K, so I’ve decided to start the new schedule a little early. Seeing as it’s Tuesday, I’ll be starting off with health. I think I’ll call it Healthy Tuesdays. What do you guys thing? Leave a comment and let me know. :]
Today I’ll post some frequently asked questions asked about periods.
—I’m 14 years old and I haven’t had my first period yet. Is something wrong with my body? Probably not. If you’ve already noticed breast growth and tenderness, it’s a good sign that your body is making the hormones it needs to develop. Usually, girls have their first period within 2 to 3 years of the beginning of breast development. If your breasts haven’t started to develop yet, or if it has been longer than 2 to 3 years since development began and you still have no periods, then you should see your pediatrician for a check-up.
—What is a “normal” period like? How often will I get it? How long does it last? How much bleeding is normal? Every body is different. But there are some general guidelines about what is normal. Lots of girls think they are supposed to get their period every 28 days. Actually, the normal time interval between periods can be as short as 21 days, or as long as 35 to 40 days. Your periods will most likely not be “regular” until 2 or 3 years after menarche. It’s a good idea to keep track of your periods on a little calendar that you keep with your menstrual supplies. If you ever start to feel that your period is late, you can check your calendar to see how long it’s been. If you need to see a doctor for any problems related to your periods, the doctor would like to see your calendar.Periods can last anywhere from 2 to 3 days up to 7 days. Rarely a girl may have a period lasting as long as 10 days. As long as the bleeding is not heavy (see following), that is OK.
Light or short periods are not a problem for most girls. You are more likely to be concerned that your flow is too heavy. It’s really difficult to figure out how much you are actually bleeding. Normally, girls lose less than ¼ cup of blood with each period. That is equal to 10 to 15 soaked tampons or pads. Some girls change pads or tampons very frequently in order to have as little staining as possible. Other girls find it difficult to change more than a couple of times during a busy school day. So, it’s hard to “count pads” as a reliable indicator of amount of bleeding.
Bleeding is usually heaviest during the second and third days of the period, and you may soak 6 or 8 pads a day. If your flow after the first few days is so heavy that a super-absorbent pad is nearly always soaked after a couple of hours, that is probably too heavy. If you’re concerned that your flow is too heavy, it’s always a good idea to see your pediatrician. The doctor may do a blood test to see if you are anemic or have any medical problems.
—I have bad cramps with my period. Why is this? What can I do?
At least 50 percent of girls and women experience some pain (“dysmenorrhea”) with their periods. Some girls have such severe cramps that they miss school. You might have heard that this is something you just have to “suffer through.” Not true! There are highly effective treatments for cramps. They include medications you can buy without a prescription. There are also special prescription-only pain medications. Occasionally, hormones like those in the oral contraceptive pill are the best treatment.
In girls your age, cramps are usually caused by hormones made in the uterus after the egg is released. The hormones cause the muscles of the uterus to contract. These contractions help expel the menstrual blood. If your uterus makes large amounts of these hormones, the contractions can be painful. The pain may be mild or severe. Girls who have severe cramps may also have headaches, diarrhea and vomiting as well. Girls with this type of dysmenorrhea usually don’t get cramps until they start ovulating, about 2 years after menarche. So, girls may have cramps with some periods, but not with all of them.
Non-prescription medication such as ibuprofen (AdvilTM and Motrin-IBTM are examples) relieves cramps for most girls. Take 1 or 2 tablets (200 - 400 mg) as soon as your period starts. Then, take 1 to 2 more tablets every 6 hours. If your cramps are mild, the lower does may be enough. If the pain is moderate to severe, start off with 2 tablets (400 mg) every 6 hours. Since cramps tend to occur during the first 2 to 3 days of the period, most doctors recommend you continue to take the medication throughout this time. Take it continuously, rather than waiting until the cramps start again. Just don’t take more than 1200 mg in a 24-hour period unless your doctor advises otherwise.
If ibuprofen doesn’t relieve your cramps, see your doctor. There are other treatments that can help. Sometimes cramps are caused by abnormal medical conditions that need a different treatment.
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