Doctor insights on:
Delayed Menarche Causes
My older sis is taller by 1 inch. We are both tall but I used to smoke in college and had menarche a year earlier. What cause my 'stunting'?
Not stunted: You & your sister are similar, but unless you are identical twins, your genes are not exactly the same. This may account for such a small difference in height. Also, the earlier you go through menarche, which is partially genetically determined, the earlier you are likely to stop growing. Smoking, if you didn't start until you were 18, probably had nothing to do with it, but if younger it might. ...Read more
Is menarche caused by ovulation or is it one of the first anovulatory cycles that a young gal will get?
Maybe: Menses is triggered by the breakdown of the intrauterine buildup of tissue in response to hormones. Although the pacing of menses may match ovulation in the future, it is not necessary for the process to occur. A young woman may ovulate prior to her first menses (and become pregnant if exposed).She may also only ovulate occasionally, with some irregularity in pattern. ...Read more
Irregular periods: Irregular periods are one of the most common problems obgyns treat. Ask to be evaluated for polycystic ovarian syndrome as this is the most common cause. If there is a concern for pregnancy then do a home pregnancy test. There are many options available to help regulate the menstrual cycle. Schedule a visit. ...Read more
Since menarche is rarely caused by ovulation (asked here 2 times, and they said its uncommon prior to menarche), what is the main cause behind it?
Confusing wording: Estrogen, the common female hormone triggers the buildup of tissue in the womb that will eventually break down and produce menses. When the body is ready, within a year, ovulation will eventually begin. Ovulation produces a secondary hormone that will also trigger menses on a more timely basis. Ovulation is never necessary for menses, but can make it more predictable. ...Read more
MENARCHE: The first 2 years after menarche, the mens. Are irregular, sometimes heavy or light and at times no bleeding. This is normal. ...Read more
Rising, then falling: Estrogen levels first rise at the time of menarche, which is the time of the first menstrual flow, about age 11-13 for most girls. Estrogen is the principle female hormone that causes breast development and helps prepare for pregnancy. Regular menstrual cycles then occur until age 52 or so, when estrogen levels fall and menopause occurs, the cessation of menstrual periods. ...Read more
My daughter started menarche and has had 2 periods (every month) but she has not had it this month. Is that typical?
Common: In the first yr or so, cycles can be irregular with up to 90 day spacing. This is often due to lack of ovulation, which is more predictable later, as the kid matures more. Cycles after long intervals may be quite heavy. If longer than 90 days, an office visit may be needed. Meds can bring on a cycle if needed. ...Read more
What does it mean if my 16 year old starts menarche while on estrogen patch? Dr said he'll do further testing if she starts menarche.
22 years old virgin, have regular light period less than 2 days not severe, the first year of menarche when I was 13, it was 4 days. Help?
Cycles: May vary in adulthood and usually self regulate by your mid twenties. This is a normal variation. BC pills and a GYN exam may help give you more information and pills can regulate your cycle. ...Read more
I had menarche when I was 15 years old. Since then, Its been 4 years that I'm having irregular cycles, once in 2 months which lasts for about 2 days.?
Dropping: The age at which a girl has the first period depend in several factors. Proper thyroid function and a certain ratio of body fat are necessary. With the increase in calories in modern society, this age is ever younger. In the U.S., for african american girls closer to 8.5 years old. For other ethnic groups it's closer to 9. ...Read more
No treatment needed.: Menarche is the normal time when the first menstrual period occurs. If the periods are very heavy or crampy, then sometimes birth control pills are used to help this. Painful periods are called dysmenorrhea, maybe that is what you meant? Besides birth control, nsaid's like Motrin or advil (ibuprofen) can be used. ...Read more
Thelarche & menarche: Menarche (first period) often comes about 2-2 1/2 years after the breast bud becomes prominent. Often a secondary mound under the prominent nipple is evident at this point. Since size is so variable, it is not much of a gauge. ...Read more
Runs out of gas: The endometrium is a temporary structure built up by estrogen stimulus but maintained during pregnancy by other hormones originating after conception. If ovulation occurs without conception, the hormone signals change and the endometrium sheds. Without ovulation, estrogen continues the build up, but the endometrium gets too old and breaks down eventually, often with irregular cycles. ...Read more
Probably not yet: It may be that your 12 year old daugther is ready to start her menses, but it is also important to know her level of sexual development. Most girls are at least tanner stage 3 before menses begin. You can look up pictures of tanner stages and see where our daughter fits. Generally, the first menstrual period will last several days with light to regular flow. ...Read more
Does menarche mean a girl can get pregnant? Or before it or after it? There's so much debate on this, whether you ovuate before menarche or dont.
Reason for menses: Menses occurs (even the first) when the buildup of uterine tissue from estrogen stimulation stops and the ripe egg receptor material sheds. It can and does happen with or without an egg release. My first student delivery was to a 13 yo who had never had a menses. You can never depend on avoiding pregnancy by having sex with pre-menarchal girls. ...Read more
I started menarche wheni was age 10. im now 13 yrs old and 4'11" im a transgender boy if I start hormone blockers could I attain some more height?
Doubt it: The growth expectation after menarche is 2.5 inches, most of which happens in the year after. The hormones that trigger menarche send messages to the growth centers to accelerate the push to final height. This closes the growth centers, and with closure there is no potential for additional height. Plan on being a short person, whatever way your heart takes you. ...Read more
Dr, my younger daughter is exactly 14 years and her menarche was on june 9 th, 2014, she didn't get her periods till now, wt76 kgs, is it normal?
Common: During the first menstrual year, it is common for girls not to ovulate, and ovulation is the usual signal to initiate the next menses (when conception does not occur). Irregular cycles with a delay of up to 90 days are sometimes seen, (That menses may be very heavy). After the first year, ovulation and menses become more predictable. ...Read more