Irregular periods in early adolocense
Your 14-year-old daughter is having irregular periods, and you’re wondering what could be wrong?
Irregular periods in adolescent girls are quite common and often related to the natural development of their reproductive system. One of the primary reasons for this irregularity is ovarian immaturity. During the early years of menstruation, it’s normal for cycles to be irregular as the body adjusts to new hormonal patterns.
However, there are several other factors that can contribute to irregular menstrual cycles:
Hormonal Imbalance: The hormonal axis involving the hypothalamus, pituitary gland, and ovaries might still be maturing, leading to inconsistent menstrual cycles.
Polycystic Ovary Syndrome (PCOS): A common endocrine disorder in adolescents that can cause irregular periods due to hormonal imbalances and ovarian dysfunction.
Thyroid Disorders: Both hypothyroidism and hyperthyroidism can disrupt menstrual cycles and should be considered if irregularities persist.
Stress and Lifestyle Factors: High levels of stress, significant weight changes, and rigorous physical activity can also affect menstrual regularity.
Bleeding Disorders: Conditions like von Willebrand disease and platelet function defects can cause abnormal menstrual bleeding.
Obesity: Excess weight can influence hormone levels, potentially leading to irregular cycles [5].
Pregnancy: Although less common in adolescents, pregnancy is a possible cause of missed periods and should be ruled out in sexually active teenagers.
When to see a Gynecologist
While some irregularity can be expected as a part of normal development, it is important to consult a gynecologist to rule out any underlying conditions, especially if:
The irregularity persists for more than two years after menarche (the first menstrual period).
There are symptoms of excessive bleeding, severe pain, or other unusual symptoms.
The irregular periods are accompanied by signs of endocrine disorders such as excessive hair growth, severe acne, or obesity.
A healthcare professional can provide a thorough evaluation and appropriate guidance to ensure your daughter’s reproductive health is on track.