Can uterine maturation and maintaining a healthy weight help establish a regular menstrual cycle?

Question

Hello doctor,

My cousin, who is 15 years old, experienced her first period four months ago, and then again after a month. However, she has not had her period since then. She consulted a gynecologist and underwent an abdominal ultrasound. The ultrasound results showed a small uterus measuring 2.09 × 0.78 inches. She does not have thyroid issues, and her hemoglobin level is 11. Her ovaries appear normal. I am quite concerned. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I do not see any reason for you to worry. The timing of periods is determined by the hormonal axis between the brain and ovaries. Initially, this axis is not mature, and the trigger for normal ovulation may not occur every month. Therefore, she may experience periods occasionally or not at all. Until the age of 19 to 21 years, there is no need for any evaluation. By this age, the axis gradually matures, and her periods will become regular. Please refrain from becoming overly involved in unnecessary investigations or resorting to hormonal pills.

Focus on the positive aspects: her thyroid hormone secretion is normal, and ultrasound results indicate the presence of a uterus that is still maturing to its adult size. Allow nature to take its course. Intervening with hormonal pills might artificially induce periods, but this could lead to unnecessary reliance on cyclical pills. Additionally, ensure she maintains a healthy weight; her upper weight limit should be around 127 to 132 pounds. It is advisable not to let her gain excess weight; a leaner physique is preferable. Avoid pressuring your doctor for unnecessary treatments. Hormone therapy is not required at this young age. So, remain calm and patient until she reaches 19 to 21 years of age. It is highly likely that she will establish a regular menstrual cycle by then.

Hope I have clarified your query, do write back if any more queries.

All the best.