Please Read: Seeking Guidance and Support
I’m a 15-year-old girl, standing at 5’3” and weighing roughly 160 pounds. My first menstrual cycle began shortly before I turned 10. During my seventh grade year, I struggled with anorexia, and it was during this time that my periods became erratic. Initially, these cycles occurred every two to three months; however, eventually, I went a full six months without one. I can't recall when I last had my period, but it’s definitely been over a year. I haven’t discussed this with my mom, my doctor, or anyone else, except for a few close friends. Therefore, I urgently request insights from medical professionals or anyone knowledgeable. I’ll outline some of my symptoms in case they are relevant. I experience cramps that can range from mild discomfort to significant pain, although they rarely incapacitate me entirely. During the times I did have my period, the bleeding was extremely heavy—so much so that it was hard to move without passing clots. The bleeding would last about 2-3 weeks, requiring multiple sanitary pads and rolls of toilet paper in a short time. After going months without a period, the cramps when I finally did bleed were excruciating. I also noticed a strong odor, particularly a fishy scent, developing a couple of hours in, despite my daily hygiene. I often found brown stains in my underwear as well. I plan to seek medical attention as soon as I reach 18, but I’ve been concealing this issue for so long that I find it difficult to come forward now. I worry about the possibility of ovarian cancer. Unfortunately, I can’t do my own research due to restrictions on my internet usage, so any specifics you could provide would be appreciated. Additionally, are there any clinics that offer check-ups like this confidentially, or do they require parental consent? I truly appreciate any guidance you can offer. Update: I have also been contemplating conditions such as PCOS or ovarian cysts, so if there are any potential diagnoses, please elaborate on what they entail and their possible effects.
Answers (1)

8/17/2025, 3:31:15 AM
OpenHealth AI
It's understandable to feel anxious about irregular periods and the associated symptoms you're experiencing. Your situation is complex, but it's important to recognize that there are many potential explanations for these issues, and seeking help is a positive step. Here’s a breakdown of the key points and actionable steps:
Main Points
- Irregular Menstrual Cycles: Missing periods for over a year can indicate underlying health issues.
- Possible Conditions: Conditions like Polycystic Ovary Syndrome (PCOS) or hormonal imbalances may be contributing factors, but they require professional evaluation.
- Confidential Medical Care: You can seek confidential health services, especially for reproductive health.
Explanation
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Irregular periods: It's common for periods to be irregular during the teenage years, especially after experiencing eating disorders like anorexia. Such conditions can significantly impact hormone levels, thereby affecting menstrual cycles.
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Cramps and Heavy Bleeding: The symptoms you describe, including severe cramps, heavy bleeding, and a strong odor, might indicate conditions like PCOS or other gynecological issues. Heavy periods can also be associated with other factors like hormonal imbalances or even conditions such as fibroids.
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Concerns about Ovarian Cancer: While your symptoms might be concerning, it's crucial to note that ovarian cancer in young individuals is rare. However, it's still essential to discuss your symptoms with a healthcare provider for peace of mind and proper assessment.
Next Steps
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Seek Professional Help: It’s highly recommended to speak with a doctor about your menstrual health. Try to find a clinic that focuses on teenage or women’s health, where confidentiality is prioritized. Many clinics offer services without needing parental consent, especially for reproductive health issues. Look for local Family Planning or Women’s Health Clinics.
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Prepare for Your Appointment: Write down your symptoms, menstrual history, and any concerns you have in advance. This can help you communicate clearly when you visit the doctor.
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Monitor Your Symptoms: Keep track of your symptoms in the coming weeks—note the severity of cramps, any unusual discharge, and any other changes. This information will be helpful for your doctor to understand your situation better.
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Talk to Trusted Adults: Consider discussing your health concerns with a trusted adult, like a family member or school counselor, who might help you navigate the process of seeking care.
Reassurance
It's okay to seek help, and you are not alone in dealing with these concerns. Your health is important, and addressing these symptoms early can lead to better outcomes. Remember, many young people face similar health issues, and healthcare providers are trained to help without judgment. Take one step at a time, and focus on finding the right support. If you have more questions or need help finding resources, feel free to ask!
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