Prolonged Menstrual Cycles: When to Seek Medical Advice

Prolonged menstrual cycle?

I have been using an app to track my menstrual cycle since May 2020.
My cycle has consistently been around 43 days, with variations of 46, 48, 49 days, and even extending to 56 and 63 days.
Only 2 or 3 months have had cycles of 32 and 41 days.
Each time my period starts, I experience severe abdominal pain that makes it difficult to move.
I have no sexual experience, so I have never considered the possibility of pregnancy.
However, since my cycle has been consistently long for over a year, I am starting to wonder if my cycle is just longer than average and whether there is any underlying condition.
I am also concerned about wasting medical resources by seeing a doctor if there is no real issue.
Therefore, I would like to ask if it is necessary to seek medical attention, or if my situation is simply different from others and does not require medical intervention.

Lai Xiaojie, 10~19 year old female. Ask Date: 2021/10/24

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
"Abnormal vaginal bleeding" has numerous causes, including lifestyle habits and stress, age, vaginal infections, benign gynecological conditions, and malignant tumors, among others.
Therefore, it is recommended that you visit a professional obstetrician-gynecologist for examination and evaluation.

2.
Based on your description, it is advisable to go to the hospital for an examination to determine whether you have polycystic ovary syndrome (PCOS).

3.
Polycystic ovary syndrome is not a disease; it is technically considered a specific physiological condition.
The approach to symptom management with medication varies from person to person, so it is recommended to discuss suitable prescriptions with your obstetrician-gynecologist.

Reply Date: 2021/10/24

More Info

Understanding prolonged menstrual cycles can be quite complex, and it’s essential to approach this topic with both medical knowledge and sensitivity to individual experiences. Based on your description, it appears that you have been experiencing significantly longer menstrual cycles, averaging around 43 days, with some cycles extending to 63 days. Additionally, you mentioned experiencing severe abdominal pain on the first day of your period, which can be quite debilitating.

Firstly, it’s important to recognize that menstrual cycles can vary widely among individuals. A typical menstrual cycle ranges from 21 to 35 days, with most women experiencing cycles of about 28 days. However, cycles longer than 35 days are classified as oligomenorrhea, which can indicate an underlying issue that may require medical evaluation.

Given that you have been experiencing prolonged cycles consistently for over a year, it would be prudent to seek medical advice. While it’s understandable to be concerned about potentially wasting medical resources, your health and well-being should be the priority. Prolonged menstrual cycles can be associated with various conditions, including hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, or other reproductive health issues.
The severe pain you experience at the onset of your menstrual cycle is another important symptom to consider. Dysmenorrhea, or painful menstruation, can be primary (not associated with any underlying condition) or secondary (caused by conditions such as endometriosis or fibroids). The intensity of your pain, especially if it interferes with your daily activities, warrants further investigation.

When you visit a healthcare provider, they may conduct a thorough evaluation, which could include:
1. Medical History: Discussing your menstrual history, pain levels, and any other symptoms you may have experienced.

2. Physical Examination: A pelvic exam may be performed to check for any abnormalities.

3. Blood Tests: Hormonal levels, thyroid function tests, and other relevant blood work can help identify any underlying issues.

4. Imaging Studies: In some cases, an ultrasound may be recommended to visualize the reproductive organs and check for conditions like cysts or fibroids.

It’s also worth noting that lifestyle factors, such as stress, diet, and exercise, can impact menstrual cycles. Keeping a detailed record of your cycles, including pain levels and any other symptoms, can provide valuable information to your healthcare provider.

In conclusion, while it’s natural to feel hesitant about seeking medical attention, your symptoms suggest that it would be wise to consult with a healthcare professional. They can help determine whether your prolonged menstrual cycles and associated pain are indicative of a medical condition that requires treatment. Early intervention can often lead to better management of symptoms and improved quality of life. Remember, your health is important, and seeking help is a proactive step towards understanding and addressing your concerns.

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