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(Columbia University's Mailman School of Public Health) The timing of a girl's first menstruation may affect her first sexual encounter, first pregnancy, and her vulnerability to some sexually transmitted infections. These patterns of sexual and reproductive health outcomes for girls in low- and middle-income countries who menstruated at an early age are similar to what has been observed in high-income countries such as the U.S. Until now, there was little known about associations between early ...
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