What should I do if my menstruation is irregular after menarche?

The sign of female sexual maturity is menarche, which is the only way for women to enter maturity. After menarche, most women will maintain relatively regular menstruation. Regular menstruation every month makes women's sexual characteristics more obvious. But what should some women do if they experience irregular menstruation after menarche? Let’s take a look at the explanation below.

Adolescent girls are in the period of growth and development. They may also suffer negative mental and psychological effects due to heavy academic workload, high study pressure, interpersonal relationships among classmates, and abnormal work and rest schedules. These problems may also interfere with the normal regulation of the hypothalamus-pituitary-ovarian axis and cause menstrual disorders. As parents, we need to pay more attention to our children's mental state, communicate more with them, reduce their psychological pressure, and restore a healthy lifestyle and mental state, which is also helpful for menstrual disorders.

From a treatment perspective, it is not necessarily necessary to use medication to regulate menstruation. Because as they age, most adolescent women can establish normal regulatory feedback and restore regular menstruation as the hypothalamus-pituitary-ovarian axis matures, so for these patients we only need to observe them regularly and no medication is needed. However, patients with heavy menstrual flow and prolonged bleeding need active treatment, because heavy bleeding and prolonged bleeding may lead to risks of anemia, low immune function, infection, etc. After excluding organic lesions and systemic diseases, hormonal drugs with relatively small side effects combined with hemostatic drugs can be used to stop bleeding, and the menstrual cycle can be adjusted at the same time to avoid repeated bleeding.

In addition, we cannot ignore the fact that a small number of adolescent women have menstrual disorders due to diseases in other systems, such as adolescent thyroid dysfunction, blood system diseases, liver dysfunction, etc., and may also be caused by reproductive tract malformations. This requires a reproductive tract examination and a systemic examination of the whole body. Therefore, when adolescent women experience irregular menstruation, they must actively seek medical attention. After excluding organic diseases, they can be observed regularly or use medication to adjust the menstrual cycle under the guidance of a doctor.