What could be the reason for a 17-year-old girl not having her period for two months?

Mar 28, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
A 17-year-old girl who hasn't had a menstrual period for two months may be affected by non-disease factors, but disease-related causes should also be considered, such as endocrine disorders or polycystic ovary syndrome. If she has a history of abortion, intrauterine adhesions after the procedure could also lead to amenorrhea. If a pathological cause is suspected, it is recommended to visit a gynecology department at a hospital for relevant examinations to establish a clear diagnosis.

A 17-year-old girl who has missed her period for two months may be experiencing this due to non-disease-related factors, or it could be related to medical conditions such as endocrine disorders or polycystic ovary syndrome (PCOS). It is recommended to follow medical advice for proper regulation, and medication may be necessary when indicated. The specific analysis is as follows:

1. Non-disease factors

Some girls experience menarche at a later age, and their reproductive systems have not yet fully matured, which may lead to irregular menstruation. As they grow older, menstrual cycles typically become more regular. Excessive academic stress in daily life can also affect the menstrual cycle, leading to irregular periods. Close observation is advised.

2. Disease factors

2.1 Endocrine disorders

Endocrine disorders, also known as hormonal imbalances, refer to abnormal hormone activity caused by various endocrine diseases, resulting in a series of symptoms. For example, low levels of estrogen and progesterone or elevated prolactin levels may cause delayed menstruation. It is recommended to visit a hospital for a sex hormone panel (six-item test) to determine the underlying cause.

2.2 Polycystic ovary syndrome (PCOS)

The exact cause of polycystic ovary syndrome is not yet fully understood, but it is believed to result from a combination of genetic and environmental factors. PCOS often develops during adolescence and is characterized by menstrual irregularities, acne, hirsutism (excessive hair growth), and other symptoms.

In addition, a history of abortion may lead to intrauterine adhesions (Asherman's syndrome) after the procedure, which can result in amenorrhea (absence of menstruation). If a pathological factor is suspected, it is recommended to visit a gynecology department at a hospital for relevant examinations to confirm the diagnosis.

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