What does it mean when a young girl has missed her period for three months?

May 14, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Amenorrhea lasting more than three months in adolescent girls is commonly due to non-disease factors, but may also be related to medical conditions such as malnutrition, severe anemia, polycystic ovary syndrome (PCOS), and hypothyroidism. These conditions could cause the aforementioned symptoms. It is recommended to visit a hospital gynecology department for diagnosis. If a pathological cause is identified, further treatment should be carried out according to medical advice.

It is relatively common for adolescent girls to experience amenorrhea lasting more than three months due to non-disease factors, but disease-related causes such as malnutrition or severe anemia should also be considered. It is recommended to identify the underlying cause and actively cooperate with medical treatment. The specific analysis is as follows:

1. Non-disease factors

During puberty, the body has not yet fully matured, and hormonal imbalances may lead to menstrual irregularities. Close observation is advised, as menstruation often gradually returns to normal over time. If sexually active, it is important to rule out pregnancy.

2. Disease factors

1) Malnutrition

Long-term picky eating or excessive dieting can lead to hormonal instability, manifesting as reduced menstrual flow or delayed periods, and in severe cases, amenorrhea. It is recommended to improve nutritional intake, adjust dietary habits, and increase consumption of protein-rich foods. Under a doctor's guidance, medications such as Bifidobacterium tablets, Clostridium butyricum powder, and progesterone injections may be used for regulation.

2) Severe anemia

Mild anemia typically does not affect menstruation, but severe anemia resulting in iron deficiency may lead to amenorrhea. It is advisable to consume iron-rich foods such as pork liver and black fungus, along with leafy green vegetables that enhance iron absorption. Under medical supervision, treatments may include folic acid tablets, vitamin B12 tablets, ferrous sulfate tablets, or iron dextran oral solution. In severe cases, blood transfusion may be necessary.

In addition, conditions such as polycystic ovary syndrome (PCOS) and hypothyroidism may also cause similar symptoms. It is recommended to visit a gynecologist at a hospital for proper diagnosis. If a pathological cause is confirmed, further treatment should be carried out according to medical advice.


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