<![CDATA[Adolescent reproductive health is a critical issue for global gender and child health. Despite its significance, the specific challenges adolescent girls face in accessing reproductive health services in low-resource settings have received limited attention. This study explored reproductive health issues, particularly irregular menstrual cycles and syphilis, among adolescents at the Tutun Sehati Clinic in Tanjung Morawa, North Sumatra, Indonesia. A qualitative descriptive approach was used to collect data between January and April 2024 through in-depth interviews, observations, and document reviews. The study emphasized understanding the meanings and processes behind reported cases. The informants included clinic personnel who interacted directly with adolescent patients presenting reproductive health concerns. Clinicians rarely document cases related to adolescent reproductive health. However, some patients have reported menstrual irregularities and syphilis. The clinic managed menstrual issues with examinations and medication while referring syphilis cases to partner hospitals. Contributing factors include limited sexual health knowledge, unprotected sexual behaviors, and stigma surrounding reproductive health. The study concludes that although case numbers appear low, social and cultural barriers may suppress disclosure and care seeking. Early detection, youth-friendly services, and integrated reproductive health education are essential to address adolescent needs. Strengthening community awareness and destigmatizing reproductive issues are crucial for improving outcomes among adolescent girls.]]>
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