To understand female reproduction, one must understand the processes from menarche to menopause. The reproductive female experiences several milestones throughout her development. Usually, the first milestone is thelarche, followed by adrenarche and ending with menarche. All of these processes combine to give two major outcomes: pregnancy and recurrent menses. If there are problems with any of these processes, abnormal outcomes include irregular menses, amenorrhea, abnormal genital tract bleeding or excessive symptoms. The natural conclusion of the reproductive female is menopause, then death.
In clinical settings, it is important to gain insight into a woman's menstrual history.