Delayed Menstruation in Adolescents: What to Do? - Obstetrics and Gynecology

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Missed menstruation?


Hello doctor, my son is in the first year of junior high school, has a slim build, and has a slight hunchback.
However, he hasn't grown in the past two months.
What should we do? His daily life is normal.
Thank you.

huanzhe, 40~49 year old female. Ask Date: 2015/12/21

Dr. Lin Wenbin reply Obstetrics and Gynecology


Come to the hospital for an examination.

Reply Date: 2015/12/21

More Info


Delayed menstruation in adolescents can be a concerning issue for both the individual and their guardians. It is important to understand that there are several factors that can contribute to this condition, especially during the teenage years when the body is still developing and adjusting to hormonal changes.

Firstly, it is essential to recognize that the onset of menstruation, known as menarche, typically occurs between the ages of 9 and 16. However, it is not uncommon for some adolescents to experience irregularities in their menstrual cycles, particularly in the first few years after they begin menstruating. Factors such as stress, changes in weight, excessive exercise, and hormonal imbalances can all play a role in delayed menstruation.

In your case, since your daughter is in the first year of middle school and has not had her period for the past two months, it is advisable to consider a few key points:
1. Physical Health: Assess her overall health. Is she experiencing any significant weight loss or gain? Has there been an increase in physical activity, such as sports or exercise? Both underweight and overweight conditions can affect menstrual cycles. Additionally, conditions like polycystic ovary syndrome (PCOS) can lead to irregular periods and are more common in adolescents.

2. Emotional and Psychological Factors: Adolescence is a time of significant emotional and psychological changes. Stress from school, social pressures, or family issues can impact hormonal balance and lead to delayed menstruation. It is important to ensure that she has a supportive environment where she can express her feelings and concerns.

3. Medical Evaluation: If her period does not resume in the next month or two, it would be wise to consult a healthcare professional. A doctor can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly an ultrasound to rule out any underlying conditions.

4. Education and Communication: It is crucial to educate your daughter about her body and menstrual health. Encourage open communication about any changes she may be experiencing, both physically and emotionally. This can help her feel more comfortable discussing her health with you and seeking help if needed.

5. Lifestyle Adjustments: Encourage a balanced diet, regular physical activity, and adequate sleep. These factors can significantly influence menstrual health. Additionally, stress management techniques such as mindfulness, yoga, or engaging in hobbies can be beneficial.

In conclusion, while delayed menstruation can be a common occurrence in adolescents, it is essential to monitor the situation closely. If the delay continues or if there are any concerning symptoms, seeking medical advice is the best course of action. Early intervention can help address any potential issues and provide reassurance for both you and your daughter. Remember, every adolescent's body is different, and understanding these changes is a vital part of growing up.

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