Pediatric Annals

Guest Editorial Free


Meera S. Beharry, MD, FAAP

Menstruation can serve as a barometer for the health of a young woman. In this issue of Pediatric Annals, we review common menstrual concerns that present to the pediatric provider’s office. Our authors include adolescent medicine specialists, a hematologist, and a pediatric and adolescent gynecologist.

We begin with a review of menstrual history taking to assist clinicians in obtaining relevant information for decision-making. In that article, Dr. Darcie M. Takemoto and I also review findings that indicate pathology and the need for referral.

Drs. Tanya L. Kowalczyk Mullins, Rachel J. Miller, and Eric S. Mullins present an article on the “Evaluation and Management of Adolescents with Abnormal Uterine Bleeding.” The unique perspective of an adolescent medicine physician, obstetrician/gynecologist, and a pediatric hematologist provide a thorough summary of this common problem.

Erin Lanzo and Drs. Maria Monge and Maria Trent provide a comprehensive look at polycystic ovarian syndrome. This diagnosis can be particularly distressing to young women and difficult for providers to diagnose given the changes in guidelines over the years. The differences and commonalities among the diagnostic criteria are broken down and management strategies explained. They share ideas for addressing lifestyle and cosmetic concerns.

To complete the issue, Sarah E. Strandjord and Dr. Ellen S. Rome present options for menstrual suppression in their article “Monthly Periods—Are They Necessary?” in which they review current available medications to minimize menstrual blood loss.

Health care providers who are well versed in menstrual management can greatly improve the health and well-being of their young patients. I hope this issue serves as a valuable reference for pediatric providers to handle the vast majority of menstrual problems that present to the office.


About the Guest Editor

Meera S. Beharry, MD, FAAP, was born in the Republic of Trinidad and Tobago. In 1980, her family moved to the suburbs of New York City. After graduating high school in 1994, Dr. Beharry attended the Sophie Davis School of Biomedical Education, a 7-year pre-med/medical school program based at the City College of the City University of New York. She received her Bachelor of Science degree in 1999 and her Medical Degree from the State University of New York (SUNY) Downstate in 2001.

Dr. Beharry completed her pediatric residency, including a year as Chief Resident at SUNY Downstate, in 2005. In the year after completion of her residency, Dr. Beharry worked at the Yonkers Family and Community Health Center, participated in a medical mission to Haiti, took medical Spanish classes in Buenos Aires, and performed several months of locum tenens work as a pediatrician in rural Mississippi. In July 2006, Dr. Beharry began her fellowship in Adolescent Medicine at the Children’s Hospital of Los Angeles. Her fellowship involved many unforgettable experiences beyond patient care, such as travelling to Mongolia with Dr. Richard MacKenzie (Division of Adolescent Medicine, Children’s Hospital of Los Angeles) and the Ulan Bator Foundation and serving as President of the Southern California Regional Chapter of the Society for Adolescent Medicine (now the Society for Adolescent Health and Medicine) from 2008 to 2009. After completing her fellowship, Dr. Beharry joined the faculty in the Division of Adolescent Medicine at the University of Rochester in July 2009.

Dr. Beharry was elected to serve as the North American Regional Vice President of the International Association for Adolescent Health in 2009 and re-elected to a second term in 2013. In 2012, she moved to Temple, TX, to develop the Adolescent Medicine Section at McLane Children’s Scott & White. Her interests within the field of adolescent medicine include reproductive health care, teen pregnancy, chronic illness, and homeless youth.

Address correspondence to Meera S. Beharry, MD, FAAP, via email:



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