Experiencing Frequent Periods: What You Need to Know - Obstetrics and Gynecology

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I have had my period twice in the last two months?


Hello doctor, my menstrual period was from April 7 to April 12 and then from April 22 to April 28 last month.
I thought it might be due to stress, so I didn't pay much attention.
However, this month, my period started again from May 14 to May 20 and then from May 30, and it is still ongoing.
The intervals between periods are quite short.
I haven't taken any medication or had any sexual intercourse, and there are no gynecologists nearby for me to consult.
What should I do?

Li, 10~19 year old female. Ask Date: 2020/06/03

Dr. Huang Zifei reply Obstetrics and Gynecology


Dear Ms.
Li,
Menstrual irregularities can have many potential causes, including structural issues or endocrine disorders.
These conditions require a personal consultation and examination by a gynecologist.
Given the distress you are experiencing, please discuss this with your parents and have them take you to a gynecologist for further evaluation and treatment.
Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2020/06/03

More Info


Experiencing frequent periods, also known as polymenorrhea, can be concerning and may indicate underlying health issues. It is important to understand the potential causes and when to seek medical attention.
Firstly, it’s essential to recognize that menstrual cycles can vary significantly among individuals, and factors such as stress, hormonal imbalances, lifestyle changes, and underlying medical conditions can influence menstrual regularity. In your case, experiencing periods on 4/7-4/12, 4/22-4/28, and then again on 5/14-5/20 and continuing until now suggests a pattern that may require further evaluation.

Stress is a common factor that can disrupt the menstrual cycle. High levels of stress can lead to hormonal fluctuations, which may result in irregular periods. Additionally, significant weight changes, whether loss or gain, can also affect your menstrual cycle. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and other hormonal imbalances can lead to frequent menstruation as well.

Given that you mentioned not taking any medication or engaging in sexual activity, it is less likely that hormonal contraceptives or pregnancy are influencing your cycle. However, if you are experiencing other symptoms such as severe pain, heavy bleeding, or any unusual discharge, it would be prudent to seek medical advice as these could indicate more serious conditions such as fibroids or endometriosis.

Since you mentioned that there are no nearby gynecologists, consider the following steps:
1. Track Your Cycle: Keep a detailed record of your menstrual cycles, noting the start and end dates, flow intensity, and any accompanying symptoms. This information will be helpful for any healthcare provider you consult in the future.

2. Lifestyle Modifications: If stress is a contributing factor, consider implementing stress-reduction techniques such as yoga, meditation, or regular physical activity. Maintaining a balanced diet and ensuring adequate sleep can also support hormonal balance.

3. Telehealth Options: Many healthcare providers now offer telehealth services, allowing you to consult with a gynecologist or primary care physician remotely. This can be a convenient option if you cannot find a local specialist.

4. Over-the-Counter Pain Relief: If you are experiencing discomfort, over-the-counter pain relief medications such as ibuprofen can help alleviate menstrual cramps. However, be cautious with prolonged use and consult a healthcare provider if you have any concerns.

5. Consider Home Testing: If you suspect hormonal imbalances, there are home testing kits available that can measure hormone levels. While these are not a substitute for professional medical advice, they can provide some insight into your hormonal health.

6. Seek Medical Attention: If your periods continue to be frequent or if you experience any alarming symptoms (such as severe pain, heavy bleeding, or signs of infection), it is crucial to seek medical attention, even if it means traveling to a facility further away.

In conclusion, while occasional irregularities in menstrual cycles can be normal, frequent periods warrant further investigation. By tracking your symptoms, making lifestyle adjustments, and seeking medical advice when necessary, you can better understand your menstrual health and address any underlying issues. Remember, your health is important, and finding the right support is key to managing your well-being.

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