on their underwear after they go through puberty. This is a normal fluid that helps clean and moisten your vagina. You are completely healthy and normal if your discharge is cloudy white has no odor or has a slightly salty odor, increases in amount and becomes "stringy" (like egg whites) during the middle of your menstrual cycle when you are ovulating.

If you find that your normal discharge is annoying, you can wear panty liners/shields on your underwear. Also, to keep your vaginal discharge under control, make sure you wear cotton underwear (which absorbs moisture and lets air circulate). Take daily showers or baths and make sure that you wash outside your vaginal area every day with mild soap, and then rinse and dry yourself. Don’t use deodorized panty liners or deodorant sprays in your vaginal area.

If your discharge changes, it may be a sign that you have a vaginal infection and you need to see your health care provider.

A vaginal infection is known medically as "vaginitis." The 3 most common causes of vaginal infections are yeast infections, bacterial vaginosis, and trichomoniasis. Vaginal discharge may also occur if you have an infection in your cervix with gonorrhea or chlamydia. There are other causes of vaginal infections that are less common. Each type of vaginitis is caused by a different type of germ or organism, so each type must be treated differently.

If you have a vaginal infection, you may have any of the following:
Vaginal odor
Vaginal itching
Vaginal burning
Pain or irritation with urination or sexual intercourse
Discharge different from normal
However, some women may not have any symptoms. Some women may not even notice any of these symptoms if they aren’t too bad. A health care provider may notice signs of a vaginal infection, such as discharge or an odor, during a gynecologic examination and then may do a test of the vaginal fluid to see if an infection is present. It is important to have regular checkups with a health care provider so if you miss something about your health, he/she may discover it.

If you have any of the symptoms of a vaginal infection, you should see your health care provider right away. Each type of vaginal infection has different symptoms, so you may think you know what type of vaginal infection you have. However, you may confuse the symptoms since sometimes the outward symptoms (symptoms you are able to notice) of vaginal infections can appear the same. Sometimes you can have more than one type of vaginal infection at a time. It’s also a good idea to go your health care provider because you might have something more serious, like a sexually transmitted disease (STD). Only health care providers can find out if you definitely have a vaginal infection. You should be completely honest with your health care provider about what symptoms you have, such as odor, burning, or strange vaginal discharge, even if it is embarrassing. This way, your health care provider can make a correct diagnosis and prescribe the right treatment.

The composition of vaginal flora changes with age, stress, hormonal influence, general health status, and sexual activity. Vaginitis is a diagnosis based on the presence of symptoms of abnormal discharge, vulvovaginal discomfort, or both. Discharge flows from the vagina daily as the body’s way of maintaining a healthy environment. Normal discharge is usually clear or milky with no malodor. A change in the amount, color, or smell; irritation; or itching or burning could be due to an imbalance of healthy bacteria in the vagina, leading to vaginitis.
Children: In children, vaginitis usually involves infection with GI tract flora (nonspecific vulvovaginitis). A common contributing factor in girls aged 2 to 6 yr is poor perineal hygiene (eg, wiping from back to front after bowel movements; not washing hands after bowel movements; fingering, particularly in response to pruritus). Chemicals in bubble baths or soaps may cause inflammation. Foreign bodies (eg, tissue paper) may cause nonspecific vaginitis with a bloody discharge. Sometimes childhood vulvovaginitis is due to infection with a specific pathogen (eg, streptococci, staphylococci, Candida sp; occasionally, pinworm).

Women of reproductive age: In these women, vaginitis is usually infectious. The most common types are bacterial vaginosis (see Vaginitis and Pelvic Inflammatory Disease (PID): Bacterial Vaginosis), candidal vaginitis (see Vaginitis and Pelvic Inflammatory Disease (PID): Candidal Vaginitis), and trichomonal vaginitis (see Sexually Transmitted Diseases (STD): Trichomoniasis), which is sexually transmitted. Normally in women of reproductive age, Lactobacillus sp is the predominant constituent of normal vaginal flora. Colonization by these bacteria keeps vaginal pH in the normal range (3.8 to 4.2), thereby preventing overgrowth of pathogenic bacteria. Also, high estrogen levels maintain vaginal thickness, bolstering local defenses. Factors that predispose to overgrowth of bacterial vaginal pathogens may include the following:

