Youre Using Hormonal Birth Control
Many love the pill because it makes their periods so regular. But it can sometimes have the opposite effect, especially during the first few months of use.
Similarly, when you stop taking the pill, it can take a few months for your cycle to get back to normal. As your body returns to its baseline hormone levels, you may miss your period for a few months.
If youre using another hormonal birth control method, including an IUD, implant, or shot, you might stop getting your period altogether.
Weight Gain And Obesity
Weight gain and obesity can affect the frequency of your period in a couple of ways. Rapid weight gain can throw your cycle off because it affects the hypothalamus, which is a part of your brain that regulates hormones. That can lead to hormonal fluctuations that may cause periods to be more frequent or less frequent.
Obesity has a complex relationship with menstruation. High levels of fat, also called adipose tissue, can upset the balance of sex hormones and lead to more estrogen than you need. Too much estrogen can make you have short menstrual cycles and more periods. It also can cause heavier bleeding, more cramps, and more prolonged pain during your period. These problems are most severe when fat is mostly around the belly.
Losing weight, or maintaining a healthy weight, can help keep your menstrual cycle regular. If you need help losing weight, talk to your doctor about what options you have.
When To Call Your Healthcare Provider
Missing a period every once in a while is usually not cause for concern. That said, you should see a healthcare provider if you miss more than one period, or your missed period is accompanied by new or unusual symptoms.
Seek medical attention right away if you also experience any of the following:
- New or worsening headaches
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When To See Your Doctor
Your doctor can properly diagnose the reason for your late or missed period and discuss your treatment options. Keep a record of changes in your cycle as well as other health changes to show your doctor. This will help them make a diagnosis.
If you have the following symptoms, contact a doctor right away:
You Have Another Chronic Condition
Certain chronic health problems, especially celiac disease and diabetes, are sometimes associated with menstrual irregularities.
Celiac disease is an autoimmune disease that affects your digestive system. When people with celiac disease eat gluten, their immune system reacts by attacking the lining of the small intestine.
When the small intestine is damaged, it impairs the bodys ability to absorb nutrients from food. Subsequent malnourishment affects normal hormone production and leads to missed periods and other menstrual irregularities.
Those with type 1 and type 2 diabetes might also experience a missed period in rare cases. This tends to only happen when blood sugar levels arent managed at ideal levels.
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Referral To A Specialist
If your GP thinks an underlying medical condition might have caused your periods to stop, they may refer you to a specialist.
Depending on what your GP thinks is causing the problem, you may be referred to:
- a gynaecologist a specialist in treating conditions affecting the female reproductive system
- an endocrinologist a specialist in treating hormonal conditions
You may have a full gynaecological examination and various tests, including:
- blood tests to see whether you have abnormal levels of certain hormones
- an ultrasound scan, CT scan or MRI scan to identify any problems with your reproductive system or pituitary gland
Will I Need Any Tests For A Missed Period
If you go to see a doctor about your periods stopping, first of all the doctor will ask you some questions. For example, the doctor will want to know:
- If you have ever had periods and whether they were regular.
- How long you have not had periods for.
- If you have recently been using any contraception.
- If you are on any medication or have any other medical conditions.
- If you have recently lost weight.
- If you are under any stress.
- If there is any chance you could be pregnant.
- If you have any other symptoms, such as hot flushes or milk leaking from your breasts. The doctor may also ask about signs of pregnancy such as morning sickness or tender breasts.
Your doctor may then wish to examine you. The doctor may want to check your weight and height and then work out your BMI. They may also want to feel your tummy. They may want to look for signs of possible causes. In some cases an internal examination may be needed.Whether further tests are needed will depend on what has been discovered from talking to you and examining you. You may not need any tests at all. Tests which may be needed include:
- A pregnancy test .
- Blood tests. These are done to check out a number of possible causes. They may be done to check hormone levels . Occasionally tests for gene abnormalities may be needed.
- An ultrasound scan.
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Home Urine Pregnancy Tests
- Home urine pregnancy tests do not cost very much. They are easy to use. Most drugstores sell these tests. No prescription is needed.
- Urine pregnancy tests are very accurate. They can turn positive as early as the first week after a missed period.
- It is best to do the pregnancy test first thing in the morning. Reason: hormone levels are higher in the morning urine.
- Sometimes, a home test is negative even if you think you might be pregnant. In this case, repeat the test. Do the repeat test in 3-5 days. You can also go to a doctor’s office for testing.
- A pregnancy testing fact sheet can be found at www.womenshealth.gov. Search “pregnancy tests.”
What To Do If You Have A Missed Period For 2 Months
If you miss your period for 2 months in a row, you should connect with your doctor to see if everything is okay. You can also try a few things at home first:
1. Take a Pregnancy Test
After the first month passes, take a home pregnancy test when you are around two weeks late for your period. You can buy these online or at any drugstore. If the test is positive, give your doctor a call for confirmation. If the test is negative, give it a few more weeks then re-test.
2. Change Your Lifestyle
Have you started a new birth control method? Are you under a lot of stress? Have you lost or gained weight? One of the above causes may be the issue and you may be able to make some changes in your lifestyle that will help balance your cycles.
3. Call Your Doctor
If you don’t have a period after two or three months, you need to call your doctor. Going longer than two months is abnormal and you will need to be evaluated. The doctor will diagnose the cause and you may need medical treatment.
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What Are Irregular Periods
Even though girls get their periods on a cycle, that cycle can take different amounts of time each month. For example, a girl might get her period after 24 days one month and after 42 days the next. These are called irregular periods.
Irregular periods are very common, especially in a girl’s first few years of getting her period.
