Irregular Menstruation: Causes and Solutions for Women

How to have a normal menstrual cycle?

Hello! Since my second year of graduate school, I've noticed that my menstrual cycle has become increasingly irregular.
The delays have been getting longer, and recently, my period has been over a month late.
My cycles were quite regular since menarche, almost once a month.
As I've gotten older, I've occasionally experienced delays of a few days (around a week), which I think might be due to stress, especially since I've changed my major.
I would like to know what I can do to regulate my menstrual cycle.
Additionally, I've noticed that my flow has suddenly increased a lot, whereas it used to be very predictable and manageable.
I'm unsure if masturbation affects my menstrual cycle, as I do it once a day.
I've been engaging in this behavior for the past few months, but I'm hesitant to insert anything into my vagina or seek sexual experiences with men.
Therefore, I currently rely on masturbation to fulfill my sexual desires.
I previously visited a gynecologist, but I had a negative experience, as the doctor didn't believe what I was saying.
Moreover, going to a gynecologist alone feels awkward; during my first ultrasound, I felt uncomfortable and disrespected.
I've heard that birth control pills can help regulate menstruation, but I'm concerned they might cause acne, which I want to avoid since my skin isn't great.
Additionally, I want to ask about the dark pigmentation in my intimate area—do over-the-counter whitening products work? This might be due to some friction from my inner thighs since I’m a bit overweight.
Honestly, as a woman, I find it amusing that despite masturbating so many times, I still can't locate my vaginal opening.
I only see fluid flowing out each time.
Sometimes I wonder if men might not know either and are just following the woman's lead during intercourse.
I'm also curious about whether the fluid that comes out during a woman's orgasm is urine or something else.
Does excessive masturbation lead to frequent urination?

Hong Shi Jing, 20~29 year old female. Ask Date: 2015/08/16

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the regularity of menstrual periods can be influenced by various factors such as physiological and psychological stress, lifestyle, emotions, diet, and age.
If you feel that stress is a contributing factor, it is advisable to seek ways to alleviate it.
The coloration of the perineal area cannot be addressed with commercial products, as it is determined by genetics.
For other concerns that cannot be assessed based on your description, it is recommended to arrange for relevant examinations if necessary.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2015/08/16

More Info

Irregular menstruation is a common concern among women, and it can be influenced by a variety of factors including hormonal imbalances, stress, lifestyle changes, and underlying medical conditions. Your experience of increasingly irregular menstrual cycles, particularly since your second year of graduate school, is not uncommon, especially during periods of significant life changes such as transitioning to a new academic program.

Causes of Irregular Menstruation
1. Hormonal Imbalances: The menstrual cycle is regulated by a complex interplay of hormones, including estrogen and progesterone. Any disruption in this hormonal balance can lead to irregularities. Factors such as stress, significant weight changes, and even certain medications can affect hormone levels.

2. Stress: Psychological stress is a well-known disruptor of the menstrual cycle. When you're under stress, your body produces cortisol, which can interfere with the hormones that regulate your menstrual cycle. This might explain why you’ve noticed changes coinciding with your transition to a new academic program.

3. Lifestyle Factors: Changes in diet, exercise, and sleep patterns can also impact your menstrual cycle. For instance, excessive exercise or significant weight loss can lead to missed periods, while weight gain can lead to heavier periods.

4. Medical Conditions: Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and uterine abnormalities can also cause irregular menstruation. If your irregular cycles persist, it may be worth consulting a healthcare provider for further evaluation.

Solutions for Managing Irregular Menstruation
1. Lifestyle Modifications: Maintaining a balanced diet, regular exercise, and adequate sleep can help regulate your menstrual cycle. Reducing stress through mindfulness practices, yoga, or other relaxation techniques can also be beneficial.

2. Tracking Your Cycle: Keeping a detailed record of your menstrual cycle, including the timing, flow, and any accompanying symptoms, can help you and your healthcare provider identify patterns and potential triggers.

3. Consulting a Healthcare Provider: While you mentioned a negative experience with a gynecologist, it’s important to find a healthcare provider who respects your concerns and provides a supportive environment. They can offer guidance on potential treatments, including hormonal therapies if necessary.

4. Birth Control Pills: While you expressed concerns about potential side effects like acne, birth control pills can help regulate your cycle by providing consistent hormone levels. There are various formulations available, and some may be less likely to cause skin issues. Discussing these options with a knowledgeable provider can help you find a suitable choice.

5. Managing Skin Concerns: Regarding the darkening of the skin in your intimate areas, this can be a common issue and is often related to friction or hormonal changes. While some topical products claim to lighten skin, it’s essential to approach these with caution and consult a dermatologist for safe and effective options.

Understanding Your Body
Your curiosity about your body and sexual health is a positive aspect of self-exploration. It’s normal to have questions about anatomy and physiological responses during masturbation. The fluid you observe during arousal is typically vaginal lubrication, which is a normal response to sexual stimulation.
Frequent masturbation does not typically lead to urinary frequency; however, if you notice changes in your urinary habits, it might be worth discussing with a healthcare provider.

Conclusion
Irregular menstruation can be distressing, but understanding the potential causes and solutions can empower you to take control of your health. It’s crucial to find a supportive healthcare provider who can help you navigate these changes and address any concerns you may have. Remember, your health and comfort are paramount, and seeking help is a sign of strength.

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