The development of adolescent girls is purely individual. However, the average time period of the onset of the menstrual cycle falls on 9-14 years. In the first two years, the menstrual cycle may be unstable, which is quite natural, as the body develops, and for this it needs time.
The fact is that menstruation is a serious process associated with the work of sex hormones. At the beginning of puberty, the production of hormones can fail, which naturally affects menstruation.
When the monthly fully restored, the average period of a cycle can be 2-4 days. If monthly come with a long delay, and this phenomenon occurs constantly, then it is obvious that any failures occur in the body.
On average, the menstrual cycle should be 21-35 days. The duration of menstruation can vary from 3 to 6 days, and at this time the release of blood is about 50-100 ml.
Before menstruation, almost every woman experiences a number of PMS symptoms: severe irritability, tearfulness, weakness, pain in the mammary glands, discomfort in the lumbar region and lower abdomen. However, these symptoms should not be unsettling women.
If she feels unnecessarily bad, and to relieve pain she constantly drinks pain medication, she should consult a specialist, as these symptoms indicate the development of any pathology.
The fact that menstruation is a normal physical process, so they should not adversely affect the life of a woman. In addition, pathology is considered too scanty or abundant blood discharge.
Having noticed an irregular menstrual cycle, one should not clarify the situation through girlfriends, as one can lose sight of the development of a serious illness. If both girls have menstrual periods at the age of 14, they are irregular, this does not mean that such a condition is the norm.
In fact, the unstable menstrual cycle may be a consequence of the improper functioning of the endocrine system, inflammatory processes occurring in the genital area, the development of benign or malignant tumors.
Disorders of the menstrual cycle are divided into the following types:
- Amenorrhea. This process is characterized by the absence of menstruation for 6 months. During pregnancy, menopause and lactation, this process is considered to be completely natural. If amenorrhea is diagnosed in a young girl who is 14 years old, you should think about the development of pathologies. In some cases, amenorrhea can be observed in girls who are fond of rigid diets.
- Oligomenorrhea. Monthly can not occur for 35-40 days. Very often, girls who have such a pathology, are prone to corpulence, they have increased hair growth of the skin, it is difficult for them to conceive a child.
- Metrorrhagia. Sometimes between menstruation, strong bleeding from the genital tract can occur. If a woman does not feel severe pain, her general state of health remains normal, and this problem does not occur often, do not worry. If the blood comes out with excessive constancy, then you need to contact a specialist. The fact is, such secretions may indicate the presence of polyps, fibroids or tumors in the genital area.
The causes of the irregular cycle of menstruation in adolescents may be different:
- poor ecology tends to adversely affect the delay of the menstrual cycle,
- the unhealthy situation in the world around a teenager: family, friends, school,
heredity, if the girl’s relatives have ever had such problems, they can be inherited,
- excessive emotional stress and physical exertion,
- unhealthy diet, which include permanent diets or, conversely, gluttony,
- diseases of the endocrine, cardiovascular and other systems,
- genital diseases.
All these causes pose a serious danger to the girl, since her puberty is not over yet, so they can lead to infertility in the future.
Diagnosing irregular menstruation is a rather complicated process, since puberty is not fully completed, so it is difficult to understand the limits of the normal manifestation of the body and the beginning of the development of pathology. During the examination, the specialist tries to rely on this scheme:
Communication with the girl, during which it becomes clear when the menstruations began, during what period, they stabilized, when violations began to occur. Much attention is paid to the daily routine, the emotional situation in the family and school, nutrition.
Inspection. The specialist conducts a visual inspection of the external organs in order to identify possible pathologies.
Purpose of tests. A referral is issued for biochemical blood tests, urinalysis, and blood donation for hormones: prolactin, FSH, LH, and pelvic ultrasound.
If a teenage girl has irregular periods, this process is quite difficult to treat. The specialist must correctly select the correct treatment regimen. The body has not yet completed the stage of formation and the slightest introduction into this process can have serious consequences. Basically, the method of treatment is as follows:
- The organization of the correct daily routine, nutrition, proper rest and limiting physical exertion and emotional overstrain.
