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Gynecology & Pregnancy Care
Question #28447
90 days ago
479

Concerns About Missing Periods - #28447

Client_8f3282

I'm16 years old girl I'm not getting my period since 4 months I'm single and so worry about it I don't have regular periods from starting

How long have you been experiencing irregular periods?:

- Since I started menstruating

Have you experienced any other symptoms along with missing your period?:

- Mood swings

What is your typical lifestyle like?:

- Moderately active
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
89 days ago
5

Hello.

Irregular periods are quite common in teenagers, especially in the first few years after menstruation starts. This happens because the hormonal system that controls the menstrual cycle is still developing. Missing a period for a few months can occur and does not necessarily mean something serious.

Since you mentioned that your periods have been irregular from the beginning and you have now missed them for about 4 months, it would still be a good idea to see a doctor for a check-up. They may want to rule out hormonal conditions such as Polycystic Ovary Syndrome or other hormone imbalances.

Mood swings can also happen due to normal hormonal changes during adolescence. In many teenagers, cycles gradually become more regular as the body matures.

If the absence of periods continues beyond a few months, a medical evaluation can help identify the cause and provide reassurance or simple treatment if needed.

I trust this helps. Thank you. Take care.

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Irregular periods, especially in adolescence, are not uncommon and often related to the body’s hormonal adjustments. At your age, it can take several years for cycles to become regular. Several possible reasons for delayed periods could include stress, changes in weight, excessive exercise, and nutrition. Hormonal imbalances, like polycystic ovary syndrome (PCOS) or thyroid issues, might also contribute. Since your periods have always been irregular, it’s important to rule out any underlying conditions. Consider keeping a menstrual diary to track your cycle, which can provide helpful insights when discussing with a healthcare provider. A good first step is consulting with a physician for a detailed evaluation. They might suggest conducting some blood tests to check your hormone levels or an ultrasound to rule out structural causes. Depending on the findings, treatments might vary from lifestyle adjustments to possible medical interventions. For instance, at times, hormonal therapies can be helpful if a specific cause is determined. Meanwhile, ensure balanced nutrition, moderate exercise, and adequate rest as these can support overall hormonal health. If you feel persistent changes or other symptoms like severe pain or excessive weight gain, you should definitely seek medical attention sooner.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
82 days ago
5

Hello, I understand your concern, but try to worry less, this is quite common at your age. Since you are 16 and have had irregular periods since the beginning, it is often due to hormonal immaturity, which means your body is still adjusting and cycles may take time to become regular.

Your issues might be due to Hormonal imbalance, Stress or mood changes or Changes in weight, diet, or routine, etc.

Maintain a healthy, balanced diet. Do regular physical activity. Get proper sleep (7–8 hours). Try to reduce stress.

Even though this can be normal, since you have missed periods for 4 months, it is better to physically consult a doctor once to be safe.

Get these tests done- CBC, RBS, FT3 FT4 TSH, Ultrasound of Pelvis+Abdomen. Review with reports.

See a doctor sooner if: Periods do not come in the next 1–2 months. You develop excessive weight gain, acne, or excess hair growth. Severe abdominal pain occurs.

In most girls your age, this is temporary and manageable, and cycles often become regular over time.

So try not to panic, but do get a basic check-up to make sure everything is fine.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
89 days ago
5

Hello dear See at your age this can be attributed to hormonal alterations or physiological variation Also there can be chances of PCOS. Iam suggesting some tests for confirmation of exact diagnosis. Please share the result with gynaecologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician Serum ferritin Serum tsh Serum prolactin Serum progesterone Rft Lft CBC Urine analysis Pelvic USG Serum estrogen Serum progesterone Hopefully you recover soon Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
89 days ago
5

Hello Thank you for sharing your concerns. It’s completely normal to feel worried when your periods are irregular, especially at your age. At 16, it’s actually quite common for periods to be irregular for the first few years after they start. The body’s hormones are still adjusting, and cycles can take time to become regular.

### Why might this be happening? - Normal puberty: Many teenagers have irregular periods for 2–3 years after their first period. - Hormonal changes: Mood swings are also common during this time and are usually related to hormonal shifts. - Other causes: Sometimes, stress, changes in weight, excessive exercise, or underlying health conditions (like thyroid or PCOS) can affect periods, but you mentioned no major lifestyle changes.

### What should you do? - Track your periods: Keep a simple calendar or use a period-tracking app to note when you get your period and any symptoms. - Healthy habits: Eat a balanced diet, get enough sleep, and try to manage stress. - When to see a doctor: If you don’t get your period for more than 6 months, or if you develop other symptoms like excessive hair growth, severe acne, or unexplained weight changes, it’s a good idea to see a gynecologist for a check-up.

### Summary Irregular periods at 16 are usually normal and often settle down with time. Try not to worry too much, but keep track and see a doctor if things don’t improve or if you notice other unusual symptoms.

Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
89 days ago
5

At the age of 16, it is quite common for menstrual cycles to be irregular, especially during the first few years after periods begin. This usually happens because the hormones that control the menstrual cycle are still maturing, and ovulation may not occur regularly yet. Missing a period for a few months can therefore happen in teenagers and is often related to hormonal fluctuations, stress, changes in weight, or lifestyle factors. One possible cause is Adolescent Anovulation, where the ovaries do not release an egg regularly, leading to delayed or missed periods. Mood swings may also occur because of these hormonal changes. In most cases the cycle becomes more regular over time, but if periods stop for more than 3–4 months repeatedly, or if there are additional symptoms like excessive hair growth, severe acne, or significant weight changes, a doctor may evaluate for conditions such as Polycystic Ovary Syndrome or check for anemia and thyroid problems. Maintaining a healthy diet, regular sleep, exercise, and managing stress can help regulate hormones, but if the absence of periods continues, it would be advisable to consult a gynecologist for proper evaluation and reassurance.

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
89 days ago
5

Hi there,

Thank you for reaching out again. Please don’t worry—you are not alone, and this is quite common. Here is what you need to know:

· It is Normal: Since your periods have never been regular from the start, it is very common. It can take 2 to 3 years (or longer) after your first period for your cycle to settle into a regular pattern. · Hormones at Play: At 16, your body is still maturing. The mood swings you mentioned confirm that your hormones are actively balancing themselves. · You Are Single: Since you are not sexually active, pregnancy is not a concern, so please set that worry aside. · When to See a Doctor: Even though it is normal, missing periods for 4 months means you should visit a Gynecologist for a check-up. · They may run tests to rule out conditions like PCOS (common at this age). · They might do an ultrasound to check your ovaries and uterus. · This is just to ensure everything is developing healthily. · Bottom Line: This is highly treatable. A doctor can help regulate your cycle with simple lifestyle advice or medication if needed.

Dr. Nikhil Chauhan

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
85 days ago
5

At your age, irregular periods are often due to an immature hormonal cycle, but missing periods for 4 months is called Amenorrhea and should be evaluated.

A common cause in young girls is Polycystic Ovary Syndrome (PCOS) or temporary hormonal imbalance, especially if cycles have been irregular since the beginning.

It’s best to consult a Gynecologist for basic tests and reassurance—most cases are treatable and manageable.

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