What can bring on a period early, is it normal, and when should you see a doctor?

There are many potential causes of an early period. This is normal, and if it only occurs occasionally, there is probably nothing to worry about. Hormonal shifts, such as those that occur during puberty and perimenopause, are a common cause of premenstrual symptoms. Menstrual

There are many potential causes of an early period. This is normal, and if it only occurs occasionally, there is probably nothing to worry about.

Hormonal shifts, such as those that occur during puberty and perimenopause, are a common cause of premenstrual symptoms.

Menstrual irregularities can have many causes, including polycystic ovary syndrome (PCOS) and endometriosis.

This article discusses the symptoms and treatments for several causes of an early period.

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When people talk about puberty, they're usually talking about the time when teenagers become sexually mature.

When a girl hits puberty, her body begins producing hormones like estrogen and progesterone that help her go through the physical changes that come with becoming a woman.

Some of the alterations are as follows:

  • increased stature and girth
  • increased adipose tissue accumulation in the hips, thighs, and buttocks
  • increased size of the breasts
  • expansion of hair follicles in previously bald areas; most noticeable in the face, but also extending to the arms and legs and the genital area.
  • alterations to the skin, including more oil production, pimples, and acne

The hormonal shifts that occur during puberty do more than just alter the female body physically; they also prime it for reproduction.

Women typically get their first period between the ages of 12 and 13, as stated by the American College of Obstetricians and Gynecologists (ACOG). Some people's menstrual cycles are shorter or longer than the average of 28 days.

The average time between cycles for teenage girls is 32 days. ACOG data shows that the average duration of labor is 2 days. While the majority of periods during the first few years of menstruation last between 21 and 45 days, longer or shorter cycles do occur. Menstrual cycles typically last between 21 and 34 days by the third year.

Period irregularity is common in the first 6 years of menstruation.


The onset of puberty is a physiological process that typically does not require medical attention.

When females experience an abnormally early or late onset of puberty, however, medical professionals may suggest hormonal therapy.


The medical history of an adolescent will be examined if doctors have concerns about a possible issue with puberty.

They may also order lab tests and scans (both radiological and medical) in addition to a physical exam.

When you should see a doctor

If a child begins menstruating or shows signs of puberty before the age of 8, their parents and caregivers may want to get the kid checked out.

Precocious puberty, as this phenomenon is known to medical professionals, describes a child's onset of puberty before it is developmentally appropriate. ”

Meanwhile, girls and young women who don't start developing breasts by the time they're 13 may have delayed puberty.

Many factors, such as low body fat, genetics, and ovarian issues, can lead to a delay in puberty.

The treatment options for problems associated with puberty can be quite diverse.

In most cases, perimenopause, the period leading up to menopause, starts between the ages of 47 and 51.

Hormone levels, especially estrogen and follicle stimulating hormone (FSH), may be affected. Rising levels of FSH can cause some women to experience their period a few days early.

Because estrogen levels drop during the transition, women typically experience periods that are lighter and less frequent.

Besides these symptoms, perimenopause can also bring on:

  • intervals that are either longer or shorter
  • differing degrees of blood loss
  • Dryness of the Vagina
  • shifts in sexual desire
  • flashes of heat
  • Disruptions in one's mood and a tendency toward anger
  • inability to fall asleep


The perimenopausal transition is the period of time just before menopause when the body goes through a natural change. A medical solution is unnecessary because it is not a health issue.

Perimenopause and menopause can bring on mild to severe symptoms, but they can be mitigated with lifestyle changes and medical interventions.

Some of the changes you might experience and how to deal with them are outlined below.

  • Hot flashes: sleep with the air conditioning on, drink lots of water, and stay away from stimulants like caffeine, alcohol, and spicy foods. When hot flashes are severe, hormone therapy and possibly antidepressants can help.
  • Menstrual Irregularities: Low-Dose Hormone Contraceptives May Help
  • OTC pain relievers are useful for treating muscle cramps and aches. Muscles in the abdomen and back that are cramping can benefit from warm compresses as well.
  • If you suffer from vaginal dryness, try using a lubricant or vaginal moisturizer.


By looking at the patient's medical history and perhaps performing some simple tests, a doctor can determine if perimenopause has begun.

They will inquire as to the timing of the last period and any accompanying symptoms.

The doctor may request bloodwork to check hormone levels, thyroid function, and lipid profile in order to rule out conditions that present similarly to perimenopause.

When you should see a doctor

Any significant shifts in menstrual cycles should be discussed with a doctor. Additionally, those who are currently experiencing perimenopause should consult a medical professional if they have:

  • profuse bleeding that can soak through a pad or tampon in less than 2 hours
  • excessive bleeding; more than 80 ml
  • symptoms that are either new or worsening, especially if they are interfering with your daily life.
  • discomfort or bleeding during or after sexual activity

Spotting or bleeding in the genitalia between menstrual cycles may be a sign of an STI such as chlamydia, gonorrhea, or syphilis.

