Recognising Signs of Menstrual Health Issues

Menstruation is a normal part of growing up, but sometimes, your daughter’s period might signal something more than just a regular cycle. As a mother, it’s important to recognise early signs of menstrual health issues so you can guide her with confidence. While occasional irregularities are normal, some symptoms may need medical attention. 

In the first few years after a girl starts her period, cycles can be unpredictable. However, if she experiences:

• No periods for more than 3 months (not related to sports or stress).

• Very short (less than 21 days) or very long (more than 35 days) cycles consistently.

• Periods that are extremely unpredictable even after 2–3 years.

This could indicate conditions like Polycystic Ovary Syndrome (PCOS) or hormonal imbalances that need medical evaluation.

Mild cramps are common, but if your daughter is:

• Unable to go to school, play sports, or do daily activities due to pain.

• Experiencing nausea, vomiting, or dizziness along with cramps.

• Not getting relief from painkillers or home remedies.

It could be a sign of endometriosis or other reproductive health issues. Severe period pain should never be ignored.

If she’s:

• Soaking through a pad or tampon every 1–2 hours.

• Passing large blood clots (bigger than a ₹5 coin).

• Having a period that lasts more than 7 days.

This could be a sign of a bleeding disorder, hormonal imbalance, or fibroids and should be discussed with a doctor.

Occasional light spotting can be normal, especially during the first few years. But if she has:

• Frequent spotting between cycles.

• Bleeding after physical activity.

• Unusual brown or pink discharge often.

It could be due to hormonal fluctuations, infections, or other medical concerns that may require medical attention.

Skipping a period once in a while can happen due to stress, weight changes, or illness. However, if she:

• Misses her period for 3 months or more.

• Has sudden weight gain or loss along with missing periods.

• Has excessive facial or body hair, acne, or thinning scalp hair.

These could be symptoms of PCOS or thyroid issues, which need medical evaluation.

Some mood swings before periods are normal, but if she:

• Has extreme anxiety or depression that affects her daily life.

• Gets unusually irritable, angry, or emotional before every period.

• Feels extremely fatigued, dizzy, or weak every month.

This could indicate premenstrual dysphoric disorder (PMDD) or iron deficiency anemia, which need medical support.

If your daughter experiences any of the following, schedule a doctor’s visit:

• Consistently irregular or missing periods.

• Excessive bleeding or severe cramps.

• Unusual spotting, discharge, or pain.

• Extreme emotional symptoms or fatigue.

How to Talk to Your Daughter About It?

Keep it simple and open. Say something like:

“I’ve noticed your periods have been a little irregular. That happens to many girls, but if it bothers you, we can talk to a doctor together. It’s totally normal to ask for help.”

This reassures her that she’s not alone, and seeking medical advice isn’t something to fear.

Menstrual health is an important part of a girl’s well-being. As a mother, being informed and supportive can help her feel at ease. Normalize discussions about periods, keep an eye out for any unusual signs, and encourage her to listen to her body. Periods don’t have to be scary but together, you can make this journey a healthy and empowering one!