why do women start their period early

Women in the middle of their childbearing years normally experience fairly regular periods. Cycle length for most women ranges from every 25 to 30 days. Even if your menstrual cycles usually occur predictably, it's not unusual to experience an early period every now and then. This might occur due to physical or mental stress, a hiccup or side effect related to your birth control method, or a gynecologic or other medical condition. Periods occur due to the cyclic action of female hormones on the lining of the uterus. When menstruation begins during the adolescent years, the hormone regulating systems are not yet fully mature and it may take 6 years or longer for periods occur regularly. Early periods are common during this time. Periods also occur irregularly when during a woman's perimenopausal years, those leading up to menopause. Perimenopause typically begins during a woman's 40s. Irregular cycles with early or late periods are fairly common at this stage of life because the ovaries function increasingly unpredictably leading up to menopause. Certain life events can also affect female hormone levels and result in periods that occur earlier than expected. High levels of intense exercise, significant weight loss or gain, a medical illness and mental stress may lead to an occasional early period. Early periods sometimes occur in women taking birth control pills, especially if you forget to take 1 or more pills in a pack. An intrauterine device, or IUD, can also lead to irregular or early periods в particularly during the first year of use. If you've taken the emergency contraceptive, morning-after pill levonorgestrel (Afterpill, My Way, Next Choice, Next Choice One Dose, Plan B One Step, Take Action), you might experience a change in your next period.

An article published in the February 2010 issue of
The Lancet found that among women who used levonorgestrel emergency contraception, their next period came an average of 60101-8/abstract). Certain gynecologic conditions can cause irregular menstrual cycles or bleeding that might seem like an early period. With polycystic ovary syndrome, or PCOS, small fluid-filled cysts form in the ovaries that lead to an imbalance in sex hormone levels. Women with PCOS experience irregular periods along with other symptoms, such as weight gain and increased body and/or facial hair. With endometriosis, cells that normally line the inside of the uterus occur in other parts of the pelvis. Women with endometriosis often experience a shortened menstrual cycle as well as prolonged bleeding, and painful periods and intercourse. Some medical conditions, such as thyroid disease and uncontrolled diabetes, and certain medications, such as blood thinners, can also cause periods to appear earlier than expected. Bleeding unrelated to your menstrual cycle might be mistaken for an early period. For example, if you have become pregnant since your last period, you might experience bleeding before your expected period as the embryo implants into the uterus. This type of implantation bleeding is usually lighter than a typical period. Rarely, an infection or cancer might cause a bloody vaginal discharge. Although this discharge can appear anytime, it might be misinterpreted as an early period. An occasional early period usually represents nothing more than a temporary blip in your hormone levels.

If you frequently experience early periods or other menstrual symptoms, such as pain or heavy bleeding, contact your healthcare provider. Tracking your periods over several months with an app or diary might show patterns that can help your doctor identify the cause. Reviewed and revised by: Tina M. St. John, M. D. Let's talk seriously about periods. Doctors and scientists have noticed an alarming trend. Some girls in elementary school are experiencing their first period - menarche - as early as fourth grade. That's 9 or 10-years-old. This shift is noticeable across the board. In the United States, the average age for a girl's first period is now just under 12-years-old. This is a year and a half earlier than the average for girls in 1900. What does this mean? And could it be related to what they are eating? Paediatric and Adolescent GynaecologistВ Dr Julie Powell sees three potential causes for this earlier onset of girls' periods: obesity, chemical exposures and social and psychological stress. "We know kids are more obese now than they ever were in the history of our country. Right now, about one-quarter to one-fifth of children are obese. That's not overweight, that's obese, meaning that they are significantly above their recommended body weight. Obesity in children has tripled in the last 30 years," she said. And that may be important, she said, because fat cells make estrogen. The more fat cells you have, the more estrogen your body makes. Estrogen, of course, is the main female sex hormone (men have it too, in smaller amounts). So it makes logical sense that an overabundance of it could lead to earlier menstruation.

And the relationship between fat cells and puberty may extend beyond estrogen, Powell said. Two hormones control our appetite, she explained: ghrelin, which tells our bodies that we are hungry, and leptin, which tells us that we are full. "There is a lot of interplay between the amount of fat cells that you make and how sensitive your body is to leptin," she said. "It looks like the fatter you are, the more insensitive you are to leptin. " And "leptin itself may be involved in puberty," she said. The relationship between obesity and early periods has not been definitively proved, Powell said, but substantial evidence points to an association. A disproportionate number of obese girls reach puberty earlier than those of normal weight. And while boys are also reaching puberty somewhat earlier than before (though not to the same extent as girls), obese boys tend to come to it a little later than others. One possible reason could be their increased levels of estrogen. But as Powell pointed out, other factors may be in play besides obesity. Scientists are studying whether chemicals or hormones that we encounter every day might be having an effect. These chemicals could be naturally occurring in food or be added to them, or they may be found in everything from beauty products to furniture, she said. Xenoestrogens are hormones that mimic the effect of estrogen or turn on estrogen receptors and act like estrogen. They can be found in certain common food preservatives, along with soy products, the plastic that lines food cans, plastic food storage containers and possibly the nonstick coating that lines pans.

Sleep deprivation, too, can lead to obesity and therefore potentially earlier periods for girls, Powell said. "There is pretty good evidence that in children and adults that sleep is more important in hormones than we ever thought. Sleep deprivation, even for a few hours, turns on ghrelin and turns off leptin," she said. Children from 5 to 10-years-old need 10 hours of sleep a night, "and I can guarantee you that that is a rare event now," she said. But does any of this even matter? If girls get their periods earlier now, is that even a cause for concern? Absolutely, said Powell, and one of the reasons she gave is absolutely chilling: "Early sexual development leads to a much higher risk of sexual abuse," she said. So, what can we do to slow this trend? "Try to maintain or move toward a healthy weight. Make a reasonable effort to try to avoid the accumulation of certain chemicals in our lives and in our foods" and get enough sleep, she said. "From a dietary standpoint, we're all familiar with the recommendations for either kids or adults to get to a healthier weight: more fruits and vegetables, less sugars and processed foods. " If you can afford it, buy organic foods to avoid pesticides. If you can't buy organic, use a fruit or vegetable wash to clean certain fruits and vegetables (homemade recipes for these washes are available online, along with lists of which foods are likely to be coated with pesticides and which are not). For more information on the subject, Powell highly recommends the book "The New Puberty," by Louise Greenspan and Julianna Deardorff. "It's a layperson's book talking about all of these issues," she said. - MCT

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