- Reception of vitamins of group B and E, and also easy sedative preparations.
- The appointment of hormone-containing drugs. Used drugs containing progesterone and estrogen. However, this method is used in extreme measures, so as not to disrupt the puberty of the girl.
- Physiotherapy activities: mud therapy, magnetic therapy, balneotherapy, heliotherapy, hypoxytherapy, UHF, etc.
Irregular menstrual cycle in adolescents is quite common. If we identify the cause of this process in time and start treatment, it will not adversely affect the reproductive system in the future. You should not hope that menstruation will recover on its own, it is necessary to consult a specialist.
When is an irregular cycle a symptom of a disease?
In some cases, irregular periods can be a disturbing sign, indicating that your health is not all right. The cause of irregular menstrual periods in adolescents may be the following conditions:
- Polycystic Ovary Syndrome
- Thyroid disease
- Increased blood levels of prolactin
- Ovarian failure
- Abnormal development of the uterus or ovaries
- Blood coagulation disorders, etc.
In which case you need to consult a doctor?
You should consult a gynecologist if:
- You have not had a monthly for more than 3 months in a row
- Monthly come every 2 weeks for 2-3 months in a row
- Your cycle lasts more than 45 days for several months.
- Monthly lasts more than 7 days in a row
- Monthly so abundant that you have to change the pad or tampon every 2 hours or more
- In addition to irregular menstruation, you have such symptoms as: excessive growth of hair on the face and body, oily skin and acne, and also, if you have lost weight very much lately or vice versa, gained several kilograms for no apparent reason.
Frequent monthly delay in adolescents
If you are between 11 and 15 years old and you have frequent monthly delays, this is not a cause for concern. A regular menstrual cycle can be established only a few years after the beginning of the first menstrual period. Monthly delays can also occur as a result of stress, physical reboots, travel, etc. On our site there is an article devoted to this topic: 10 reasons for the delay of menstruation.
In what cases are the delays not normal? Call your doctor if:
- You already live sexually (you had sex with a guy).
- Monthly delay was more than 3 months in a row.
- Monthly each time comes with an interval of more than 45 days.
Treatment of irregular cycle in adolescents
As a rule, irregular periods in young girls do not require special treatment, and the cycle is established independently within a few months or years. However, in rare cases, you may need a course of treatment aimed at restoring the menstrual cycle.
Most often, for these purposes, gynecologists prescribe birth control pills with very low doses of hormones. The doctor may prescribe such pills to you, even if you are still a virgin and you are not planning to start sex life yet.
If the cause of the irregular cycle is a problem with the thyroid gland, the doctor may prescribe medication to correct the problem. Normalization of thyroid hormones will lead to normalization of the menstrual cycle.
Delayed period in girls 16 years
Monthly adolescents may be irregular, but whether this will be considered the norm or pathology can be determined by knowing the age of onset of the first menstruation and the general health of the girl. It is only necessary to note that the first menstruation, called menarche, usually occurs in girls aged 11–15 years. The absence of menstruation at the age of sixteen most often indicates a malfunction in the endocrine system of a teenager. Determining the degree of their seriousness, one should pay attention to the development of secondary sexual characteristics (body hair growth by female type, “softening” of body forms, growth of mammary glands).
If the girl looks externally formed, but she has never had menstrual periods, this is a signal that the humoral regulation glands work abnormally, due to which the level of follicle-stimulating hormones, which are responsible for the maturation of the eggs and, as a result, the onset of menses, remains low. In this case, you must contact the gynecologist-endocrinologist, so that he appointed therapy.
Causes of menstruation delay in adolescents
If the critical days have already been, but the schedule of their occurrence remains unstable, this may be accompanied by several reasons.
