PMS, Cramps, and Irregular Periodsenteenshttps://kidshealth.org/EN/images/headers/T-menstrualProblem-enHD-AR1.jpgGet the facts on which period problems are normal and which ones might indicate something's going on.menstruation, menstrual period, cramps, period pains, abdominal cramps, pms, water retention, when will i get my period, bloating, period problems, hormones, menstrual cycle, prostaglandins, skipping periods, missed period, pads, tampons, pelvic exams, amenorrhea, ovulation, menorrhagia, blood clots, heavy periods, heavy menstrual flow, gynecologists, pelvic inflammatory disease, amenorrhea, dysmenorrhea, uterus, ovaries, fallopian tubes, endometriosis, anemia, dub, aub, dysfunctional, abnormal, uterine bleeding, menorrhagia03/22/200010/26/201809/02/2019Krishna Wood White, MD, MPH10/12/2018dc8ec33f-7c5e-41eb-a3fb-f7fcb030b6b2https://kidshealth.org/ws/RadyChildrens/en/teens/menstrual-problems.html/<p>A girl's <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/menstruation.html/">periods</a> can cause some uncomfortable symptoms. Most of the time, there's no reason for concern. But some problems need care from your doctor.</p> <p>Here's how to cope with most period problems.</p> <h3>What Is Premenstrual Syndrome (PMS)?</h3> <p>Premenstrual syndrome (PMS) is when a girl has mood and body changes before or during her period. It's usually at its worst during the 4 days before a period. PMS usually goes away 2 to 3 days after the period begins.</p> <h3>What Are the Signs &amp; Symptoms of PMS?</h3> <p>A girl with PMS might have:</p> <ul> <li>sadness</li> <li>mood swings</li> <li>crankiness</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/anxiety.html/">anxiety</a></li> <li>tiredness</li> <li>food cravings</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/acne.html/">pimples</a></li> <li>bloating</li> <li>backaches</li> <li>sore breasts</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/headaches.html/">headaches</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/constipation.html/">constipation</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diarrhea.html/">diarrhea</a></li> </ul> <h3>What Can Help if I Have PMS?</h3> <p>You can try these things if you have PMS symptoms:</p> <ul class="kh_longline_list"> <li>To help with food cravings: Eat a balanced diet with lots of fresh fruit and vegetables.</li> <li>To ease bloating: Lower salt in your diet.</li> <li>To ease crankiness or anxiety: Avoid <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/caffeine.html/">caffeine</a> and get plenty of <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/exercise-wise.html/">exercise</a>.</li> <li>To help with backache, headache, or <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/breasts-period.html/">sore breasts</a>: Try a warm heating pad or acetaminophen (Tylenol or store brand), ibuprofen (Advil, Motrin, or store brand), or naproxen (Aleve or store brand).</li> <li>To relax: Try <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/yoga-stress.html/">yoga</a> or meditation.</li> <li>To prevent and treat pimples: Work with a dermatologist (skin doctor).</li> </ul> <h3>When Should I Call the Doctor?</h3> <p>If your PMS is severe, your doctor can help with treatments, including medicine. Call the doctor if you:</p> <ul> <li>don't feel better after trying home treatments</li> <li>feel very sad or hopeless</li> <li>ever think about hurting or killing yourself</li> <li>can't do your usual activities because of your PMS symptoms</li> <li>have PMS symptoms that don't go away after the first few days of your period</li> </ul> <h3>What Are Period Cramps?</h3> <p>Period cramps are pain in the lower belly during a girl's period. Many girls have cramps during the first few days of their periods. Period cramps are caused by prostaglandin, a chemical in the body that makes the muscle in the uterus contract.</p> <h3>What Can Help if I Have Cramps?</h3> <p>If cramps bother you, try:</p> <ul> <li>a warm heating pad on your belly</li> <li>taking ibuprofen (Advil, Motrin, or store brand) or naproxen (Aleve or store brand); this works best if the medicine is started at the first sign of cramps</li> </ul> <h3>When Should I Call the Doctor?</h3> <p>Call your doctor if:</p> <ul> <li>severe cramps keep you home from school or doing your usual activities</li> <li>the cramps do not get better with ibuprofen or naproxen</li> </ul> <h3>What Are Irregular Periods?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/teens/irregular-periods.html/">Irregular periods</a> are when a girl or woman does not get a period about every 4&ndash;5 weeks. In the first 2 years after a girl starts getting her period, it is normal for the cycles to be irregular. But by about 2 years after periods start, they should be on a regular cycle.</p> <h3>What Can Help?</h3> <p>Track your periods so you know if they are regular. Record when your period comes, how long it lasts, and any problems you have during it. You can use a calendar or an app, or write it down in a notebook.</p> <h3>When Should I Call the Doctor?</h3> <p>Call the doctor if you:</p> <ul> <li>have had your period for 2 years and still don't get it about every 4&ndash;5 weeks</li> <li>get your period regularly, but then don't get it for 3 months</li> <li>get your period regularly, but then it becomes irregular</li> <li>have periods that are very heavy (you go through more than one <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/supplies.html/">pad or tampon</a> an hour)</li> <li>have periods that last longer than about a week</li> </ul> <h3>Looking Ahead</h3> <p>Most girls settle into a regular period schedule and can manage any bothersome symptoms with home treatment. But talk to the doctor if you think there could be a problem with your periods.</p>Síntomas premenstruales, dolores menstruales y menstruaciones irregularesEn ocasiones, tener el períodopuede ser doloroso y molesto a la vez. La mayoría de las jóvenes tienen que lidiar con el síndrome premenstrual, los calambres o los dolores de cabeza antes o durante su período. Estos problemas suelen ser normales y no hay de qué preocuparse.https://kidshealth.org/ws/RadyChildrens/es/teens/menstrual-problems-esp.html/4618b0a2-5d3f-4a58-8e1f-6ba5a89de22a
