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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What causes delay in menstrual bleeding during teenage?

Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3129 Questions

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Posted on Fri, 22 Jul 2016 in Women's Health
Question: you know what...something isntright. my last proper period was april. end of may had tiny bit of spots and no period blood and then if i opened vagIna lips i saw blood but it went to anus but no flow. blood doesnt come out unless i open vagina lips so not like a period. and a have hymen folds. dont know when they were there since, like hymen tags i mean. and today its almost amonth later the same thing- i hve the ache like a period but tiny bit of brown on pad like spotting and then i open vagina lips see blod go down to anus, but no flow nothing coming out on its own. dunno if theres some problem with period blood coming out coz it is like a month since it happened last time. not sure what exatly is hapening like where blood is coming from. would we weird to have a weird bleeding or whatever it is a month i na row. i am never going to get a flow periods. i dont even call this period, only see blood if you open vagina. and had bit of brown on pad aswell. and light brown if you wipe. normal periods=none. dunno if its some messed up period or what. what do i fdo, not even sure where blood is coming from when i open vagina lips. I only looked at my vagina since after April as no periods and I don't know how long the hymen tags have been there but do they mess up period flow, and not even sure where abouts blood is coming from when I open the lips. What is going on? Will not get periods properly like this, and are these weird periods or not. Blood is getting stuck in vagina like this as theres something wanting to come put but the pad is clear. Something isn't right. HELP! And in My when it happened I got load of dark brown discharge which is what I get at the end of a normal period. But what has happened in May and again now is not a period but timing is like period time. How do I fix this, and are these periods in a weird messed up way? What do I do? Last time I opened vagina lips once a day for about 4 or days so that as only time I saw blood. ithout opening vagina lips there is nothing coming out, just a few tiny bits of brown like spotting. This isnt good at all. Don't even know if its some sort of messed up period or what. I don't know what caused it, whats wrong etc. How do I fix it get normal period flow etc, ike this blood is stuck inside me. I am very worried and feel i am not sure if this is supposed to be a period and blood must be stuck inside, i have been rediculously stressed too, not sure where blood is from when i open vagina lips and see some go down to anus but if i never open vgina lips there is nothing, just bit brown potting or bits and that it really. and if i wipe vagina see tny bit of light light brown discharge. what is going on. i feel i will never get a period if this isnt sorted out like something is stopping blood coming out freely if this is supposed to be periods. i have the symptoms of period like period ain but no period. not even sure where blood is coming from when i do open lips. its so hard to see a gynecologist too, i need someone to see the blood tbh and know where its coming from etc and know whats going on and how to solve it. HELP

doctor
Answered by Dr. Bonnie Berger-Durnbaugh 1 hour later
Brief Answer:
Go to primary doctor who will likely give you a trial of progestin.

Detailed Answer:
Hello and welcome,

In teenage women, it is can happen that ovulation isn't regular, and that may be what is happening here. When a woman doesn't ovulate, then there can be spotting, left over blood (dark brown), a heavy period, a light period, an early period, a late period, or no period. So in other words, the bleeding isn't regular.

That you have had normal periods in the past makes me believe that your anatomy is capable of normal flow. If you still have a hymen, it may be that a bit of old blood stays behind it which may be what you are seeing when you look.

When normal periods have not come for 3 months, then it is time for an evaluation. Usually we start with giving a progestin for a week (such as Provera) which helps mature the lining of the uterus if there has been enough estrogen; and when you stop taking the progestin, a period will come. If a period comes within a few days of stopping the progestin, then we know your ovaries are making enough estrogen. Then the choices are to see if normal cycles resume, or if you might like to have it regulated with oral contraceptives.

If the progestin-withdrawal does not cause a period, (which it usually does in someone who has had normal periods in the past), then we start looking for other causes of amennorhea (absence of periods) - by doing hormone blood tests and imaging studies (such as ultrasound).

So, if you can get in to see your primary doctor, he or she should be able to help you out without you having to see a gynecologist.

I hope this information helps. Please let me know if I can provide further information.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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