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Last Updated: Jan 10, 2023
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Menstrual Disorders in Young Women

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Dr. Yuthika Bajpai SharmaGynaecologist • 23 Years Exp.MBBS, MD - Obstetrics & Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
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Menstruation is a barometer of a women's health. Any changes in the menstrual pattern of a woman could be a harbinger of serious underlying disease and should not be overlooked. However adolescent girls are a special case where menstrual pattern is variable and much different from Adult women. It is very common for teenaged girls who have recently started menstruating to have irregular periods. This period pattern is wrongly classified as 'period problems". At the same time one needs to understand that some of the real problems like period pain in young girls are often overlooked as "normal" when they could be associated with serious medical disorders.

Although menstrual disorders are fairly common in most young women, it may have an underlying cause which can be indicative of a serious issue. Therefore, it is recommended for young women to consult a gynecologist if any difficulties arise.

Symptoms Of Menstrual Disorders (Severe)

  1. Excessive abdominal pain
  2. Excessive vaginal pain
  3. Missed / irregular periods
  4. Painful periods

The severe symptoms are usually accompanied by mild symptoms such as:

  1. Irritability
  2. Weight loss
  3. Vomiting
  4. Headaches/back pain
  5. Fatigue
  6. Insomnia
  7. Diarrhea

PCOS and Menstrual Disorders


Polycystic ovarian syndrome is a common reason for women to experience irregular menstrual periods. PCOS occurs when there is an excess of male hormones (androgens) in the body which hinder the production and release of eggs in the ovaries, resulting in menstruation problems. Symptoms of PCOS are acne, hair loss and weight gain. Women with PCOS are 80% more likely to suffer from fertility issues later in life. Along with that, PCOS can result in high cholesterol and high blood pressure. One serious concern for women with PCOS is resistance to insulin which leads to diabetes.

Diet and menstrual disorders

Poor diet can also lead to menstrual complications. An extremely high fiber diet can result in less frequent ovulations and therefore irregular periods. A diet which is too low in fats and fatty acid can also result in abnormal menstrual patterns.

Stress and PCOS

Young women are often prone to immense stress. Stress is one of the primary reasons for delayed periods. Stress can cause minor complications in the hypothalamus which may have consequences in the levels of hormones in the body.

The presence of ovarian cysts in the vagina may be a cause for irregular or painful periods. Endometriosis can cause heavy bleeding and extreme pain. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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