An alkaline vaginal pH due to menstrual blood, semen, or a decrease in lactobacilli
Poor hygiene
Frequent douching
Postmenopausal women: Usually, a marked decrease in estrogen causes vaginal thinning, increasing vulnerability to infection and inflammation. Some treatments (eg, oophorectomy, pelvic radiation, certain chemotherapy drugs) also result in loss of estrogen. Decreased estrogen predisposes to atrophic vaginitis. Poor hygiene (eg, in patients who are incontinent or bedridden) can lead to chronic vulvar inflammation due to chemical irritation from urine or feces or due to nonspecific infection. Bacterial vaginosis, candidal vaginitis, and trichomonal vaginitis are uncommon among postmenopausal women but may occur in those with risk factors.

Women of all ages: At any age, conditions that predispose to vaginal or vulvar infection include fistulas between the intestine and genital tract, which allow intestinal flora to seed the genital tract, and pelvic radiation or tumors, which break down tissue and thus compromise normal host defenses. Noninfectious vulvitis accounts for up to 30% of vulvovaginitis cases. It may result from hypersensitivity or irritant reactions to hygiene sprays or perfumes, menstrual pads, laundry soaps, bleaches, fabric softeners, fabric dyes, synthetic fibers, bathwater additives, toilet tissue, or, occasionally, spermicides, vaginal lubricants or creams, latex condoms, vaginal contraceptive rings, or diaphragms.

Symptoms and Signs

Vaginitis causes vaginal discharge, which must be distinguished from normal discharge. Normal discharge is common when estrogen levels are high—eg, during the first 2 wk of life, because maternal estrogen are transferred before birth (slight bleeding often occurs when estrogen levels abruptly decrease), and during the few months before menarche, when estrogen production increases. Normal vaginal discharge is commonly milky white or mucoid, odorless, and nonirritating; it can result in vaginal wetness that dampens underwear. Discharge due to vaginitis is accompanied by pruritus, erythema, and sometimes burning, pain, or mild bleeding. Pruritus may interfere with sleep. Dysuria or dyspareunia may occur. In atrophic vaginitis, discharge is scant, dyspareunia is common, and vaginal tissue appears thin and dry. Although symptoms vary among particular types of vaginitis, there is much overlap
Adults and children must be questioned regarding specific aspects of the symptoms of vaginitis. Vaginal bleeding in prepubertal females is always abnormal and merits full investigation. Essential information to obtain during the history is the onset of symptoms, previous occurrence, associated abdominal pain, trauma, and urinary or bowel symptoms.

