Irregular Periods: Is It Normal During Puberty?

Irregular menstruation

Hello, Doctor! I would like to ask: I am in the second year of junior high school, and I have started my menstruation, but I have noticed that my periods are irregular.
For example, in March, I had two periods at the end of the month, and they did not stop (for instance, I started on the 20th and bled for 7 days.
After 7 days, the bleeding did not stop, but it was just a small amount of brown blood.
Three days later, my period started again, and the flow was normal).
Am I sick or is there something wrong? Is it normal for the menstrual cycle to be irregular during puberty? Thank you, Doctor!

Mi Mi, 10~19 year old female. Ask Date: 2016/04/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors affecting the menstrual cycle or intermenstrual bleeding are numerous, including environment, lifestyle, stress, emotional instability, diet, age, and lesions in the uterus or cervix, among others.
It is recommended that if bleeding persists, or if the cycle is less than 21 days with bleeding again, or if there has been no menstruation for more than three months, it is advisable to consult a gynecologist for examination.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/04/14

More Info

During puberty, it is quite common for young individuals to experience irregular menstrual cycles. This is primarily due to the hormonal changes that are taking place in the body as it transitions into adulthood. The menstrual cycle is regulated by a complex interplay of hormones, including estrogen and progesterone, which can take some time to stabilize during the early years of menstruation.

For many girls, the first few years after the onset of menstruation can be characterized by irregular cycles, varying flow, and even missed periods. It is not unusual for a girl to experience cycles that are shorter or longer than the typical 28-day cycle, and some may even have two periods in one month or experience spotting between periods. This can be attributed to the body adjusting to the new hormonal environment.

In your case, having two periods in one month, along with a mix of normal flow and lighter brown discharge, can be considered a part of this adjustment process. The brown discharge you are experiencing is often old blood that is being expelled from the body, which is also common and generally not a cause for concern.

However, while irregular periods can be normal during puberty, there are certain situations where it would be advisable to consult a healthcare provider. If you experience any of the following symptoms, it would be wise to seek medical advice:
1. Severe Pain: If you have intense menstrual cramps or pelvic pain that disrupts your daily activities.

2. Excessive Bleeding: If you need to change your pad or tampon every hour or more frequently for several hours.

3. Prolonged Periods: If your period lasts longer than seven days consistently.

4. Missed Periods: If you miss several periods in a row after having regular cycles.

5. Other Symptoms: If you experience symptoms such as significant weight loss, fatigue, or changes in appetite.

These symptoms could indicate underlying health issues that may require further evaluation. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can affect menstrual regularity and overall health.

In summary, irregular periods during puberty are generally normal and part of the body's adjustment to hormonal changes. However, if you have concerns about your menstrual cycle or experience any alarming symptoms, it is always best to consult with a healthcare provider who can provide personalized advice and care. They can help determine if what you are experiencing is typical or if further investigation is needed. Remember, your health and well-being are important, and seeking guidance is a positive step.

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