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03/08/2020

Signs and symptoms of PMS may include mood swings, acne, bloating, food cravings, increased breast tenderness, fatigue, and increased hunger and thirst. When your period begins, it’s normal to experience mild pain with your periods a couple of days each month. However, if your pain is not relieved with over-the-counter pain medicine, and you miss school or doing things with your friends because of it, you may have “dysmenorrhea” (pronounced: dis–men–o–ree–a). When your period begins, it will feel like liquid flowing slowly with start and stops, out of your va**na. Although it may seem like a lot of blood, only a small amount is released at a time and should not be painful. It’s also normal to see small clots of blood from your va**na on the toilet paper after you urinate (p*e). However, if you see clots larger than a quarter, you should call your health care provider (HCP) and schedule an appointment.

What if I haven’t had my period yet?

It’s normal to get your period as early as 9 years old or as late as 14 years old. This is a big time range and it’s hard to be one of the first or one of the last. Girls who are active in sports or are very thin may not get their period until a later age. Losing weight while you are in your growth spurt can also delay your periods. A late start to puberty and menstrual periods may run in your family. Talk to your parent or your healthcare provider about your worries and concerns. If you haven’t gotten your period by the time you have turned 15 or if you started your breast development more than three years ago and haven’t gotten your period, get a check-up with your health care provider (HCP) just to make sure everything is okay. Your HCP sees many girls who develop late, so don’t be embarrassed to ask. Your HCP may do a ge***al exam and check to see if your h***n (a thin piece of tissue that covers part of the entrance to your va**na) is open. Some girls are born with an “imperforate h***n,” which means that the h***n does not have an opening, and blood cannot leave the va**na. Rarely, girls are born with a condition called Mayer Rokitansky Kuster Hauser syndrome (MRKH), which is an incomplete va**na and/or small or absent uterus, so they don’t get their period for this reason. It’s a good idea to get regular check-ups during puberty just to make sure that everything is okay.

03/08/2020

MENSTRUAL PERIOD

Puberty is the time when your body changes because of hormones produced by your ovaries. Puberty usually starts between age 8 and 13 and includes growth of your breasts, the appearance of hair in your ge***al and underarm areas, and a growth spurt in your height. You may also notice that you have body odor and some discharge in your va**nal area from the effect of the hormones. Usually your menstrual periods will start about 2 to 3 years after you notice the first signs of breast development. The age when you start puberty may be earlier or later than others your age because late or early puberty may run in your family. Puberty may start earlier in girls who are overweight and later in girls who are underweight or involved in sports or activities such as dance, gymnastics or track.

Female reproductive anatomy
Puberty begins when the pituitary gland in your brain begins to release chemical messengers called gonadotropins, Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH), which in turn stimulate your ovaries inside your belly to make hormones, especially estrogen. The estrogen causes breast development and menstrual periods. The two small, grape-shaped ovaries are also filled with hundreds of thousands of eggs. Menstrual periods occur because the lining of the uterus (called the endometrium) thickens because of rising levels of estrogen and when the levels fall, the lining is not supported and passes out of your body through the va**na as a “period.” As your system matures, the gonadotropins send different levels of hormones that “tell” your ovaries to release an egg once a month and to make progesterone in addition to estrogen. The egg then travels towards the uterus. If the egg is not fertilized by a s***m, then two weeks later, the levels of estrogen and progesterone fall and the blood filled lining of the uterus that becomes thicker between periods passes out of your body through your va**na.This flow, which comes out as blood, is your menstrual period. The whole process is called menstruation. Menstrual periods can occur when you are releasing eggs each month or they can occur when you are just making estrogen. When you are not ovulating, the periods may be lighter or heavier than normal and more irregular.

What will having my period feel like?

Some girls may experience premenstrual syndrome “PMS.” Symptoms of PMS usually start about a week before your period and disappear about 1-2 days into your period.

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