The most common etiologies in adults resulting in symptoms of vaginitis include Candida albicans, Trichomonas vaginalis, and bacterial vaginosis. Elicit symptoms with attention to these possible causes.
Candidiasis is a fungal infection common in women of childbearing age that results in pruritus, with a thick, white vaginal discharge. Patients often have a history of recurrent yeast infections or recent antibiotic treatment. Symptoms of candidiasis often begin just before menses. Precipitating factors include immunosuppression, diabetes mellitus, pregnancy, and hormone replacement therapy. Candidiasis is usually not contracted from a sexual partner. Seventy-five percent of all women have one episode of candidiasis in their lifetime. Recurrent episodes may indicate underlying immunodeficiency or diabetes.
Trichomoniasis is associated with risk factors for other sexually transmitted diseases (STDs); elicit a history of multiple sexual partners. The discharge is usually copious and frothy, resulting in local pain and irritation. Pruritus might be present. Symptoms often peak just after menses. Trichomonas vaginalis is the most common nonviral STD in the world. Infection during pregnancy has been associated with preterm deliveries and low birth weight infants.
Bacterial vaginosis is asymptomatic in up to 50% of women. If a discharge is present, it is typically a homogeneous grayish white or yellowish white. Bacterial vaginosis is common in pregnant women and is associated with preterm birth. Treating pregnant women that have a history of preterm birth with symptomatic bacterial vaginosis early in pregnancy has been shown to decrease the incidence of preterm birth.
In women with chronic vaginitis, atrophic vaginitis and hypoestrogenism must be considered. Elicit an accurate menstrual history.
Vulvovaginitis has multiple nonvenereal causes in prepubertal children; however, if a vaginal discharge suggests an STD, question all children (and/or their caretakers) regarding possible sexual abuse. Symptoms of vulvovaginitis in prepubertal girls generally include localized pain, dysuria, pruritus, erythema, and discharge.
Bacteria that can cause vulvovaginitis include streptococcal species (including group A streptococci), Escherichia coli, and Shigella sonnei. Symptoms (eg, pharyngitis, diarrhea) may result from infections in areas of the body other than the vagina. A Shigella infection may result in a bloody vaginal discharge without symptoms of diarrhea. A patient with group A streptococcal infection may present with itching or painful defecation. Purulent discharge may develop insidiously.
Viral infections may cause symptoms of vulvovaginitis. Elicit a history of recent viral infections, including varicella. Herpes simplex viruses (HSVs), particularly HSV-1 transmitted via autoinoculation from the oral mucosa, might be present; elicit a history of recurrent oral herpes or digital herpes in the caretaker of a child in diapers.
Consider helminthic infections (eg, Enterobius vermicularis infections) resulting in pruritus of the genital area. Ask about contact with pinworm-infected children, itching (particularly at night), and vaginal pain.
Ask questions to exclude the possibility of a foreign body in the vagina, chemical irritation (eg, recent bubble baths, washing hair with shampoo while bathing, douching, feminine hygiene sprays), latex, semen, mechanical irritation, and poor hygiene. Foreign bodies in the vagina result in a persistent, foul-smelling, serosanguineous discharge. Contact dermatitis from unusual exposures may occur; ask about this possibility and about bathing patterns.
Obtain a history of recent trauma to the vaginal area and a history of urination and defecation patterns and problems to exclude possible anatomic abnormalities (eg, rectovaginal fistula).
Lichen sclerosis et atrophicus may be seen in prepubertal children and in postmenopausal women. Symptoms of chronic fissures, pain, or pruritus are often present. Rectal fissures may lead to chronic constipation in children.
If candidal vulvovaginitis is considered (rare in healthy prepubertal girls), the history should include recent antibiotic use, possible diabetes mellitus, immunosuppression, and underlying skin disease. Ask about a family history of mucocutaneous candidiasis.
Trichomoniasis is rare in prepubertal children. Sexual abuse should be suspected if symptoms are present. Symptoms include a copious frothy discharge, local pain, irritation, and, occasionally, pruritus.

Physical
The physical examination of pubertal and adult women should include a complete pelvic examination. The Tanner stage of development should be noted. The examination for prepubertal girls should be performed as described in Pediatrics, Child Sexual Abuse

It would be an area that is noticeable to the touch rather high, with greater sensitivity erogenous and that this doctor related to the female ejaculation (a liquid that is not urine contains no sperm). When aroused, some women, at the moment of orgasm expel the fluid.

While some researchers describe female ejaculation (where I got to see movies showing this phenomenon) and Brazilian colleagues had a job at the World Congress of Sexology in Hong Kong (1999) where he spoke of other similar points (Point A), many remaining importance. Dr. Gräfenberg (the first letter of your last name is the name of point or point of Gräfenberg G) said that there was, in some women, the expulsion through the urethra, a clear liquid and transparent at the height of orgasm without lubricating function as it is issued in the final of the sexual act.

Promoted by readings related to this point with greater facilitation orgasmic, many women were proposed to look obsessively, forgetting that the whole body can be a widespread area erogenous. It is also true that other women say they are excited to a greater extent, achieving orgasm easily when they are stimulated (or what makes your partner), in addition to the clitoris, inside the vagina, perhaps in the famous point.

How do you find?

If you wanted to look for the easiest thing is that you perch in bed with some pillows under the pelvis so that the entrance of the vagina is high (similar to the position gynecological), then your partner your fingers and lubricate your vagina, and seek a more rugged area located in the anterior wall (remember: "at least ten of the quadrant of an imaginary clock"), without pressure or consistently strong but gentle and moving his finger from right to left and backward or in circles Use it, go through the Point G without squeezing or concentrate on it directly.

"The second time I went to Alejandro, he sought to get the point G (I had tried to find him before), introduced me and felt her fingers gently into my interior until I felt great excitement and he in turn had a feeling like you were in contact with something different: I had an orgasm different, intense. Then, while he encouraged me point G, he did well with the clitoris, I recommend doing so: it is like touching heaven. " Cecilia, 41 years old, secretary

IS THERE THE POINT IN MEN G?