The delay in menstruation at 16 years of age may be due to the following:
- lack of hormones. Hormonal disruption in adolescence is not uncommon, and in most cases suggests that the body simply adapts to its new functions,
- sharp set or weight reduction. Do not forget that the correct operation of all body systems is largely based on balance and regularity. Any “blows” that disturb the balance and bring down the metabolic processes also affect the menstrual cycle,
- emotional stress. The reproductive system is also very sensitive to changes in the emotional background, so overwork, increased physical and mental stress, insufficient sleep duration - all this can cause a delay,
- the onset of pregnancy. If a girl lives sexually and uses unreliable contraceptives, or does not use it at all, then the most obvious reason for the delay in menstruation can be pregnancy. According to a common misconception, many believe that since the cycle has not yet been established, then conception is unlikely to occur. This is fundamentally wrong, and therefore, when starting a sex life at an age when menstruation is not regular, it is extremely important to use contraceptives,
- the presence of diseases of the pelvic organs. Also mainly concerns girls who are sexually active. But virgins are also at risk of contracting bacterial (cystitis) or fungal (candidiasis, also known as thrush) infections.
No monthly for more than two months
As we said earlier, a delay of up to six months is quite acceptable. So, if there are no monthly 2 months, do not panic.
In order to decide what to do in such a situation, pay attention to the following indicators of the quality of life:
- The alternation of work with the rest. A tired body simply has nowhere to take strength to work “as it should,” so overwork can be a very real reason. It is possible to eliminate it, having diversified the working day with hobbies, sports, at least walking.
- Nutrition. A lack of vitamins or, on the contrary, an excess of some substance in the blood additionally loads one of the most important organs of the endocrine system - the liver. Improper diet leads to metabolic disorders and, as a consequence, menstrual disorders.
- Diseases and medicines. An organism that has not recovered from a disease takes time to recover its resources, and it is this time that becomes a delay. In addition, antibiotics, in turn, can affect the cycle.
Irregular monthly in 16 years
Irregular periods in sixteen-year-old girls are usually not a serious cause for concern. However, if there is a suspicion that, in addition to an unformed menstrual cycle, a teenager is experiencing other health problems, a complete medical examination is necessary. Also, do not forget that to begin monthly, which so far go irregularly, can at any time, and he, as is usually the case, will be "the most inappropriate." To avoid unpleasant incidents, you should always carry a pad or tampon. If during menstruation a girl feels pain in the lower abdomen, then it would not hurt to have an analgesic pill also.
When you need to see a doctor
It is necessary to sound the alarm in case of a delay in the period of six months for a girl when, in the absence of discharge, she feels a characteristic pain in the lower abdomen and in the lower back. Also, a signal of possible significant malfunctions, including insufficient production of estrogen and FS hormones, may be a delay in the development of secondary sexual characteristics. Sometimes it happens that this process “freezes” at a certain stage, and with it the menstrual cycle stops.
If the possibility of serious disruption to the body is excluded, the doctor may recommend the following:
- add more fresh fruits and vegetables, red meat, fish (they contain proteins and trace elements that strengthen all body systems),
- start taking vitamins in tablets (recommended with a deficiency of vitamins obtained by natural means, or in violation of the absorption of certain substances),
- to moderate physical and mental stress (intense study or intense sports have a tremendous impact on the body and provoke overwork)
- spend more time outdoors (walks have a good therapeutic and prophylactic effect, relax and soothe),
- rest more (to restore strength, it is extremely important to sleep a sufficient number of hours, that is, at least seven).
Sometimes, in cases where pathologies of the endocrine and reproductive systems have not been identified, it makes sense to seek the advice of a psychologist. Oddly enough, psychosomatic reasons for the delay are not uncommon in adolescent girls. Often the menstrual cycle gets off due to the fact that the girl perceives changes in her own body too impressionable and painful. In this case, there will be a deterioration of performance, appetite, fatigue, depression. The task of the parents in this situation is to notice what’s wrong and to help the child cope with the problem.
