It’s a very crucial time in a girls’ life when she gets symptoms of periods coming for the first time. The medicated term for it is Menarche. Read out below everything you need to know about Menarche;
Menarche is the result of interactions between the hypothalamic hormones, pituitary hormones, and ovarian hormones. It also can be affected by the thyroid, pancreatic, and adrenal hormones. Menarche signals the possibility of fertility and has a link with the development of the secondary sexual characteristics. It doesn’t occur until all the parts of a girl’s reproductive system have matured and are working together. It is abnormal for it to occur before the appearance of any secondary sexual development.
The first menstruation cycles of a young girl tend to be irregular and ovulatory. This means that no ovulation is present during this period. However, some girls can ovulate during their first period. It is common for teens to have irregular periods. It might take six years or more after the first period starts for the cycle to become regular. This has been estimated that most girls will have ovulatory cycles within five years of Menarche. Girls experience Menarche at different ages, but the usual age is between the ages of 9 to 15.
The onset of Menarche is influenced by the following;
- Female biology
- Environmental factors
- Nutritional factors, etc.
“In very rare cases, Menarche may occur at an unusually early age. This is either a precocious puberty or a symptom of endocrine disease.”
If monarchy failed to occur 3 years after breast development or beyond 16 years of age, this delay is referred to as primary amenorrhea.
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What can cause early Menarche?
Some social and environmental stress factors associated with early monarchy may include childhood obesity, being born at a low birth weight, lack of exercise in childhood, exposure to smoking, experiencing preeclampsia during pregnancy, absence of breastfeeding, and stress.
What can delay Menarche?
Certain illnesses and disease can delay Menarche. They include;
- Diabetes mellitus, type 1
- Untreated celiac disease
- Cystic fibrosis
- Inflammatory diseases, etc.
Late Menarche has a link with a decreased risk of developing breast cancer, a decreased frequency of coronary heart disease, and a reduction in teen pregnancy.
Signs of Menarche
- Emotional or Moody behavior for no apparent reason
- Brownish fluid on the underwear
- Blood flow usually starts this way and becomes redder and heavier during a period
- Abdominal cramps
Schedule a medical checkup if your child;
- Has not started menstruating within three years of breast growth or by the age of 15
- The breast hasn’t started to grow by age of 13
- Has a period that lasts more than seven days,
- Has severe pain during periods,
- Is bleeding between periods,
- Gets sick or has a sudden onset of fever after using a tampon.
- Has period that occurs more frequently than 21 days or less frequently than 45 days
- Goes three months without a period after beginning menstruation.
Diagnosis and Treatment
If your child experiences either an early or late Menarche, a diagnosis is available to determine the cause of the problem.
To diagnose early puberty, your doctor will ask some questions and run some tests to check the child’s hormones. For late Menarche, evaluation of the ovarian, and pituitary hormones can help in making a diagnosis. This can be done by a thorough history and a careful visual examination of the genitalia and a manual examination of the female’s reproductive organs.
Treatment depends on the underlying cause of the child’s condition.