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Cohort study, 2021

Does when you start puberty affect your risk of premenstrual disorders as an adult?

Women who started menstruating later had lower risk of premenstrual disorders in adulthood. Women who had early pubic hair growth had higher risk of premenstrual disorders.

Strong study design 6495 girls followed from 1996-2013, assessed in adulthood (mean age 26)

What they did

6495 girls were followed from 1996 to 2013 as part of the Growing Up Today Study. Researchers tracked when they entered puberty using self-reported age at first period and measures of breast and pubic hair development. In 2013, when girls were around age 26, they answered questions about premenstrual symptoms.

What they found

By 2013, 15.4% of women met criteria for a premenstrual disorder. Women whose menstruation started later had lower risk of premenstrual disorders and fewer symptoms. Women with early pubic hair growth had higher risk of premenstrual disorders and more symptoms. Breast development timing was not linked to premenstrual disorder risk.

What it means for you

The age you start puberty appears linked to whether you develop premenstrual disorders as an adult. Starting menstruation later was protective, and early pubic hair growth increased risk. However, this is an observational study, not a controlled experiment, so we cannot say that puberty timing causes premenstrual disorders. Some women may have misremembered when they started menstruating.

6495

Girls in study

15.4%

Who developed premenstrual disorder by age 26

1.28

Increased risk with early pubic hair growth

About the study

Original title
Pubertal development and risk of premenstrual disorders in young adulthood
Authors
Lu D, Aleknaviciute J, Bjarnason R et al.
Journal
Human reproduction (Oxford, England)
Year
2021
Study design
Cohort study
Participants
6,495
What was tested
None
Open access
Yes

Topics