Summing up, it should be said that the reasons for the delay in menstruation in a sixteen-year-old teenager can be many-sided. It is very important to be able to distinguish a normal situation from an abnormal situation in order to take the necessary measures in time. On the part of parents, understanding and support are necessary, because 16 years is perhaps the most difficult age in the entire puberty period, the “boundary” between childhood and adolescence. Therefore, any stress and any unrest can harm the health of the girl. Mutual understanding in the family and attentiveness to one's health is the key to the success of the transitional age.
Violations of the menstrual cycle in adolescents
Quite often, in more than 50% of cases, a teenager has a delayed menstruation or its complete absence (amenorrhea).
Oligomenorrhea - the duration of the menstrual cycle in girls is more than 35 days.
Amenorrhea - the absence of menstruation for more than 6 months. This disorder can be both primary and secondary. Amenorrhea is considered primary in the case when a teenager before the age of 16 was not once a month. Secondary is the disorder of the menstrual cycle when the girl at some point does not come another menstruation, although before this cycle was regular.
Oligomenorrhea is more often diagnosed. But it is worth remembering that all types of cycle violations can lead to serious consequences (infertility) if you do not pay due attention to the problem in time.
But it should also be borne in mind that young girls in the period of formation of the menstrual cycle may have small failures that do not require medical intervention, which should not be regular and long.
Otherwise, all of these disorders may indicate a problem in reproductive health.
Causes of irregular menses
Основной причиной возникновения нерегулярных месячных является нестабильность гормонального фона у подростков, связанная с несовершенством систем в организме. Also distinguish a number of provoking factors affecting the hormonal balance:
- genetic predisposition, problems with the menstrual cycle can be inherited from the mother or grandmother,
- bad ecology,
- poor nutrition,
- strict diets, anorexia,
- mental overload, stressful situations at home and at school,
- lack of good rest, constant increased physical exertion,
The etiology of this problem may lie not only in hormonal disorders, but also in the presence of a pathological process in a young body:
- ovarian disease
- infections of the reproductive organs (HPV, chlamydia and so on) can cause bleeding,
- chronic endometritis,
- pathology of the pituitary gland, traumatic brain injury (traumatic brain injury).
If the cause of menstrual disorders in girls are physiological changes associated with maturation, then no special treatment will be required. You just need to pay special attention to predisposing factors and, if possible, eliminate them. In all other cases, consultation and thorough examination is required to identify the cause and assign adequate treatment.
If the girl began puberty, and there was a menstruation, then the mother needs to monitor the frequency and nature of discharge. Single violations during the year - one and a half after the onset of menstruation can be considered the norm. However, you should know the so-called signs of anxiety, finding that the girl must be taken to the doctor:
- the girl has reached the age of fifteen, and she has never had any periods,
- menstruation is extremely painful, which leads to disruption of activity and decrease in the performance of the girl,
- the discharge of blood from the vagina lasts more than seven days,
- heavy discharge (bleeding) when frequent changes of sanitary pads are required (more often than once every three hours),
- the interval between periods is quite large (three months or more),
- irregular periods are observed for 12 months or more,
- intermenstrual copious blood discharge.
When referring a girl to a doctor with this problem, an integrated approach to diagnosis and treatment is necessary.
Diagnosis of irregular monthly includes:
- A survey that will help clarify complaints, determine the history of the formation of the menstrual cycle (if monthly) and the history of the girl's life. It is necessary to identify factors that could affect the hormones.
- Gynecological examination to identify pathology of the genital organs. If the girl is already having sex, then a full vaginal examination and bimanual examination are performed. It is necessary to take swabs from the vagina, urethra and cervical canal.
- Laboratory research methods. You should pass a general analysis of blood and urine to detect latent inflammation in the body. Swabs for the presence of genital tract infection are being examined. Blood is necessarily taken to study hormonal background (prolactin, luteinizing and follicle-stimulating hormone).
- Ultrasound examination of the pelvic organs. In order to identify the pathology of the internal genital organs.
Only after a full examination and receipt of all test results can one judge the causes of the occurrence of violations and prescribe adequate treatment.
