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What causes delayed periods in a 15-year-old?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 15-year-old sister has not had her period since last month. Her weight is 171 pounds and her height is 1.8 yards. Please suggest.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

If your sister, aged 15, is experiencing a delay in her period for a month. There are several possible reasons to consider:

Possible causes for missed periods at her age:

Irregular menstrual cycles:

It is common for teenage girls to experience irregular periods, especially in the first few years after they begin menstruating. Hormonal imbalances during puberty can lead to missed or delayed periods.

Stress or emotional factors:

Physical or emotional stress can affect the menstrual cycle and delay periods. If she has been under stress recently, that could contribute to the delay.

Changes in weight or diet:

A significant weight gain or loss can impact hormone levels and cause irregular periods. At 171 pounds and 1.8 yards, her BMI (body mass index) may be on the higher side, which can sometimes interfere with regular periods.

If her diet has changed or if there have been any changes in her exercise habits, these could also affect her cycle.

Polycystic ovary syndrome (PCOS):

PCOS is a condition that causes irregular periods and is quite common among teenage girls. If her periods have been irregular for some time, PCOS might be a possibility. Other symptoms of PCOS include acne, excess body hair, and weight gain.

Thyroid Imbalances:

Hypothyroidism or hyperthyroidism can cause menstrual irregularities. A blood test can help determine if there is a thyroid issue.

Pregnancy:

Though less likely for someone who has just started menstruating, pregnancy can still be a possibility if she is sexually active. A home pregnancy test would be necessary to rule this out.

Next Steps:

Home Pregnancy Test: If she is sexually active, it is important to take a pregnancy test to rule out pregnancy as a cause of the missed period.

Consult a doctor: If pregnancy is not a concern, and the period delay persists, it might be a good idea to visit a healthcare provider. The doctor can assess for conditions like PCOS, thyroid imbalances, or other factors contributing to the missed period. Blood tests and an ultrasound may be recommended.

Lifestyle Changes: Maintaining a healthy weight through balanced nutrition and regular physical activity is important for hormone balance. If she is stressed or experiencing emotional challenges, addressing these could help with the menstrual cycle as well.

It is quite common for teenage girls to have irregular periods, especially in the first few years of menstruation. However, if the delay continues or if she is experiencing other symptoms, it is best to consult with a healthcare provider to rule out any underlying conditions.

I hope this helps.

Thank you and take care.

Medically reviewed by Dr. K. Shobana
Published At April 22, 2025
Reviewed At April 24, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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