Early Menstruation: When to Seek Medical Advice

Early menstruation

Hello, I would like to ask about my menstrual cycle.
It was originally expected to start on the 20th of this month, but it began early on the 8th.
The first three days had a heavier flow, without any blood clots or pain.
By the sixth or seventh day, it was almost gone.
However, even now, although I am not actively bleeding, I occasionally notice a little bit of brown discharge when I wipe after urinating (sometimes accompanied by a feeling of increased warmth in the lower abdomen, but no pain).
Sometimes there is no discharge at all.
I am not married, have never been pregnant, and have not seen a gynecologist before.
My menstrual cycles have generally been normal, with a heavier flow lasting an average of 7 to 8 days.
Should I consider getting an examination?

Laki, 20~29 year old female. Ask Date: 2020/08/18

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear Lucky,
The menstrual flow of 3-10 days is within the normal range.
Please monitor your menstrual cycles for 1-3 months, and if there are still abnormalities, please visit a gynecologist.

Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2020/08/18

More Info

Understanding early menstruation and when to seek medical advice is crucial for maintaining reproductive health. In your case, experiencing an early period—starting on the 8th instead of the expected 20th—can be concerning, especially if it deviates from your normal menstrual cycle.
Menstrual cycles can vary for a variety of reasons, including stress, hormonal changes, lifestyle factors, and underlying health conditions. The fact that your flow was heavier in the first three days but without blood clots and accompanied by no pain is a positive sign, as it suggests that there may not be an immediate cause for alarm. However, the presence of brown discharge and occasional warmth in the lower abdomen can indicate residual blood or hormonal fluctuations, which may be normal but should be monitored.

Given your history of regular cycles averaging 7 to 8 days, any significant changes warrant attention. Here are some factors to consider:
1. Hormonal Imbalance: Fluctuations in hormones can lead to changes in your menstrual cycle. This can be influenced by stress, weight changes, or even changes in exercise routines.
2. Stress and Lifestyle: High levels of stress or significant lifestyle changes can impact your menstrual cycle. If you've experienced any recent stressors, this could be a contributing factor.

3. Underlying Health Issues: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can lead to irregularities in your menstrual cycle.
4. Pregnancy: Although you mentioned you are not married and have not been pregnant, it is still important to consider the possibility of pregnancy if there has been any chance of unprotected intercourse.

5. Infections: Sometimes, infections can lead to changes in menstrual patterns or unusual discharge. If you notice any additional symptoms such as itching, unusual odor, or discomfort, it would be wise to consult a healthcare provider.

Given that your menstrual cycle has changed and you are experiencing some unusual symptoms, it would be advisable to seek medical advice. A healthcare provider, particularly a gynecologist, can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly an ultrasound to rule out any structural issues.

In summary, while some variations in menstrual cycles can be normal, the changes you are experiencing—especially the early onset and the brown discharge—should be discussed with a healthcare professional. They can provide you with the necessary guidance and reassurance, and if needed, initiate any appropriate investigations or treatments. It’s always better to err on the side of caution when it comes to your health.

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