Treatment of menstrual disorders in adolescent girls
Quite often, the style and pace of life of a young girl become the causes of irregular periods. In this case, in adolescents, treatment of menstrual disorders consists in correcting the daily regimen and diet:
- Normalization of the day regimen. A full healthy night’s sleep for at least 8 hours is required. During the day it is worth making time for rest.
- Reduce physical exertion. You can play sports, but in moderation (morning exercises, yoga, jogging, walking, skiing and skating).
- It is necessary to avoid stressful situations, long walks in the fresh air are recommended, it is necessary to master the technique of breathing exercises, which will help to calm down in a stressful situation.
- Proper nutrition. In order for the menstrual cycle to be a regular girl, it is necessary to fully eat, in this case fats are of particular importance. They are necessary for the normalization of menstruation.
If medication is required, only a doctor should prescribe it. Self-medication can harm a young, fragile body.
- Hormone therapy. Drugs are selected very carefully, during treatment should be monitored hormone levels in the blood.
- Vitamins help normalize menstrual function. In addition to the correction of nutrition, vitamin complexes are prescribed, containing in their composition vitamins B and E. These drugs should also be prescribed by a specialist.
- Quite often, teenagers with this problem are prescribed the herbal preparation Cyclodinone. It is contraindicated in the presence of intolerance to any component (allergic reaction). This drug has a mild effect on the body. The duration of administration and dosage should be selected by the attending physician based on the cause and manifestations of the pathology. Cyclodinone is taken twice a day, in the morning and before bedtime.
If the cause is an infection, then appropriate treatment is prescribed. After eliminating the cause, the regularity of menstruation should be restored.
Irregular periods in a teenage girl
All girls perceive the onset of menstruation differently. Someone happily meets the first menstruation, associating them with the road to adulthood, with femininity and beauty.
And for someone, the first appearance of blood on the panties becomes an occasion for tears and depression due to the reluctance to say goodbye to childhood.
In this situation, the role of the mother is greater than ever - in fact it is the mother who has to explain to the daughter what changes take place with her body, what they are for, and why the first menstruation should be perceived as a joyful event.
A daughter can contact you with any question, so a modern mother should have an idea about the peculiarities of the menstrual cycle at puberty and know when irregular periods in a teenager girl are normal and when you should consult a doctor.
Typically, menstruation occurs after the beginning of growth of the chest, body hair pubic and armpits.
It is believed that menstruation comes at a time when the total amount of adipose tissue in the body is 17%, and to establish a normal cycle, 22% of adipose tissue is required.
Therefore, in full girls, menstruation starts earlier and is established rather than skinny ones. However, overweight can also be the cause of irregular menstruation in adolescent girls and talk about the violation of the hormonal balance in the body.
About two years from the onset of menstruation, adolescent girls' cycles are anovulatory. This means that high-grade eggs in the ovaries do not mature, and ovulation does not occur. This situation is in 80% of cases and is completely normal.
Establishing and setting up the work of the reproductive system of a young girl is a complex and time-consuming process in which all parts of the endocrine system are involved, ranging from brain structures, to adipose and bone tissue. For 1.5-2 years, the formation of the female menstrual cycle.
Irregular periods in a teenage girl at this time is normal.
When should you worry if your teen girl has an irregular monthly?
The reason for excitement should be the absence of menstrual flow for three or more months or bleeding, which lasts over 7 days and leads to significant blood loss and disruption of the general condition. Usually gynecologists consider uterine bleeding situation when the pads have to be changed more often than once every 2 hours.
Typical for girls in adolescence is the following picture: the delay of menstruation by 1.5-3 months, followed by prolonged debilitating bleeding.
Such bleeding should be distinguished from simply irregular periods in a teenage girl, which rarely lead to anemia and do not affect the general well-being of the young patient.
In the diagnosis, a blood test with the definition of red blood cells, hemoglobin and hematocrit (to determine the degree and nature of anemia), coagulogram (to exclude the pathology of the coagulation system), ultrasound of the pelvic organs (to exclude polycystic ovarian cancer) helps.
