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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Teenager. Irregular periods even after 3 years of first period. Advice

Hello. My daughter is 17 yrs and has been having her periods since she was 14 years. Though it is 3 years and more , she still has irregular periods. Sometimes she skips a month too. Her height is 5'1 and weight is 48 kgs.
Till date, we have not taken any medicine or consultation for this as I was told my physician that it is common for teenage girls to have irregular period and that the problem shall sort itself. Now, i am worried because this continures even after 3 years of her first period. Please advise.
Tue, 13 Aug 2013
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General & Family Physician 's  Response
Hello Good Evening,

Your daughter has missed period, which is due to some common reason like:

-Pregnancy
-Menopause
-Stress and anxiety
-Excessive weight loss, or weight gain
-Hormonal imbalance
-Hypothyroidism
-PCOS

Pregnancy and menopause are not applicable here but any of others can be a cause for this, so please go through proper evaluation to get other causes like hormonal imbalance or PCOS.

PCOS (Polycystic ovary syndrome) produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be the most frequent endocrine problem in women of reproductive age.

The principal features are anovulation, resulting in irregular menstruation, amenorrhoea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels.

The symptoms and severity of the syndrome vary greatly among affected women.

After excluding these, usually a short course of hormones is given,which is usually followed by withdrawal bleeding.
Many a times menses resume to normal after this. If the following periods are delayed/irregular,it has to be further investigated

So go to the gynecologist to get her evaluated for irregular periods.

Regards,

Dr. Naresh Jain.
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