There has been talk that, in men, there is also a point G near the urethra, but in reality, there is talk of the prostate region and it is not easy to access this site because you have to make the introduction and digital anal play prostate through the rectal wall, something that many men resent or reject frankly. Some would describe more excitement to the stimulation and massage this point with more rapid erection and more intense in the orgasmic response to a continuous stream of ejaculate and vigorous.

"I like that I introduce my partner fingers into his anus, deeply, as I verbally and manually stimulates the penis, is an incomparable feeling well and I have the best orgasms but other times we do it in the traditional way." Carlos, 32 years, manager

This might seem strange that is a practice carried out some heterosexual couples (even with the use of artificial phalluses or "vibrators") and, of course, homosexuals also do, obviously, with the penis. Others deny this point in men (it relates only to the anal area erogenous) arguing that it is one of the many fantasies with which humans are trying to increase their passion.

A POINT

When the expedition’s search Point G was returning, some scientists added, in 1996, a new vaginal area which allegedly would produce rapidly the female orgasm. They called it Point A (A-spot). Would be located in the vaginal wall but further back, halfway point between the G and the neck of the vagina. According to a group of researchers from Point A stimulation occur:

Higher, faster and more prolonged lubrication
Increased arousal
Multiple orgasms

The positions that would favour during penetration, stimulation of the two points would be:

Women face down and the man behind it
placed the woman sitting on the edge of the bed and kneeling before him
Women in positions such as animals ( "more ferarum" = "as the beasts"), also popularly known as "the dog" or "Pecorino" (word that comes from the word "sheep" in Italian) or "picoline"

If detected in the vagina, an area with greater sensitivity erogenous is welcome, whether they leave a broadcast profuse during the climax was not disturbed and enjoy it, but one should not feel less or misconduct "for failing to find the blessed point G"

In April 2001 we had the opportunity to Dra. Beverly Whipple visit Argentina for a few days of Sexology organized by licensed Maria Luisa Lerer. On that occasion graciously gave us an article referring to "the point G can feel through the vagina halfway between the back of the pubic bone and the cervix and is detected as a small bulge that swells as it is stimulated. At first, when it touches many women say they feel the need to urinate, even though the bladder is empty. After 2 to 10 seconds stimulation of the initial reaction is replaced, in some women, by a strong and distinct feeling of sexual pleasure. There are women who experience an orgasm by stimulating the area and expel some liquid from the urethra when experiencing this kind of orgasm. The fluid is delivered milky appearance: it is not urine or semen, has no smell, taste or stain. "

Dra. Whipple added that there "say women have difficulty in locating and stimulate the G by themselves (unless they use a dildo, a vibrator point G or similar device) but have no difficulty in identifying the erotic sensation when this area is stimulated for a couple. The problem of trying to locate the point of Gräfenberg themselves is that they need very long fingers or a vagina short to reach the area while lying lying on his back. "

It goes on to say that "when it stimulates the point G and begins to swell, usually, can feel like a little bean (beans) and spongy in some women swells up to the size of a coin. At the point of experimenting with Gräfenberg need to apply greater pressure than it does in the clitoris and can feel an inner sense that the more one feels with the stimulation of the clitoris. "

"After you have explored your point of Gräfenberg may want to share the experience with a partner. The point G can be stimulated by the fingers of the companion (a type of movement," come here "), with a dildo or penis. The position that tends to be more stimulation to the penis is the woman sitting on the man. Many women report experiencing multiple orgasms by this kind of stimulation and the release experiencing some fluid orgasmic. Orgasm resulting from this type of stimulation often a feeling deep inside. "

The American sexologist added that "by sharing this information with you, I do not want to create a new goal to reach the women. However, I want to be aware of the variety of experience orgasm available to a woman. In fact, some women have actually experienced her first orgasm by stimulating the point G. I want to help those women who enjoy this kind of stimulation and orgasms with or without ejaculation of fluid to make them feel better of themselves and what they are experiencing. Many women say they feel "abnormal" because they liked this kind of stimulation, or because they drove a fluid with sexual stimulation. Indeed, some women in the past learned to retain fluid and also learned to contain and not have orgasms, to avoid confusion if what they regarded as "abnormal".

Stimulating the G

Finding the famous G requires a touch that is often difficult for women to achieve alone.
Perhaps you could find a position that could reach almost on his own, but it will be uncomfortable and probably will not be able to locate more, if it manages to do so.
Will find it very difficult to encourage it or give him massages.