Irregular periods in a teenage girl can manifest significant delays or even complete cessation of menstruation. Most often this occurs due to weight loss (up to 25% of cases of sudden cessation of menstruation in adolescents).
Pubertal age is associated with frequent fluctuations of the emotional background, hypersensitivity, a tendency to exaggerate, dissatisfaction with their own appearance. Even a slight loss of body weight (3-10%) due to diets, medication, repeated vomiting can already lead to the cessation of menstruation.
Carefully monitor the emotional state of the daughter, the balance of her diet. There is a hypothesis that the cessation of menstruation on the background of weight loss is a prerequisite for the development of adolescent schizophrenia.
Also, menstruation delay may occur under the influence of the stress factor. The absence of menstruation in women during the war is usually given as a graphic example. However, for a teenager, less significant events can play a stressful role.
Usually irregular periods in a teenager girl in this case do not require any correction, the cycle is restored on its own as soon as the body copes with stress. Apply herbal sedatives.
In severe neuropsychiatric disorders, consultation of a psychologist, a psychiatrist and the appointment of special psychotropic drugs are required.
As you can see, irregular periods in a teenage girl may be normal. But still you should not lose vigilance. Consult a doctor in time if:
- menstruation was not 3 months or more
- bleedings last more than a week
- because of the abundant blood loss, the girl feels weak, dizzy,
- Recently, a teenager has lost or experienced severe stress,
- the menstrual cycle was not established in 2 years from the date of the first menstrual periods.
Remember that in case of irregular menstrual periods in a teenager girl, the border between normal and pathological conditions can sometimes be drawn only by a qualified specialist.
Irregular periods in adolescents
It is impossible not to notice how every year modern teenagers become more developed than we are at that age. This applies to both physical and mental development.
However, in addition to the positive aspects of the early development of children, one can identify negative aspects.
This is especially true of adolescent girls, because the rhythm of the modern lifestyle, postpones a negative imprint on health in the field of female genital.
Irregular cycle in adolescents: causes and treatment | My Gynecologist| My Gynecologist
For most girls and women, menstruation comes every time after a certain number of days, most often once a month (which is why they are called “monthly”).
The number of days elapsed from the first day of the month to the first day of the next month is the duration of the menstrual cycle.
Normally, young girls from 12 to 15 years of age can vary from 21 to 45 days.
If monthly periods occur every time after the same period of time (for example, every 25 days), this means that the menstrual cycle is regular.
If the monthly each time come unexpectedly (for example, after 21 days, then after 40 days), this means that the menstrual cycle is not regular.
Irregular cycle at 13, 14 or 15 years is this normal?
It turns out that in the first few years after the arrival of the very first menstrual periods, the menstrual cycle may be irregular. This is due to the fact that your body is just learning to cope with sex hormones, which began to be produced in the endocrine glands.
That is why an irregular cycle (frequent delays or, on the contrary, menstrual periods twice a month) is a completely normal phenomenon in adolescence.
Violation of the menstrual cycle in adolescents - in girls, delayed menstruation, in girls, treatment
Disruption of the menstrual cycle in adolescents is possible for various reasons. The first menstruation, also called menarche, can begin in any period of adolescence from 9 to 14 years. Only in a third of girls menstruation becomes regular after menarche. In most cases, it takes time (from six months to 2 years) to adjust the menstrual cycle.
By itself, the delay in menstruation at the initial stage is due to a new level that is unaccustomed to the organism, which over time must pass on its own.
Therefore, irregular periods for two years are considered to be quite natural and explainable fact from the point of view of medicine.
The forerunners of the first menstruation (menarche) are the following symptoms:
- six months before the menarche, hair begins to appear in the armpit
- body weight gaining a minimum of 45 kg,
- height 155 cm
Such changes speak of the correct and gradual maturing of a girl who slowly becomes a girl.
