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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan


The teen years can be bothersome for both teens as well as parents. The physical changes during puberty can make adolescents feel uncomfortable and unsure of themselves. This is absolutely right for girls during their first menstruation. This can be confusing and frightening, mainly if they experienced certain difficulties like irregular periods or premenstrual syndrome (PMS).

Premenstrual Syndrome (PMS)

PMS includes both physical and emotional symptoms that normally occur in most of the girls before their periods. This includes acne, fatigue, sore breasts, backaches, headaches, food cravings, depression, irritability, and feeling anxious. Symptoms vary for each individual and it is usually bad during 7 days before the period starts and will disappear when period begins.

The exact cause of PMS is not known, but it appears to occur due to the changing hormone levels in the body, and also changing chemical levels in the brain. The amount of progesterone increases during the second half of the menstrual cycle. Prior to 7 days before the period starts, both progesterone and estrogen levels starts to decrease.

Menstrual Cramps

Menstrual cramps are common among the girls during the first few days of their menses. They are actually caused by prostaglandin, a chemical in the body which makes the smooth muscle in the uterus to contract. Hence, these contractions may be dull, sharp or intense. Cramps usually last for only few days. Doctor should be consulted if she has more cramps which are keeping her away from regular activities.

Irregular Menses

Generally for a girl, it takes around 2-3 years from first period to develop a regular cycle. This is because her body is basically trying to adjust to the influx of hormones released by puberty. Regular periods are varied from person to person. The typical menstrual cycle of an adult female is normally 28 days, for some it may be as short as 21 days or for others it may be as long as 30-35 days.But if at all, the girl is sexually active and misses her menses then she should be seen by doctor to make sure that she is not pregnant. It should also be informed to the doctor if she does not get periods for more than 3 months.

Delayed Menarche

Puberty can start at any age maybe as early as 9 or 10 years old and some do not have their first periods until they are into their teen years. So it is not necessary to think that something is wrong. This is because periods depend a lot on genes. It can be approximately at the same age as her mother or grandmother.There are some serious medical conditions also which are associated with irregular menses:

Amenorrhea (the Absence of Periods)

If the girl does not have periods for more than 6 months, then it is considered as amenorrhea. This can be due to hormone imbalance, or due to any other health problem. The other reason could be over-exercising also such as distance running, gymnastics, or ballet combined with poor diet.

Menorrhagia (Heavy and Prolonged Periods)

Heavy periods can be defined as soaking through one sanitary pad an hour for more hours in a row. Longer menses means which is for more than 7 days. The reason is there would be imbalance estrogen and progesterone levels in the body. This allows endometrium to keep on building up and shed during menses resulting in heavy bleeding. The other causes could be fibroids, clotting disorders, infection in the vagina or thyroid conditions.


This is a condition wherein tissue which is present in uterus will start to grow outside the uterus like fallopian tubes, ovaries or pelvic cavity. These results in abnormal bleeding, lower back pain and pelvic pain.

Treating Menstrual Problems

Generally, the menstruation problems does not require any treatment, but if at all it is severe causing great discomfort or interfering with daily life then doctor visit is required. The doctor may do some tests like blood tests, urine tests or pelvic exams. An ultrasound can also be done if there are any major problems. These tests can help to determine how a situation could be handled.If you have any queries,Fill this Form:

"Authored By Dr.Niraj Mahajan"

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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