Why isn't my menstrual period coming during puberty?
Jan 25, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, the absence of menstruation during puberty refers to primary amenorrhea, which may be caused by delayed puberty, constitutional differences, polycystic ovary syndrome (PCOS), hyperprolactinemia, thyroid dysfunction, and other factors. To help prevent this condition, it is recommended to maintain a balanced diet, ensure adequate nutrient intake, and avoid excessive dieting. Additionally, maintaining overall health and avoiding strenuous exercise that may disrupt normal bodily functions is advised.
In general, the absence of menstruation during puberty refers to primary amenorrhea, which may be caused by delayed puberty, constitutional differences, polycystic ovary syndrome (PCOS), hyperprolactinemia, thyroid dysfunction, and other conditions. If experiencing any discomfort, timely medical consultation is recommended. Detailed explanations are as follows:
1. Delayed Puberty
Delayed puberty refers to the onset of puberty occurring later than the normal age range, resulting in delayed menarche. This may be related to genetic factors, nutritional status, environmental influences, and more. Maintaining a balanced diet, engaging in moderate exercise, avoiding excessive weight loss or malnutrition, and paying attention to mental health to reduce psychological stress are recommended.
2. Constitutional Differences
Each girl's body develops at a different pace. Some girls may experience later menarche due to constitutional factors, although it typically does not extend beyond age 16. No specific prevention is necessary, but regular physical examinations are advised to ensure there are no other underlying health issues.
3. Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome is usually caused by endocrine disorders, characterized by hyperandrogenism and insulin resistance. This condition affects normal follicular development and ovulation, leading to amenorrhea. Associated symptoms may include obesity, hirsutism, acne, and infertility. Treatment should follow medical advice and may include medications such as ethinyl estradiol/cyproterone acetate tablets, metformin hydrochloride tablets, and spironolactone tablets.
4. Hyperprolactinemia
Hyperprolactinemia may be caused by pituitary adenoma, medication effects, or hypothalamic disease. Abnormally elevated prolactin levels inhibit the hypothalamic-pituitary-ovarian axis, resulting in oligomenorrhea or amenorrhea. Symptoms may include galactorrhea, headache, and visual disturbances. Treatment may include medications such as bromocriptine tablets, cabergoline tablets, and vitamin B6 tablets, under medical guidance.
5. Thyroid Dysfunction
Thyroid dysfunction may result from either hyperthyroidism or hypothyroidism, affecting overall metabolism. Thyroid abnormalities can interfere with the regulation of the hypothalamic-pituitary-ovarian axis, causing menstrual irregularities. Additional symptoms may include cold intolerance, fatigue, and weight gain. Treatment may involve medications such as methimazole tablets, propylthiouracil tablets, and levothyroxine sodium tablets, as advised by a physician.
To help prevent this condition, it is recommended to maintain a balanced diet, ensure adequate nutrient intake, avoid excessive dieting, maintain overall health, and avoid intense physical activity that may disrupt normal body function.
