A member asked:

Ovulation starts first or menstration in a girl life on first time?

4 doctors weighed in across 2 answers
Dr. Gerard Honore answered

Specializes in Fertility Medicine

By definition: Menstruation follows ovulation, so ovulation is first. However a girl may have bleeding that is not menstruation (breakthrough) before she ovulates.

Answered 11/15/2016

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Either: In pubescent girls the estrogen driving the changes can drive uterine tissue buildup that will eventually breakdown as menses, ovulation or not, and many don't ovulate on a regular basis for the first 6 mo or so. However, they could ovulate during the peak of estrogen driven buildup and have a normal period in response.My first delivery as a student was to a 13 yo who had never had a period.

Answered 10/19/2016

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