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I Am 19 Years Old, Have Not Had My Period

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Posted on Fri, 3 Jan 2020
Question: I am 19 years old, have not had my period in two months. My cycle has never been regular per se, however, it started to straighten out to a monthly basis within the past year. I have taken a few pregnancy tests. All negative. About a month ago, twice, I had very light bleeding. Only enough to come off when wiping. This month I noticed after mastubating I bled lightly. Then, having sex, I bled more, and after peeing passed a very small blood clot. Still no period. Little freaked out. I have had no other noticeable symptoms of pregnancy or abdominal pain of any kind.
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Answered by Dr. Bonnie Berger-Durnbaugh (26 minutes later)
Brief Answer:
Most likely due to not ovulating which is common from time to time.

Detailed Answer:
Hello and welcome,

What you are describing is not an uncommon problem particularly in young women in teen years and early 20s. It is usually related to physical or emotional stress which can interfere with ovulation. And if ovulation doesn't happen, then the remaining cycle will be different. By different, I mean the period can be skipped, or there can be light bleeding, or there can be clots or heavy bleeding, and for a shorter or longer time than your usual period.

During the first 2 weeks of the menstrual cycle (counting the 1st day of bleeding as day 1 of the month), there is mostly just estrogen. Then around day 14 ovulation happens and then there is going to be more progesterone. The progesterone helps make the blood lining of the uterus mature so that when the period comes, it is a typical number of days and amount of flow for that particular woman.

However, if ovulation doesn't happen (in a 19 yr old it's most often due to stress), estrogen and follicle stimulating hormone can keep going up and down, making some blood, sometimes shedding some blood or clots, or none at all.

The clots and bleeding you passed might have been shed into the vagina and stayed there and peeing or sex caused it to come out. Unlike a regular period where there is a normal flow.

This is the most common scenario and no need to worry.

If there has been no period in 3 months, then it is considered secondary amenorrhea, and time to see the doctor. What the doctor will do typically is:
1. A physical exam.
2. Give you a short course of a progestin to mature the lining that has been made by the presence of estrogen in your system (which is normal) but hasn't matured because of lack of ovulation and progesterone (the cause of which is usually stress).

The short course of progesterone medication (such as medroxy progesterone aka "Provera") makes your body do what would have happened had you ovulated. When you finish the course (several days such as 7-10), then in a couple of days you will have a period if everything is working right (which it usually is)!

So... there is likely nothing to worry about.

I hope this information helps put you at ease. Please let me know if you have further questions.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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I Am 19 Years Old, Have Not Had My Period

Brief Answer: Most likely due to not ovulating which is common from time to time. Detailed Answer: Hello and welcome, What you are describing is not an uncommon problem particularly in young women in teen years and early 20s. It is usually related to physical or emotional stress which can interfere with ovulation. And if ovulation doesn't happen, then the remaining cycle will be different. By different, I mean the period can be skipped, or there can be light bleeding, or there can be clots or heavy bleeding, and for a shorter or longer time than your usual period. During the first 2 weeks of the menstrual cycle (counting the 1st day of bleeding as day 1 of the month), there is mostly just estrogen. Then around day 14 ovulation happens and then there is going to be more progesterone. The progesterone helps make the blood lining of the uterus mature so that when the period comes, it is a typical number of days and amount of flow for that particular woman. However, if ovulation doesn't happen (in a 19 yr old it's most often due to stress), estrogen and follicle stimulating hormone can keep going up and down, making some blood, sometimes shedding some blood or clots, or none at all. The clots and bleeding you passed might have been shed into the vagina and stayed there and peeing or sex caused it to come out. Unlike a regular period where there is a normal flow. This is the most common scenario and no need to worry. If there has been no period in 3 months, then it is considered secondary amenorrhea, and time to see the doctor. What the doctor will do typically is: 1. A physical exam. 2. Give you a short course of a progestin to mature the lining that has been made by the presence of estrogen in your system (which is normal) but hasn't matured because of lack of ovulation and progesterone (the cause of which is usually stress). The short course of progesterone medication (such as medroxy progesterone aka "Provera") makes your body do what would have happened had you ovulated. When you finish the course (several days such as 7-10), then in a couple of days you will have a period if everything is working right (which it usually is)! So... there is likely nothing to worry about. I hope this information helps put you at ease. Please let me know if you have further questions.