Menstrual Symptoms in Young Girls: When to Seek Help - Obstetrics and Gynecology

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Menarche symptoms


Hello, my fifth-grade daughter got her first period during this summer vacation.
Last month, she didn't experience much discomfort or symptoms, but this month she is having abdominal pain and nausea, and she has vomited.
Is this a normal phenomenon? Also, her period started on the 29th of last month and she got it again on the 23rd of this month.
Should we consider having her checked? Thank you.

Xingqing, 40~49 year old female. Ask Date: 2012/07/23

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: If you are feeling unwell, it is advisable to seek medical attention to understand your health condition and any issues you should pay attention to in the future.
Thank you!

Reply Date: 2012/07/23

More Info


Understanding menstrual symptoms in young girls is crucial for both their physical and emotional well-being. It’s common for girls to experience a range of symptoms during their menstrual cycles, especially in the first few years after they begin menstruating. These symptoms can include abdominal cramps, nausea, and even vomiting, which are often referred to as dysmenorrhea.
In your daughter’s case, experiencing abdominal pain and nausea during her menstrual cycle is not unusual, especially since she is still in the early stages of menstruation. Many young girls report that their bodies are still adjusting to the hormonal changes that come with their menstrual cycles, which can lead to varying symptoms. It’s important to note that while some discomfort is normal, the severity of symptoms can vary widely from one individual to another.

The timing of her menstrual cycle is also something to consider. The average menstrual cycle lasts about 28 days, but it can range from 21 to 35 days in young girls. If your daughter’s cycle is shorter than the average, it may still be within the realm of normal as her body adjusts. However, if she experiences significant changes in her cycle, such as very frequent periods or extremely heavy bleeding, it would be wise to consult a healthcare professional.

Here are some points to consider regarding when to seek help:
1. Severity of Symptoms: If your daughter’s abdominal pain is severe enough to interfere with her daily activities or if she is experiencing persistent vomiting, it would be advisable to seek medical attention. Severe pain can sometimes indicate underlying conditions such as endometriosis or ovarian cysts.

2. Duration of Symptoms: If her symptoms last longer than a few days or if they do not improve with over-the-counter pain relief methods (like ibuprofen or acetaminophen), it may be time to consult a doctor.

3. Changes in Menstrual Cycle: If you notice significant changes in her menstrual cycle, such as irregular periods, very heavy bleeding, or periods that last longer than a week, it’s important to have her evaluated by a healthcare provider.

4. Emotional Well-being: Menstruation can also affect emotional health. If your daughter is experiencing mood swings, anxiety, or depression related to her menstrual cycle, discussing these feelings with a healthcare professional can be beneficial.

5. Education and Support: It’s also important to provide your daughter with education about her body and what to expect during menstruation. Open communication can help her feel more comfortable discussing her symptoms and seeking help when needed.

In summary, while some discomfort during menstruation is normal, it’s essential to monitor the severity and duration of your daughter’s symptoms. If her symptoms are impacting her quality of life or if you have concerns about her menstrual cycle, seeking medical advice is a prudent step. A healthcare provider can offer guidance, reassurance, and potential treatment options to help manage her symptoms effectively.

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