What Are the Signs That a Girl’s First Menstruation Is Approaching?

Due to the influence of sex hormones, some girls may experience swelling and pain—such as firm, erect, and sensitive breasts—and some may even exhibit symptoms of “cold uterus” (a traditional Chinese medicine concept referring to impaired circulation and yang deficiency in the uterus). When they experience their first menstrual period, many report noticeable abdominal pain. However, it is also common for many girls to show no distinctive symptoms prior to menarche. So, what are the signs that a girl’s first period is approaching?

What Are the Signs That a Girl’s First Menstruation Is Approaching?

Early signs preceding a girl’s first menstruation often include mild lower abdominal discomfort or cramping. Taking cold/flu medication during menstruation does not interfere with the menstrual cycle itself; however, such medications must be taken only under a physician’s guidance. Additionally, drinking plenty of warm water or ginger–brown sugar tea may help alleviate cold/flu symptoms. Women should exercise caution when using medications intended specifically for treating colds occurring around menstruation, as inappropriate use may disrupt qi and blood circulation, cause blood stasis, and trigger conditions such as dysmenorrhea, amenorrhea, or fatigue. Importantly, taking cold/flu medication during menstruation does not affect the menstrual flow itself.

Because immunity tends to decrease during menstruation, susceptibility to infection increases. Therefore, the following preventive measures are recommended during this time: prioritize rest and avoid strenuous physical activities—such as running or swimming. Menstruation is a unique physiological phase for women. During this period, dietary precautions are essential: minimize intake of spicy, stimulating, or cold foods; avoid strong tea or coffee. Menstruation occurs monthly in most women.

Additionally, the appearance of underarm and pubic hair is a classic sign of puberty onset. If a girl begins to notice vaginal discharge (leukorrhea), her first period is likely imminent. Careful observation is advised: an increase in vaginal discharge typically reflects rising estrogen levels and signals that menarche will occur soon. We hope this information proves helpful.