PWSA Blog

Ask Nurse Lynn: Puberty in Females

Question:

Female, 17years-old, UPD

2 Questions for you: It’s about myself for my knowledge of my condition. How many times out of ten do people with my disability start their period by themselves? And if they don’t start on their own after you take medicine to induce it, will they start on their own the rest of the time?

Nurse Lynn’s Response:

Here is a little background:

— Hypogonadism is the condition in which the production of sex hormones (estrogen/testosterone) and germ cells (ova/sperm) are inadequate.

— PWS children may start secondary pubertal changes on time or slightly delayed.

— Majority have incomplete development with low sex steroid levels, poor growth spurt, amenorrhea or oligomenorrhea in girls.

According to a study published in 2023 that had 41 women participating, 11 (27%) had spontaneous menses starting at age 14 to as late as 31 years.

The answer to your second question is not as clear. Some may start on their own after medication is started while others may not. I have included 2 articles that you may find helpful.

Resources:

The importance of gynecological examination in adolescent girls and adult women with Prader–Willi syndrome – Srebnik – 2023 – American Journal of Medical Genetics Part A – Wiley Online Library

JCM | Free Full-Text | Hypogonadism in Women with Prader-Willi Syndrome—Clinical Recommendations Based on a Dutch Cohort Study, Review of the Literature and an International Expert Panel Discussion (mdpi.com)

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