Irregular Periods: A Guide for Young Women - Obstetrics and Gynecology

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Understanding irregular periods is an important aspect of women's health, especially for young women like yourself who are navigating the complexities of puberty and hormonal changes. Irregular menstrual cycles can be concerning, but they are quite common among adolescents and young adults.
At 18 years old, it is not unusual to experience irregular periods, especially if you started menstruating relatively recently. The menstrual cycle can take several years to regulate, and many factors can influence its regularity, including hormonal fluctuations, stress, diet, exercise, and overall health. Given that you mentioned having a low body weight (45 kg at 160 cm), this could also be a contributing factor to your irregular periods. Low body weight can lead to hormonal imbalances that may affect ovulation and menstruation.

Your description of having very light periods, where you only need to use a panty liner for an entire day, suggests that your menstrual flow is significantly reduced. This condition, known as hypomenorrhea, can occur for various reasons, including hormonal imbalances, stress, excessive exercise, or low body fat percentage. It is essential to understand that while some irregularities are normal, persistent changes in your menstrual cycle can indicate underlying health issues that may require attention.

Although you may feel hesitant to visit a gynecologist, it is crucial to prioritize your health. A healthcare professional can provide you with valuable insights and guidance tailored to your specific situation. They can help determine if there are any underlying issues contributing to your irregular periods and suggest appropriate interventions or lifestyle changes. Remember, healthcare providers are trained to handle sensitive topics with confidentiality and professionalism, so you need not worry about being judged.

In the meantime, here are some steps you can take to help manage your menstrual health:
1. Track Your Cycle: Keeping a menstrual diary can help you identify patterns in your cycle. Note the dates of your periods, their duration, and any symptoms you experience. This information can be helpful if you decide to consult a healthcare provider.

2. Maintain a Healthy Weight: If you are underweight, consider gradually increasing your caloric intake with nutritious foods. A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can support hormonal balance.

3. Manage Stress: High levels of stress can disrupt your menstrual cycle. Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises to help manage stress levels.

4. Regular Exercise: While exercise is beneficial, excessive physical activity can lead to irregular periods. Aim for a balanced exercise routine that includes both aerobic and strength-training activities, but avoid overexertion.

5. Stay Hydrated: Drinking plenty of water is essential for overall health and can help regulate bodily functions, including your menstrual cycle.

6. Educate Yourself: Understanding your body and menstrual health can empower you to make informed decisions. Consider reading reputable sources or talking to trusted adults about menstrual health.

In conclusion, while it is common for young women to experience irregular periods, persistent changes warrant attention. Prioritizing your health and seeking professional advice can help you navigate this phase of life more comfortably. Remember, you are not alone in this experience, and there are resources available to support you.