Abnormal Uterine Bleeding (AUB)If periods aren't regular it's usually because a girl's body is still developing. But sometimes, changes in blood flow can be a sign of abnormal uterine bleeding (AUB).https://kidshealth.org/ws/RadyChildrens/en/teens/aub.html/edf6744c-f3c9-456c-8f6d-6617f6647d30
All About PeriodsPeriods can be confusing. Get the facts in this article for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/menstruation.html/8982e306-91dd-45c8-869f-3012403a61dd
Can Birth Control Help With Cramps?Find out what the experts have to say.https://kidshealth.org/ws/RadyChildrens/en/teens/cramps.html/be2ec1ed-bd75-45e6-b81b-acea57c46e74
EndometriosisRead this article to learn all about endometriosis and how doctors help girls who have it.https://kidshealth.org/ws/RadyChildrens/en/teens/endometriosis.html/12971b5d-7072-44c0-bc93-ccddca1e1571
Feeling FreshWondering what you can do to feel as clean as possible "down there"? Read this article for the facts on douches, wipes, and other feminine hygiene products.https://kidshealth.org/ws/RadyChildrens/en/teens/feminine-hygiene.html/07d195e1-e382-4f83-9dac-129529fd15d6
Female Athlete TriadFemale athlete triad is a combination of three conditions: disordered eating, amenorrhea (loss of a girl's period), and osteoporosis (a weakening of the bones).https://kidshealth.org/ws/RadyChildrens/en/teens/triad.html/660b8bc9-8181-412e-a420-cbf191295794
Female Reproductive SystemWhy do girls get periods? What goes on when a woman gets pregnant? What can go wrong with the female reproductive system? Find the answers to these questions and more in this article for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/female-repro.html/fb3f1957-5655-42f6-bd1f-e0f2627c4245
Gyn CheckupsGirls should get their first gynecological checkup between ages 13 and 15. Find out what happens during a yearly gyn visit -- and why most girls don't get internal exams.https://kidshealth.org/ws/RadyChildrens/en/teens/obgyn.html/55d0d193-7166-402f-b766-14a4d4cfe970
How Do You Know If Your Period Is Regular?Find out what the experts have to say.https://kidshealth.org/ws/RadyChildrens/en/teens/irregularities.html/3e74f9e7-8527-46b0-9cdb-d82514fd42c5
Irregular PeriodsWondering whether it's normal to have irregular periods? Get the facts about this common problem.https://kidshealth.org/ws/RadyChildrens/en/teens/irregular-periods.html/c3462379-b09e-41c0-8a67-9c0ebdc4b743
Is it Common to Get Migraines Before Your Period?Find out what the experts have to say.https://kidshealth.org/ws/RadyChildrens/en/teens/menstrual-migraine.html/f5571a78-1f58-4aa1-82ad-28cb957ed29c
Pelvic ExamsA pelvic exam is where a doctor or nurse practitioner looks at a girl's reproductive organs (both outside and internally) and feels the uterus and ovaries to be sure everything's normal. Find out what's involved in this article for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/pelvic-exams.html/9497886d-d42d-48da-8cc4-501407d39e07
Polycystic Ovary Syndrome (PCOS)In polycystic ovary syndrome (PCOS), the ovaries produce higher than normal amounts of certain hormones, which can interfere with egg development and release. Learn how doctors diagnose and treat PCOS.https://kidshealth.org/ws/RadyChildrens/en/teens/pcos.html/79731239-b3c8-4c57-af59-55eb6eea7eaa
Tampons, Pads, and Other Period SuppliesWhen it comes to pads and tampons, there are lots of choices. It may take some experimenting before you find what works best for you. Here are some tips.https://kidshealth.org/ws/RadyChildrens/en/teens/supplies.html/6d964630-56a9-4c4e-afa1-170fae38431d
Vaginal Discharge: What's Normal, What's NotNormal vaginal discharge has several purposes: cleaning and moistening the vagina and helping to prevent infections. But sometimes discharge indicates there's a problem. Get the facts on what's normal and what's not.https://kidshealth.org/ws/RadyChildrens/en/teens/vdischarge2.html/93bd9b47-57d7-46a0-aebf-11294dcda416
Why Are My Breasts Sore?Breast soreness is common among teens, but it can still seem worrying when it happens to you. Fortunately, breast pain is rarely serious. Find out why your breasts may hurt and what you can do about it.https://kidshealth.org/ws/RadyChildrens/en/teens/sore-breasts.html/94e5a942-ca21-422a-9d19-c054c0225be8
Why Do I Feel Depressed When I Have My Period?Find out what the experts have to say.https://kidshealth.org/ws/RadyChildrens/en/teens/period-blues.html/73a0d59b-7f79-4b97-b6ac-285afdc464b8
kh:age-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-adolescentMedicinekh:clinicalDesignation-endocrinologykh:clinicalDesignation-obgynkh:genre-articlekh:genre-videokh:primaryClinicalDesignation-adolescentMedicineFor Girlshttps://kidshealth.org/ws/RadyChildrens/en/teens/sexual-health/girls/2f5cbbfa-7003-4714-8cc6-a064381dfb03Sexual Health & Reproductive System (for Teens)https://kidshealth.org/ws/RadyChildrens/en/teens/diseases-conditions/sexual-health/3764a717-b9c6-40c9-bb48-a3163fbf9675