Juvenile uterine bleeding
Young girls in the first years after menarche have juvenile (irregular bleeding in the uterus). Each new cycle of menstruation takes more than 7 days. At the same time heavy bleeding.
This is dangerous because it can cause anemia (anemia). Anemia is characterized by pale skin and mucous membranes, weakness, dizziness, headaches, tachycardia, and other similar symptoms.
Juvenile uterine bleeding are due to neuro-psychological stress or extreme emotional distress. In the case of re-juvenile uterine bleeding, which is often accompanied by serious complications, you should immediately consult a gynecologist to avoid unpleasant consequences.
Diagnosis and timely treatment will help keep all reproductive functions in order.
Is treatment required?
In order to know for sure whether treatment is required, it is necessary to consult with a highly qualified gynecologist.
The main reasons (two years after the menarche), indicating that you need to undergo a course of treatment are the following:
- amenorrhea or absence of menstruation for six months,
- hypomenorrhea - scanty discharge occurring on time
- oligomenorrhea - short discharge 1-2 days,
- proiomenorrhea - within 25-30 days the menstrual cycle passes twice,
- opsomenorrhea - rare menstruation, once every three months,
- dysmenorrhea - severe pain during menstruation,
- the duration of the month is more than seven days,
- intermenstrual blood discharge,
- changes in appearance: weight, oily skin, acne on the face, strong growth of hair.
In addition, if the girl has reached the age of fifteen, and her menstruation has not started yet, this is a serious reason to sound the alarm. An urgent need to consult a doctor.
Women's health is laid since childhood. In order for the girl to have a good reproductive system in the future, parents need to monitor her timely flow of the menstrual cycle right now.
If they notice a problem, then the best solution would be to be safe and make an appointment with the gynecologist.
In time averted disease will relieve the adolescent from the mass of unpleasant consequences that female diseases carry with them.
In addition, personal hygiene, good nutrition and a positive attitude will help the teenager as quickly as possible to cope with new hormonal changes in his body.
A girl will soon come to terms with innovations if she knows about them in advance. Therefore, mothers should pay attention to this and talk to your child about what menstruation is and how it passes.
Then the child will be calm and more confident.
In the video about the causes of failure
Causes of menstruation delay in adolescent girls
Every parent should know when a girl’s monthly period should begin, what to do if started and how to behave if natural phenomenon is delayed.
The first menstrual cycle is only the beginning of the path of maturation, and its cyclicity is fully formed only two years after the beginning of the first menstrual periods.
In the body of the girl major changes occur, then there is no clear cyclicality yet, the period between the months can vary. The reasons for the delay in menstruation in adolescents will be discussed in the article.
Factors affecting the menstrual cycle
On average, menstruation begins in adolescent girls 11-13 years old.
This does not mean that if your daughter is already 13 and there are no periods, you need to sound the alarm.
But go for a routine consultation with a pediatric gynecologist can.
There are several factors that affect the time of onset of menstruation:
- physical development of the child,
- childhood illnesses
- place of residence of the child,
- emotional condition,
For example, a girl in physical development from a young age overtakes peersShe is tall, tall. Most likely, that and her monthly begin earlier.
Genetic predisposition is also taken into account: if the mother herself, the grandmother had late periods, for example, then it is likely that the girl will start them relatively late.
Why is there a delay in menstruation in girls?
If the monthly has come, but cycle is unstablethen the first two years do not need to worry much - it just comes back to normal.
Another question, if menstruation does not start.
The reason for this may be some diseases endocrine or neurological. Psychoemotional stress is an important factor preventing the natural course of events.
Can "slow down" periods if the girl is too devotes a lot of time to sport. Finally, there is such a thing - delayed sexual development, but only a doctor can make such a diagnosis, and only he will give treatment and recommendations in this case.
What symptoms are accompanied by?
Ovulation in girls does not occur in each cycle, and this affects its regularity.
But if the menstruation is not just delayed, but has not yet come at all, you need to contact the pediatric gynecologist and endocrinologist.
