Missed menstruation?
Hello, doctor.
I would like to ask you some questions.
I am a high school student, and my menstrual cycle was normal until this year.
I had my period from January 26 to February 3, and since then, I haven't had it for two months.
I have not engaged in sexual intercourse; the most I have done is clean myself during a shower.
What should I do?
Heizi, 10~19 year old female. Ask Date: 2016/03/26
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including environment, lifestyle, stress, emotional instability, diet, age, and lesions in the uterus or cervix, among others.
It is advisable to consult a gynecologist if you have not had your period for three months.
Thank you! Wishing you peace and health.
Dr.
Chang
Reply Date: 2016/03/26
More Info
Hello! It's completely understandable to feel concerned about missed periods, especially as a high school student. First, it's important to know that irregular menstrual cycles can be quite common among adolescents and young women, particularly during the teenage years when the body is still developing and hormonal levels are fluctuating.
When you mention that your last period was from January 26 to February 3 and that you haven't had one since, there are several factors to consider. Stress, changes in routine, diet, exercise, and even sleep patterns can significantly impact your menstrual cycle. High school can be a particularly stressful time with academic pressures, social dynamics, and other responsibilities, which can all contribute to hormonal imbalances.
Here are some key points to consider regarding missed periods:
1. Hormonal Changes: During adolescence, your body is still adjusting to new hormonal levels. This can result in irregular periods, especially in the first few years after menstruation begins. It's not uncommon for young women to experience cycles that are longer or shorter than the typical 28 days.
2. Lifestyle Factors: Factors such as diet, exercise, and sleep can greatly influence your menstrual cycle. If you've been under more stress, not eating well, or not getting enough sleep, these could all be contributing to your missed periods. Maintaining a balanced diet, regular exercise, and good sleep hygiene can help regulate your cycle.
3. Medical Conditions: While it's less common, certain medical conditions can cause missed periods. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can affect your menstrual cycle. If your period does not return soon, it may be worth consulting a healthcare provider to rule out any underlying issues.
4. When to Seek Help: If you continue to miss your periods or if you experience other symptoms such as significant weight changes, excessive hair growth, or severe pain, it’s important to see a healthcare professional. A gynecologist can perform a thorough evaluation, which may include a physical exam, blood tests to check hormone levels, and possibly an ultrasound to assess your reproductive organs.
5. Self-Care: In the meantime, focus on self-care. Try to manage stress through relaxation techniques such as yoga, meditation, or deep-breathing exercises. Ensure you're eating a nutritious diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated and getting regular physical activity can also help.
6. Tracking Your Cycle: Keeping a record of your menstrual cycle can be helpful. Note the dates of your periods, any symptoms you experience, and any lifestyle changes. This information can be valuable when discussing your situation with a healthcare provider.
In summary, while missed periods can be concerning, they are often a normal part of adolescent development. However, if you are worried or if your period does not return soon, please don't hesitate to reach out to a healthcare professional for guidance. They can provide you with the support and information you need to understand your body better and ensure your health is on track. Remember, you are not alone in this, and seeking help is a positive step towards understanding your health.
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