About menstruation?
Hello doctor, I haven't had my menstrual period for the past two years.
It came last month on the 30th, and it has been ongoing for 9 days now.
Is this normal?
vic, 20~29 year old female. Ask Date: 2016/05/08
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, lesions in the uterus or cervix, and pregnancy, among others.
It is advisable to consult a gynecologist to determine whether the cause is hormonal imbalance or another issue.
Thank you! Wishing you peace and health, Dr.
Chang.
Reply Date: 2016/05/08
More Info
When it comes to menstrual cycles, variations in duration and flow can be common, but they can also indicate underlying health issues. A typical menstrual cycle lasts between 21 to 35 days, with menstruation itself lasting anywhere from 2 to 7 days. However, experiencing a period that lasts for 9 days can be concerning, especially if this is a new development for you.
Given that you mentioned not having your menstrual cycle for nearly two years prior to this occurrence, it’s essential to consider several factors that could contribute to such a change. Irregular periods can be caused by a variety of reasons, including hormonal imbalances, stress, significant weight changes, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders.
1. Hormonal Imbalances: The menstrual cycle is regulated by hormones, and any disruption in hormonal levels can lead to irregularities. Conditions like PCOS, which is characterized by an imbalance of reproductive hormones, can lead to prolonged periods or skipped cycles.
2. Stress and Lifestyle Factors: High levels of stress can impact your menstrual cycle. Stress affects the hypothalamus, the part of the brain that regulates hormones. Additionally, significant changes in weight—either gain or loss—can also affect your cycle.
3. Medical Conditions: Conditions such as endometriosis or uterine fibroids can lead to heavy or prolonged menstrual bleeding. If you have other symptoms such as severe pain, fatigue, or unusual discharge, it’s crucial to consult a healthcare provider.
4. Age and Menopause: If you are approaching perimenopause (the transition to menopause), you may experience changes in your menstrual cycle, including longer or heavier periods.
5. Medications: Certain medications, particularly hormonal contraceptives, can affect the duration and flow of your periods. If you have recently started or stopped any medication, this could also be a factor.
Given that you have not had a menstrual cycle for two years, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly imaging studies to rule out any structural issues in the reproductive system.
In conclusion, while a 9-day period can occur, especially after a long absence of menstruation, it is essential to monitor your symptoms closely and consult with a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your specific situation. Remember, your menstrual health is an important aspect of your overall well-being, and addressing any irregularities promptly can help prevent potential complications in the future.
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