Women’s Health

Menstrual Conditions That Require Immediate Medical Attention

Light House Denver – Menstrual conditions play a crucial role in a woman’s reproductive well-being, however, not all menstrual cycles run smoothly. Some conditions should be taken seriously and may require further medical evaluation. Irregularities in the menstrual cycle can indicate underlying health issues. Below are some menstrual conditions that should be promptly consulted with a doctor.

1. Early Menstruation (Before Age 8)

The first menstruation, or menarche, typically occurs between the ages of 10.5 and 15.5, according to the Indonesian Pediatric Society (IDAI). However, if a girl experiences menstruation before turning 8, this condition is known as precocious puberty.

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According to obstetrician and gynecologist Upik Anggraheni, precocious puberty should be addressed immediately, as it can affect physical growth, psychological development, and overall quality of life. Early intervention is essential to prevent potential long-term complications.

2. No Menstruation by Age 14 Despite Breast Development

If a 14-year-old adolescent has developed breasts but has not yet had her period, it could indicate a hormonal imbalance or reproductive system issue. This condition should be examined by a doctor to determine the cause and prevent possible health complications.

3. Extremely Long or Irregular Menstrual Cycles

A normal menstrual cycle typically ranges from 24 to 34 days. If an adult woman experiences cycles longer than 45 days, it is advisable to consult a doctor.

Upik Anggraheni explains that excessively long cycles can lead to increased estrogen levels, causing the uterine lining to thicken. This condition can be particularly concerning if accompanied by symptoms such as obesity, a history of diabetes, severe acne, or excessive hair growth, which could indicate polycystic ovary syndrome (PCOS).

4. Severe Menstrual Pain

Excessive menstrual pain, or dysmenorrhea, may be a sign of endometriosis. If period pain is extreme and disrupts daily activities, medical consultation is necessary. Further examinations, such as MRI or transrectal ultrasound, may be performed if needed to diagnose the condition.

5. Heavy Menstrual Bleeding

If menstrual bleeding is excessively heavy—requiring more than five sanitary pads per day or lasting more than seven days—it may indicate menorrhagia. This condition is often accompanied by the passing of large blood clots. Menorrhagia can be caused by hormonal imbalances, blood clotting disorders, or uterine abnormalities. Seeking medical attention is crucial to obtain an accurate diagnosis and appropriate treatment.

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