What Causes A Period
A period happens because of changes in in the body. Hormones are chemical messengers. The ovaries release the female hormones and . These hormones cause the lining of the uterus to build up. The built-up lining is ready for a fertilized egg to attach to and start developing. If there is no fertilized egg, the lining breaks down and bleeds. Then the same process happens all over again.
It usually takes about a month for the lining to build up, then break down. That is why most girls and women get their periods around once a month.
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What To Do If You Miss Your Period
If you miss your period, you should wait at first. Give it a few days to make sure you didn’t miscalculate or do something to mix up the dates or that you aren’t simply late. Many practitioners at this point, may recommend a pregnancy test.
You can take a pregnancy test at home or your can go into your doctor’s office. If it’s positive, you have your answer: You missed your period because you were pregnant. If it is negative, you may want to wait a bit and try again.
Seeing your doctor if you are worried is never a bad option. If you are planning to get pregnant soon, you can use the visit to start your preconception health plan. This is a great way to get your body on track to be pregnant. This helps you have the healthiest pregnancy possible.
If you are not ready to be pregnant, they can help you determine what your reproductive life plan may look like to stay healthy and avoid pregnancy until the point where you make a decision to have children or permanently decide to not have children.
When To See The Doctor
It is advised to get a medical consultation after your teens first period itself. If your teen has irregular periods or missed periods, make an appointment with a gynecologist to identify the cause and take preventive measures if required.
If your teen has any symptoms of thyroid disorders, eating disorders, or stress, seek medical care. You may take a doctors advice regarding nutrition and exercises if your teen is an athlete.
If your teen is pregnant, you may seek medical care for the evaluationof both the mother and baby. An early prenatal visit could help reduce the risk of complications associated with teen pregnancy and delivery.
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Types Of Ovarian Cysts
There are several different types of ovarian cysts:
- Functional Cysts. These cysts will often shrink and disappear within two or three menstrual cycles. Because this type of cyst is formed during ovulation, it rarely occurs in menopausal women as eggs are no longer being produced.
- Dermoid Cysts. These cysts are filled with various types of tissues, including hair and skin.
- Endometrioma Cysts. These cysts are also known as the “chocolate cysts” of endometriosis, and they form when tissue similar to the lining of the uterus attaches to the ovaries.
- Cystadenoma Cysts. These cysts develop from cells on the outer surface of the ovaries.
- Polycystic Ovarian Disease. This disease, also commonly known as Polycystic Ovary Syndrome , refers to cysts that form from a buildup of follicles. They cause the ovaries to enlarge and create a thick outer covering, which may prevent ovulation from occurring. They are often the cause of fertility problems.
What Is Amenorrhea In A Teen
The absence of menstrual periods is called amenorrhea. There are two types of amenorrhea :
- Primary amenorrhea: This refers to the absence of menarche by the age of 15 years.
- Secondary amenorrhea: This refers to the absence of menstrual periods for three months or more in otherwise healthy menstruating teens.
Missed periods are normal and common during the first and second years of menstruation. They can be caused due to a lack of ovulation every month. However, your teen may require a gynecology consultation to determine the cause, if this persists.
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A Change In Lifestyle
This can go hand in hand with stress but something as simple as moving house, changing hours at work, travelling or waking up earlier can lead to a skipped period. These changes can interfere with your body clock, which helps to regulate your hormones.
This will only usually cause one skipped period, if it causes any at all, as once your body gets used to the new schedule, the menstrual cycle will return to normal.
What Should I Do If I Have Missed My Period
Don’t panic! In most cases there is nothing serious going on. The most important thing to do is to do a pregnancy test if there is any chance at all you could be pregnant. If you otherwise feel well in yourself, and you are not pregnant, then the chances are your periods will start up again in due course.
You should consult a doctor if:
- You have not had a period for three months and your periods were previously regular.
- You have not had a period for 6-9 months but your periods have always been infrequent.
- You could be pregnant.
- You wish to become pregnant.
- You have hot flushes or night sweats and are under the age of 45.
- You have lost weight or your BMI is 19 or less.
- You or someone close to you is concerned about your eating or weight.
- You have milk leaking from your breasts and are not breastfeeding.
- You feel unwell in yourself .
- You have not had a period for six months after stopping the contraceptive pill .
- You are worried about your lack of periods.
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When Do Most Girls Get Their Period
Most girls get their first period when they’re around 12. But getting it any time between age 10 and 15 is OK. Every girl’s body has its own schedule.
There isn’t one right age for a girl to get her period. But there are some clues that it will start soon:
- Most of the time, a girl gets her period about 2 years after her breasts start to develop.
- Another sign is vaginal discharge fluid that a girl might see or feel on her underwear. This discharge usually begins about 6 months to a year before a girl gets her first period.
What The Doctor Does
Doctors first ask about the medical history, including the menstrual history. Doctors then do a physical examination. What they find during the history and physical examination often suggests a cause of amenorrhea and the tests that may need to be done .
For the menstrual history, doctors determine whether amenorrhea is primary or secondary by asking the girl or woman whether she has ever had a menstrual period. If she has, she is asked how old she was when the periods started and when the last period occurred. She is also asked to describe the periods:
How long they lasted
Whether they were ever regular
How heavy they were
Whether her breasts were tender or she had mood changes related to periods
If a girl has never had a period, doctors ask
Whether breasts have started to develop
Whether she has had a growth spurt
Whether pubic and underarm hair has appeared
Whether any other family member has had abnormal periods
This information enables doctors to rule out some causes. Information about delayed puberty and genetic disorders in family members can help doctors determine whether the cause is a genetic disorder.
Doctors ask about other symptoms that may suggest a cause and about use of drugs, exercise, eating habits, and other conditions that can cause amenorrhea.
Doctors also check for symptoms that may suggest a cause such as
In girls or women of childbearing age, the first test is
A pregnancy test
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