Before you start, the woman should empty the bladder. The point is near the bladder, and their stimulation might make you feel at the beginning need to urinate. You can lie on your back with legs elevated.

You can also put a pillow under your buttocks for garnering greater support and comfort. The vagina should be well lubricated.

The first time I experienced with this, the man should begin using only one finger. Put your finger slowly, and then dóblalo so that the yolk touch the roof of the vagina.

So folded, Take him slowly through the roof toward the top, like you were returning to the clitoris.
You’ll find it halfway towards the rear of the pubic bone and clitoris, in the area of the front wall towards the opening.

The heart of the Point G is not really on the wall but can be felt through it.
Its texture is different from the silky fabric that surrounds it, is stronger and with an uneven surface such as the areole nipple when driving, or as the palate.

The size varies: it can be taken as a pea or the size of a coin of fifty pesetas, and swells when stimulated, rising slightly in the middle.

The heart of the ring finger or lover offers access easier or more convenient to the point, with the other fingers lightly supported against the labia minora and the bottom of the palm in a position to exert light pressure against the clitoris, stimulating a bit.

The first few times it touched the point may wake up some fear in some women, some might even experience pain. Many also feel as if they had to urinate, but end up emptying the bladder. This feeling only lasts for about ten to forty seconds or so, then switch to a normally intense sexual pleasure. But that might not happen right away, it may take weeks or even months before they experience this great pleasure.

Maybe women feel a nice feeling the first few times it touched the point G, then go away feeling that suddenly, the point may become too sensitive, and therefore any pressure is excessive.

Should lighten the touch or leave, if necessary, until she can tolerate more. The more times the couple engaged in this very intimate contact, tolerance is extended to women, like their chances of pleasure.

The point G can usually endure a more intense stimulation, for longer periods, which the clitoris. However, the man must be extremely smooth at first.

I expect them to relax and enjoy any kind of
sexual stimulation they find enjoyable.

ANOMALIES OF THE MENSTRUATION

The maturation processes that not always follow menarche they develop without upheavals, but that sometimes are accompanied by irregular menstruations.
It is possible to emphasize that in many cases it is arrived at a spontaneous normalization of the cycle.

Frequency.

The upheavals of the menstrual cycle are as frequent as the inflammations in the infantile gynecological pathology.
A correct menstrual calendar serves as departure point for any diagnosis. In the most complicated cases the registry of the curve of the basal temperature is from utility, that clarifies if it is normal cycles, two-phase (ovulatoris) or single-phase (anovulatoris) and identifies the phase that possibly is extended or shortened.
As the Basal temperature is moderate? immediately after waking up, with a thermometer normal to measure the fever (it is not necessary to use one of the special thermometers for basal temperature), the temperature in a cavity is taken from the body (vagina, rectum or oral cavity) and next in the armpit.
In any case the oral measurement is simplest. The results in a diagram are reflected to newspaper.
It is important to measure the temperature in the morning nothing else to awake, before undertaking any physical activity, like for example moving, speaking or to have breakfast. Anomalies of the menstrual rate and the intensity.
The too short or too long menstruations must in general to anovulatoris cycles.
These upheavals indicate a maturation incomplete of the endocrine system and disappear in general of spontaneous form without treatment some.
If menarche has happened behind schedule and the cycle is absolutely irregular (irregular menstrual intervals, resistant dysfunctional hemorrhages to the treatment and recidivants, repeated periods of amenorrhea), it will be necessary to think about a deficit of the hypothalamic function.
The anomalies of the menstrual rate of the adolescents usually are also due to anovulatorios cycles. If the cycle is inferior to the 25 days, polimenorrhea speech: in this case the menstruation also usually is prolonged.

If the cycle lasts more than 31 days, oligomenorrhea speech.
Also in this case the menstruation usually is longer of the normal thing and can even become a hemorrhage by dripping long play.
The anomalies of the rate are very frequent: they are registered in a 25% of the girls who suffer menstrual upheavals. The prognosis is nevertheless good, since approximately in half of the cases a spontaneous regulation of the cycle takes place.
If the upheaval of the cycle of origin anovulatorio lasts more than two years from menarche, will be essential to undertake a treatment with object to stabilize the cycle.

Dysfunctional youthful Metrorragy.

