Irregular Periods: A High School Student's Concern - Obstetrics and Gynecology

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Let's talk about issues related to the menstrual cycle!


Hello, Doctor Dai: I am currently a first-year high school student, and there is something I have been hesitant to discuss with my mom or the school nurse (I don't know why, but it feels difficult to bring it up...
sigh!).
During my third year of junior high, I was studying late every night to prepare for the high school entrance exam, but my menstrual cycle was normal at that time; it came on time every month.
However, after the exam, around July 8th of last year (when I was under less stress), I had my period once and then it didn't come again.
It took about three months for it to return, and after that, it was another three months before it came again.
Since then, it hasn't come back at all >”<.
I don't understand why this is happening.
At first, in August, I was very anxious about why it hadn't come.
I thought maybe I had miscalculated the timing and that was why it didn't show up.
I also didn't dare to mention it to anyone...
I remember that in the third or fourth grade of elementary school, I got my period for the first time, and there was one instance where it didn't come for six months (after having it twice), but it returned to normal afterward.
I even rarely experience menstrual cramps.
I am really worried that I might have some kind of illness.
Please help me, doctor! Also, I am still studying late and my stress levels are higher now than they were in junior high...
Thank you!

Xiao Liang Mian, 10~19 year old female. Ask Date: 2004/03/06

Dr. Dai Qihan reply Obstetrics and Gynecology


Hello, Xiao Liang Mian: Based on your age, ovarian function, and endocrine function, it appears that they have not fully developed yet.
Irregularities in the menstrual cycle are quite common, so please do not worry too much.
If you are still very concerned, you may consider visiting a gynecology clinic for an examination.

Reply Date: 2004/03/06

More Info


Irregular menstrual cycles can be a source of concern for many young women, especially during the transitional phase of adolescence. As a high school student, it is understandable that you might feel anxious about changes in your menstrual cycle, particularly when you have experienced regular periods in the past.
Firstly, it is important to recognize that menstrual irregularities are quite common among adolescents. The menstrual cycle is regulated by a complex interplay of hormones, and during puberty, your body is still adjusting to these hormonal changes. It is not unusual for young women to experience fluctuations in their menstrual cycles, especially in the first few years after menstruation begins. Factors such as stress, changes in routine, diet, and sleep patterns can significantly impact your menstrual cycle.

In your case, you mentioned that your periods were regular during your third year of middle school, but after the high school entrance exams, you experienced irregularities. This could be attributed to several factors. For instance, the stress of preparing for exams, changes in your daily routine, or even lifestyle changes such as staying up late to study can all contribute to hormonal fluctuations. Stress, in particular, is known to affect the hypothalamus, the part of the brain that regulates the menstrual cycle, potentially leading to missed or delayed periods.

Additionally, it is worth noting that your body may still be in the process of establishing a regular menstrual cycle. It is common for young women to experience periods that are spaced further apart as their bodies adjust. The fact that you have had periods that were irregular in the past, such as when you were in elementary school, suggests that your body may have a tendency toward irregular cycles, which is not necessarily a cause for alarm.

If you are feeling particularly anxious about your menstrual health, it may be beneficial to consult with a healthcare provider. A gynecologist can perform a thorough evaluation to rule out any underlying medical conditions that could be contributing to your irregular periods. They can also provide guidance on managing stress and maintaining a healthy lifestyle, which can positively influence your menstrual health.

In the meantime, consider keeping a menstrual diary to track your cycles, noting any changes in flow, duration, and any accompanying symptoms. This information can be helpful for your healthcare provider in understanding your situation better. Additionally, try to prioritize self-care, including regular exercise, a balanced diet, and adequate sleep, as these factors can help regulate your menstrual cycle and improve your overall well-being.

In summary, while irregular periods can be concerning, they are often a normal part of adolescent development. Your body is still adjusting to hormonal changes, and factors such as stress and lifestyle can play a significant role in your menstrual health. If your irregularities persist or if you have other concerning symptoms, do not hesitate to seek medical advice. Remember, you are not alone in this experience, and there are resources available to help you navigate these changes.

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