What can cause irregular periods in a young female?

Hello,

Welcome to icliniq.com.

I understand your concern.

During teenage, the first few cycles are mostly anovulatory. As the body grows, due to hormonal response, the cycles become ovulatory and more regular. The factors that can cause irregular periods include hormonal imbalance, hypothyroidism, hyperthyroidism, use of contraceptives, low or high BMI (body mass index), a sudden increase or decrease in weight, illnesses, medications, a strict diet, and strenuous exercise.

Weight loss and low BMI can be the cause in your case. I suggest you get a complete blood count to rule out anemia, as you have a family history. It is better to start iron supplements if the levels are low. You must also get hormonal tests done to diagnose hormonal imbalance.

Get your serum progesterone, serum prolactin, serum insulin, FSH/LH ratio, serum testosterone, and thyroid function test done on the second day of the menstrual cycle. Try having a normal BMI, neither very high nor low. Also, take a nutritious diet with lots of fruits and vegetables, fish, and foods high in protein and less in oil, spices, sugar, and salt. Go for a daily walk and indulge in recreational activities.

If you are not sexually active, I suggest you get a full bladder per abdomen pelvis ultrasound or a transvaginal scan to exclude pelvic pathology. You must consult a gynecologist and get all the reports checked, and go for treatment for any condition that you may have.

I hope this helps.

Good luck.