The irregular, acyclic, prolonged and intense menstruations are relatively frequent (2 5% of the girls). Good part of the menstrual upheavals of the puberty belongs to this category. The pathological picture pronounces in general months after menarquía and soon, with the passage of the years, it appears spontaneously alternating with normal cycles.
The cause of metrorragis dysfunctional youthful still has not been clarified; one is an upheaval of the regulation mechanisms of the hormonal system. If a therapy does not settle down, these situations can cause excessive losses of blood and one serious post-hemorrhagic anemia. In case of very serious and resistant hemorrhages to the first attempts of treatment, it is recommended to consult an expert gynecologist in endocrinology or to send to the patient to a specialized clinic. Reduced intervals and prolonged menstruations constitute youthful functional the typical manifestations of metrorragys.
The diagnosis can settle down to start off simply of the analysis of the menstrual calendar, so that it is possible to prescribe a treatment immediately. Obvious it is necessary to exclude other organic origins from menstrual upheavals, like: – pathology – inflammations (strange bodies); – malignant tumors; – extragenital hemorrhages (vejiga, intestine); – diseases of the blood (upheavals of the coagulation, aplasic anemia).
In case of metrorragy youthful dysfunctional can be resigned almost always to hormonal doses. Once established the diagnosis, he is not either indispensable to measure the basal temperature, since in general they are observed only curved single-phase, corresponding to a cycle to anovular.
In the treatment of metrorragy youthful dysfunctional the objective must be: to block the intense hemorrhage; – to restore a cycle that if possible is anovulatorio.
In general a series of preservative measures is advised and very not very often the possibility of one more a more radical intervention considers.
The treatment depends on the gravity of the pathological problem.

The term menstrual disorders refers to any of a number of conditions that are related to the menstrual cycle. Menstruation is the shedding of the lining of the uterus (the endometrium) each month, also referred to as the menstrual period. Menstrual periods usually last for five to seven days.

The adolescents usually undergo of diverse pathological upheavals in the puberty and adolescence –
In case of menstruation slightly prolonged, reduced intervals and sporadically increased menstruations, that nevertheless do not repel of important form on the values of hemoglobin, usually it is enough with clarifying to the patient or to the mother of in question patient only of a transitory upheaval that usually sends spontaneously.

It is advised to wait for about three months before applying to treatment some, and in this time interval they are possible to be adopted reconstitute measures (iron) and to be advised to the patient who follows a diet appropriate (rich foods in proteins and vitamins).

- If the menstruations very are prolonged and frequent, the values of hemoglobin fall, so that the general measures of character unspecific are insufficient.
The election treatment is the hormonal one.
The therapeutic principle consists of causing, by means of the administration during about 10 days of hormonal preparing, the halting of the hemorrhage.
This treatment must take place during several months, since otherwise relapses can take place.
Inasmuch as it concerns to the inhibitor use of the ovulation (that are to administer from 5º day of the cycle as if it was a contraceptive treatment, in the girls in pubertal age it is necessary to have much well-taken care of.
In effect, in a phase of the development in which is to be a balance between hípofísaria and ovarian activity, this treatment can alter this so sensible process through the artificial suppression of the ovulation.
If the hormonal treatment fails, is probable that it is not true dysfunctional metrorrhagia, but of the first signs of a disease of the blood. In case of metrorrhagia profuse and prolonged, with very short intervals in which the values of hemoglobin descend below the 9 g %, the hospitalization necessity prevails.

Amenorrhea

Adolescents frequently experience irregular menstrual bleeding patterns, which can include several consecutive months of amenorrhea. Amenorrhea-except that occurring before puberty, during pregnancy or early lactation, and after menopause-is pathologic. Amenorrhea may be caused by anatomic abnormalities; hypothalamic, pituitary, or other endocrine dysfunction; ovarian failure; or genetic defects

Secondary amenorrhea.

With the term of secondary amenorrhea the menstruation absence is defined during a more or less long period (more than 6 months).
This form of amenorrhea can as much be physiological as pathological. – Physiological Amenorrhea.
In case of long amenorrheics periods, in the following year to the one of menarche, it is possible to be hoped, without preoccupations and following treatment some, to that the menstruation reappears of spontaneous form. Generally, in the first 6 months or even later, the spontaneous regulation of the cycle takes place. Anyway, before a girl who suffers secondary amenorrhea is necessary to always exclude the possibility from a gestation. –

Pathological Amenorrhea.

