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

Aug 31, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
The absence of menstruation for two months in a 17-year-old girl may be caused by hormonal fluctuations, excessive stress, polycystic ovary syndrome (PCOS), endometrial tuberculosis, hyperthyroidism, or other factors. Management should be based on the specific underlying cause. During adolescence, female hormone levels are often unstable. If menstrual irregularities occur, it is advisable to seek timely medical evaluation and follow the doctor's recommendations for appropriate treatment.

A 17-year-old girl who has missed her period for two months may be experiencing this due to hormonal fluctuations, excessive stress, polycystic ovary syndrome (PCOS), endometrial tuberculosis, hyperthyroidism, or other causes. Appropriate management depends on the specific underlying condition. Detailed explanations are as follows:

1. Hormonal fluctuations: During puberty, hormone levels in females are often unstable. In particular, fluctuations in estrogen and progesterone can lead to irregular menstrual cycles. Usually, no special treatment is required. As the individual ages, hormone levels gradually stabilize, and the menstrual cycle typically becomes regular.

2. Excessive stress: Stress and emotional fluctuations can affect hypothalamic function, leading to abnormal hormone secretion and disrupting the menstrual cycle. It is recommended to practice deep breathing, engage in yoga, and seek psychological counseling if necessary.

3. Polycystic ovary syndrome (PCOS): This condition causes multiple follicles in the ovaries to develop simultaneously but prevents them from maturing and being released, thereby disrupting normal hormone secretion and causing menstrual irregularities. It is recommended to take medications such as letrozole tablets, bromocriptine mesylate tablets, or dydrogesterone tablets under a doctor's guidance to help improve symptoms.

4. Endometrial tuberculosis: Tuberculosis bacteria can damage endometrial tissue, preventing normal growth and shedding of the endometrium, thus leading to menstrual disorders. It is recommended to use anti-tuberculosis medications such as rifampicin tablets, isoniazid tablets, and pyrazinamide tablets under medical supervision.

5. Hyperthyroidism: When thyroid function is abnormal, changes in thyroid hormone levels may interfere with the normal function of the hypothalamic-pituitary-ovarian axis, resulting in menstrual disturbances. It is advisable to follow medical instructions and use medications such as levothyroxine sodium tablets, methimazole tablets, or metoprolol tartrate tablets to alleviate symptoms.

If menstrual abnormalities occur, it is recommended to seek timely medical evaluation and follow the doctor’s advice for appropriate management.

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