| Most women with the syndrome experience menarche at a normal age but have irregular menstrual periods that gradually become more abnormal, often leading to amenorrhea. |
| In other groups vision questing was undertaken only by males, with menarche and childbirth as the analogous experiences for females. |
| Professor Brown explains in his monograph how the cycle matures from menarche through all the variants to cessation of ovulation and menopause. |
| A good example is the importance attached to menarche, the initiation of menstruation, versus semenarche-the first male ejaculation. |
| The length of time elapsed between menarche and the beginning of dysmenorrhea should be established. |
| In settings where early marriage prevails, however, declining age at menarche could increase lifetime fertility. |