It is necessary to clarify the diagnosis whenever the secondary amenorrhea attends accompanied of one of the following conditions. Virílización: it is necessary to think about the existence of ovarian tumors, syndrome of Stein Leventhal or tumors of the suprarrenal crust.

Galactorrhea (raised of milk): before anything it is necessary to exclude a possible pregnancy and next to make a x-ray of the Turkish chair (skull) and a valuation of the prolactose to exclude a tumor hipofísarío. In addition, it is necessary to verify if the patient used contraceptives, psícotropos fenotíacins or other drugs.
In case of amenorrhoea of neurógen or psychogenic origin the psycotherapy prevails, with which in numerous cases a spontaneous reappearance of the menstruations is obtained. –

Premenstrual Tension.

The premenstrual syndrome does not have much importance in the girls. The symptoms begin immediately after the ovulation and increase of intensity until the appearance of the menstrual flow, the girls refer the suffering of hemicranias, nervousness, increase of weight due to the water retention and pain breasts. In most of the cases it is enough with a good control, not being due to overvalue the symptoms.

Algomenorrhea.

The regular menstruations that appear of painful form during the adolescence (dismenorrhea of the adolescent) are dismenorrheas primary, dysfunctional almost always, that does not respond to no organic cause. 2 or 3 years happen after menarche in girls with a already two-phase cycle. The concomitantes dismenorrheas to the first menstruation are very little frequent.
The origin of the primary dismenorrhea is not very clear. They often talk about like main the neurovegetativos factors, that do not have any determining meaning nevertheless.
A hormonal component cannot be excluded, since these girls always present/display two-phase cycles.
The dismenorrhea can even consider a sign of which the ovulation has taken place. It is very possible that one is angiospasms of the uterine musculature, that cause painful contractions ísquemícs. Anomalies of position of the immature and still hipoplasic uterus can cause painful contractures upheavals of the uterine irrigation and.
Although 25% of these girls do not require treatment some, this one can be problematic in more from a case.
As preventive measure in any case is indicated the explanation about the physiology and the function of the menstruation.

Oligomenorrhea

Oligomenorrhea is the term used to describe infrequent or light menstrual menstruation in a woman with previously normal periods cycles; are known as oligomenorrhea. It is very common in early postmencharchal period and not usually worrisome. But any woman with regularly established periods can develop oligomenorrhea.
When girls first menstruate they often do not have regular cycles for a few years. In some women periods may occur every three weeks and in others, every five weeks.
Flow also varies and can be heavy or light. Women should be concerned when periods come less than 21 days or more than 2 to 3 months apart, or if they last more than eight to ten days. Such events may indicate ovulation problems.

Dysmenorrhea

It is the cyclic menstruation pain in the lower abdomen usually associated with other gastrointestinal and neurological symptoms. It may be associated with pathology (secondary dysmenorrhea) or may be idiopathic in origin (primary dysmenorrhea-more prevalent). Dysmenorrhea is a common disorder that affects approximately 50% of menstruating women 10 .The pain is thought to result from uterine contractions and ischemia, probably mediated by prostaglandins produced in secretory endometrium; therefore, primary dysmenorrhea is almost always associated with ovulatory cycles and usually appears within 1-2 years of menarche, when ovulatory cycles are established. This common disorder usually starts during adolescence and tends to decrease with age and after pregnancy. Some women experience mild to moderate lower abdominal pain during mid-cycle (the 13th – 15th day of the cycle), some times there is blood spotting also. This is because of the release of the ovum into peritoneal cavity and no treatment is required for this Mittelschmerz syndrome

Adolescent has to prepare to for presentation of first menstruation, because she must to know that she is a physiological process, that will normally condition all its life while the sexual maturity lasts, without special upheavals and pain.
Although in some cases he attends himself spontaneous remission, is not due for that reason to neglect the treatment in the puberty, because otherwise the picture is considered irremediable and been left form in psique of the patient.
Only in serious, resistant cases to the mentioned treatment, one resorts to a hormonal therapy. In case of secondary dismenorrhea, the treatment will have to fight the base disease, being the gynecologist the one in charge to establish it.
In the young people operations like the expansion of the neck of the uterus under narcosis or the resección of likeable, the so habitual ones in other times are almost never indicated.