By itself, the delay is often accompanied by additional symptoms. In some cases they affect psycho-emotional sphere - the child becomes irritable, capricious, or, conversely, sluggish, apathetic.
Sometimes a girl noticeably lags behind her peers, there is no hint of a growing breast, she is small, thin, as if not older. Just in case, you need to be examined.
What is the delay considered normal?
In adolescence no rate norm for cycle duration.
Count off the first two years from the beginning of menstruation, and follow, and better with the child, keep a calendar of monthly.
Sometimes the difference between two cycles is 20-45 days, and in this There is nothing wrong.
But if the monthly disappeared for several months, and their duration is very different: for example, in January - 3 days, and in February - 9, this should be reported to the doctor.
Amenorrhea - what is it?
Primary amenorrhea is not only lack of menstruation the teenage girl, but also the lack of puberty.
Such a diagnosis can make a girl at 14if there is no vegetation in the armpits, pubic tissue, the mammary glands do not increase, and there is no menstruation.
If the girl is already 16 years old, and there are sexual signs of maturation, but her period is still not there, amenorrhea is also diagnosed.
This pathology is associated with or genetic abnormalities or with endocrine, neurological, mental disorders. Maybe the problem lies in the anatomical pathology of the structure and functioning of the genitals.
When do I need to see a doctor?
What if the girl has a monthly delay?
The algorithm is simple: if the girl is 14 years old, there are no menstruations, signs of puberty are also absent, consult a pediatric gynecologist.
He will direct you to other narrow specialists for examination.
If there are signs of puberty, but menstruation does not come, and girl is 15-16 years old also do not delay a visit to a specialist.
Sometimes it is only a matter of malnutrition and excessive physical exertion, or genetic predisposition to the late arrival of menstruation.
But there may be serious endocrine pathologies or disorders of the structure of the reproductive organs - therefore the examination is definitely necessary.
Can it be caused by diseases?
Can the delay in menstruation be the cause of the disease? The reason is not, it is almost impossible. But the result of some pathologies definitely can.
On the delay of the monthly teenager can influence:
- Insufficient or overweight.
- Hormonal pathology.
- Severe physical exertion.
- Stress and psycho-emotional trauma.
- Frequent colds.
- Pathological structure of the genital organs.
- Improper nutrition.
- Bad sleep.
- Genital infections.
- Tonsillitis in chronic form.
- Hypertension, VSD.
If two years have passed since the beginning of menstruation, but the cycle has not yet been established - This deviation from the norm. Nausea, fainting, pain during menstruation, too short a cycle - less than three days, too long - more than 10 days, severe headaches during a cycle.
We must understand that teenage girls - they are no longer children, but not womenno matter how fast they grow or develop. Emotional-mental disorder - the risk from which not a single girl is insured.
For example, adolescents with eating disorders seeking to lose weight may hide the fact that menstruation does not come. And this is a symptom of violations that may become irreversible.
Because it is not only the right, but also the duty of parents to control the child's menstrual cycle, how to control all other aspects of health.
When will the cycle become regular?
Average it takes two years. But this does not mean that during these two years the monthly periods can disappear for several months at once - this is already a problem that needs to be solved by a doctor.
A girl for a normal, healthy, well-established monthly cycle are needed:
- normal day regimen with a full night’s sleep,
- decrease in physical activities,
- avoid stressful situations
- frequent walks in the fresh air
- proper fortified food.
Sometimes a girl at that age needs course of study with a psychologist. Not everyone is relatively calm in puberty, and emotions, mental state, self-perception can be at the level of extremes.
To help a specialist in this case is a necessary measure, useful, including for the normalization of physical health.
As soon as the girl had her first periods, she should tell mom about it, and she should explain to her the essence of the phenomenon, what hygienic methods can alleviate the condition in these days.
You also need to keep a monthly calendar, which will always help in case of finding out the causes of pathologies and describing possible problems.
About the causes of irregular menstruation in adolescents in this video: