HomeAnswersObstetrics and Gynecologymenstrual irregularityFor the past four months, my menstrual cycle was not right. Why?

What causes irregular periods in a 21-year-old?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At June 9, 2019
Reviewed AtDecember 7, 2023

Patient's Query

Hello doctor,

I am a 21-year-old female. For the past four months, my menstrual cycle was not right. It lasted a whole month and was heavy by the end, and it stopped after I took some vitamin C. Then, after one month, it started again and lasted for two weeks (stopped after I got some vitamin C again, and I was not taking any before). After that, it disappeared for two months, and started again, except this time it appears for a day, the next day it is gone, shows up every couple of days, and there was a very little of blood. None of this ever happened before, although my cycle was never exactly every 30 days, everything was fine. I am not sure what could be causing it, it might be stress related, but I do not have an opportunity to see a doctor for the next three months. Currently I am on Omep 40 g, for duodenal inflammation and Cinnabsin N for sinusitis.

Answered by Dr. Balakrishnan R

Hello,

Welcome to icliniq.com.

At the age of 21 years, possibilities for such irregular cycles are,

1. You have severe physical or mental stress in any form, which would interfere with regular normal ovulation and periods will be haphazard. Try to reduce stress with meditation, breaks, etc.

2. If you have suddenly put on weight. This excess cholesterol will get converted into hormones and interfere with ovulation. So have a healthy lifestyle and diet. You can have cyclical birth control pills for five to six cycles. You have to take pills from day one of the periods for three weeks, then no pills for one week. After eight days start a new pack. Do not wait for next period.

3. You have not mentioned about your sexual activity. If sexually active, then infection could be a cause. If so, you and your partner need to meet a doctor and have a course of antibiotics.

4. If none of these a reason, have a pelvic scan to look for any local problem like polyp or fibroids inside the uterus.

5. Do have a serum thyroid hormone profile and serum prolactin levels to rule out, a hormonal angle. I hope I have clarified your query and do write back if any other questions, and for feedback.

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

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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