Menstrual Changes: Is It Hormonal Imbalance or Something Else? - Obstetrics and Gynecology

Share to:

Menstrual issues


I am a 17-year-old girl who has not had any sexual intercourse since birth.
This time, my menstrual period is completely different from before; it started 7 days early with brown discharge and has lasted for 10 days, and it's all brown, just a little bit each time.
I hardly need to change my pad, and sometimes I only have a little bit in a day.
Am I sick, or could this be related to hormonal imbalance or something else?

Niming, 10~19 year old female. Ask Date: 2022/09/25

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the factors affecting the menstrual cycle or abnormal bleeding can be numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, miscarriage, and breastfeeding, among others.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/09/25

More Info


Menstrual changes can be concerning, especially when they deviate from your usual pattern. In your case, experiencing an early onset of menstruation accompanied by brown discharge that lasts for an extended period can be indicative of several factors, including hormonal imbalances, stress, or other underlying health issues.

Firstly, it's important to understand that menstrual cycles can vary significantly among individuals and even from month to month for the same person. The typical menstrual cycle lasts about 28 days, but it can range from 21 to 35 days. Variations in cycle length, flow, and color of menstrual blood can occur due to various reasons, including hormonal fluctuations, lifestyle changes, and stress.

The brown color of menstrual blood is often associated with older blood that takes longer to exit the uterus. This can happen at the beginning or end of a menstrual period, and it is generally not a cause for concern. However, if you are experiencing this for an extended period, it may warrant further investigation.

Hormonal imbalances are a common cause of menstrual irregularities. Hormones such as estrogen and progesterone play crucial roles in regulating the menstrual cycle. An imbalance can lead to changes in the timing, duration, and flow of your period. Factors that can contribute to hormonal imbalances include:
1. Stress: High levels of stress can affect the hypothalamus, which regulates hormones that control the menstrual cycle.

2. Diet and Exercise: Significant changes in weight, diet, or exercise routines can impact hormonal levels. For instance, excessive exercise or a very low-calorie diet can lead to missed periods or irregular cycles.

3. Medical Conditions: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other endocrine issues can lead to irregular menstrual cycles.

Since you mentioned that you have not engaged in any sexual activity, the likelihood of pregnancy-related changes is minimal. However, if you are experiencing other symptoms such as severe pain, excessive bleeding, or any unusual discharge, it would be advisable to consult a healthcare provider. They can perform a thorough evaluation, which may include a physical examination and possibly blood tests to check hormone levels.

In the meantime, maintaining a healthy lifestyle can help regulate your menstrual cycle. This includes:
- Balanced Diet: Ensure you are eating a variety of foods rich in vitamins and minerals.

- Regular Exercise: Engage in moderate physical activity to help manage stress and maintain a healthy weight.

- Stress Management: Consider relaxation techniques such as yoga, meditation, or deep-breathing exercises.

If your menstrual changes persist or worsen, seeking medical advice is essential. A healthcare professional can provide personalized guidance and treatment options based on your specific situation. Remember, it’s always better to address any concerns early on to ensure your health and well-being.

Similar Q&A

Understanding Hormonal Imbalance in Women: Effects on Menstrual Cycle

Hormonal imbalances in women can lead to irregular menstrual cycles, and factors such as significant life stress and insufficient sleep can exacerbate these issues. Given that your final exams are about 2 to 3 weeks away, it is possible that the stress associated with studying an...


Dr. Lin Wenbin reply Obstetrics and Gynecology
Stress does not necessarily come from final exams; there are other possibilities, such as weight loss, irregular eating habits, medication, or a cold, all of which can also be considered forms of physical stress. You should still visit a clinic, as a detailed examination is neces...

[Read More] Understanding Hormonal Imbalance in Women: Effects on Menstrual Cycle


Understanding Hormonal Imbalance: Symptoms and Solutions for Young Women

Hello Doctor, I am a senior high school student. Recently, I've been feeling quite stressed and often irritable. Since August, I've noticed that my menstrual flow has sometimes decreased; I only need to change 3 to 4 pads a day, which feels significantly less compared t...


Dr. Huang Jianzhong reply Obstetrics and Gynecology
I am a senior in high school and recently I've been feeling quite stressed and irritable. Since August, I've noticed that my menstrual flow has sometimes decreased, requiring me to change my pad about 3 to 4 times a day, which feels significantly less compared to before...

[Read More] Understanding Hormonal Imbalance: Symptoms and Solutions for Young Women


Understanding Irregular Menstrual Cycles: Is It Hormonal Imbalance?

Hello doctor, my last menstrual period started on March 27th, but it hasn't completely stopped until today. The flow has been light every day, and I haven't experienced any menstrual cramps. I'm wondering if this could be classified as "abnormal bleeding."...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. The menstrual period lasting from March 27 to April 12 is a bit prolonged, but there are many reasons for menstrual irregularities, including exercise, travel, medications, and weight loss. 2. It is appropriate to start with an ultrasound examination. 3. Occasionally, menstrua...

[Read More] Understanding Irregular Menstrual Cycles: Is It Hormonal Imbalance?


Understanding Irregular Menstruation: Causes and Hormonal Imbalances

Menstruation does not occur every month, and the doctor said it is due to anovulation. What could be the reasons for this phenomenon, and could it be related to endocrine disorders?


Dr. Wei Fumao reply Obstetrics and Gynecology
Ovulation is controlled by a series of processes in the central nervous system that affect the ovaries. Broadly speaking, it is a form of endocrine dysfunction with many potential causes, such as central nervous system (brain) disorders, obesity, malnutrition, thyroid issues, adr...

[Read More] Understanding Irregular Menstruation: Causes and Hormonal Imbalances


Related FAQ

Hormonal Imbalance

(Obstetrics and Gynecology)

Menstrual Abnormalities

(Obstetrics and Gynecology)

Anovulatory Menstruation

(Obstetrics and Gynecology)

Premenstrual Syndrome

(Obstetrics and Gynecology)

Menstrual Regulation

(Obstetrics and Gynecology)

Menstrual Cramps

(Obstetrics and Gynecology)

Delayed Menstruation

(Obstetrics and Gynecology)

First Menstruation

(Obstetrics and Gynecology)

Ovulation Period

(Obstetrics and Gynecology)

Medication To Induce Menstruation

(Obstetrics and Gynecology)