Nevertheless, symptoms are not always present with these bacterial infections. When symptoms do occur, they typically manifest as:

  • a discharge of yellowish color from the vaginal or urethral openings
  • Continual need to urinate
  • sexual or urinational discomfort
  • Continual Rectal Discharge or Bleeding

Sexually transmitted infections are extremely common. It is estimated by the CDC that 20% of the population of the United States is living with a sexually transmitted infection at any given time.


Antibiotics are the standard treatment for sexually transmitted infections prescribed by doctors. The appropriate formulation and dose must be tailored to the patient's specific medical condition.


Most sexually transmitted infections (STIs) can be detected through a simple blood test at a local clinic or doctor's office.

Testing for gonorrhea and chlamydia is done with urine samples or vaginal swabs, while testing for syphilis is done with blood samples.

The cerebrospinal fluid may be tested if a physician suspects that the infection has spread to the central nervous system.

Medical attention and when it's necessary

Regular screening for gonorrhea and chlamydia is recommended by the ACOG for all women under the age of 25 and those at higher risk of infection.

There are many things that can put you at risk for a sexually transmitted infection.

  • not consistently using condoms
  • being diagnosed with or having recovered from a STI
  • engaging in sexual activity with a number of different partners
  • being with a partner who has had multiple sexual partners
  • engaging in sexual activity with a person who carries a sexually transmitted infection

If you experience any STI symptoms, you should see a doctor right away.

When a fertilized egg implants into the uterine wall, it is possible for there to be some minor bleeding, also known as spotting. This typically happens a couple of weeks after conception, when a woman is expecting her period to start.

Because the blood from an implantation bleeding lasts longer inside the body, it appears much darker than a regular period.

Some additional symptoms of implantation bleeding include:

  • painful cramping in the abdomen
  • nausea
  • bloating
  • a feeling of pain or discomfort in the breasts
  • headaches
  • alterations in thermal status

About 15%-50% of all pregnancies experience bleeding around the implant.


Since implantation bleeding is a common occurrence during pregnancy and rarely causes harm, no action is required.


On average, implantation takes place 6-10 days after ovulation, right before a woman's period is due to start.

When a person's period is overdue but they notice light bleeding, they may want to take a home pregnancy test.

Medical attention and when it's necessary

Those who experience any of the following symptoms should contact their doctor immediately:

  • the burden is too great or the duration is too long
  • Painful menstruation
  • a discomfort in the midsection, lower back, or pelvis
  • increased need to urinate
  • sexual discomfort or pain

Find out what to expect from implantation bleeding by reading up on the topic.

To those in the medical field, a pregnancy loss before 20 weeks is referred to as a miscarriage.

Possible after-effects of a miscarriage include:

  • bleeding, either light or heavy, from the cervix
  • vaginal bleeding that clots up like a toilet paper roll
  • Experiencing abdominal or backache

Pregnancy loss affects up to 26% of all pregnancies, according to some estimates, but may affect as many as 10% of all pregnancies if all causes of pregnancy loss are considered. Early pregnancy loss is more common, and it sometimes occurs even before the mother realizes she is pregnant.


When a pregnancy ends in miscarriage, the placenta is passed out of the body via the vagina.

A pelvic exam can reveal whether or not any of this tissue has remained inside the body.

The doctor may prescribe medication or suggest surgery if the patient does not pass the tissue on their own.


The doctor will examine the patient's vaginal discharge and hormone levels in addition to performing a pelvic exam.

If a pregnancy loss is confirmed by these tests, it is certain.

Why and when you should see a doctor

Those who experience any of the warning signs of a miscarriage must immediately seek medical attention.

Infection can occur if pregnancy tissue is left in the uterus after a miscarriage.

Examples of indicators to keep an eye out for are:

  • Continual Menstrual Bleeding
  • muscle pain or cramping that is extremely painful
  • a noxious odor emanating from the female reproductive system

One in ten women of childbearing age will be diagnosed with polycystic ovary syndrome.

The cause is unknown, but insulin resistance and hormonal imbalances have been implicated.

Because menstrual irregularity is a common symptom of polycystic ovary syndrome (PCOS), it is possible that PCOS could result

Besides these, you might also experience:

  • obesity
  • exaggerated hair growth
  • oily skin and acne
  • sacs of fluid-filled tissue that line the ovaries

Only about 5%-10% of women in their 15-44s have PCOS.


Medication can be used to treat PCOS and alleviate its symptoms.

Birth control pills, which can help regulate a woman's menstrual cycle, and anti-androgen medications, which inhibit the effects of androgens (male sex hormones) and alleviate unwanted hair growth and acne breakouts are two examples of what a doctor might prescribe.


The following medical procedures may help a doctor diagnose PCOS:

  • On the subject of pelvic exams, your doctor may be on the lookout for a swollen clitoris or enlarged ovaries.
  • A physical examination may include measuring vital signs like blood pressure and body mass index and looking for telltale signs like acne, hair loss, and skin discoloration.
  • Hormone levels can be measured by a blood test performed by a doctor.
  • A sonogram is an image made possible by an ultrasound scan that can be used to detect ovarian cysts.

Reasons to Visit the Doctor

In the event of early or irregular periods, one should consult a doctor to rule out polycystic ovary syndrome.

If you or a member of your family has PCOS, or if you are overweight, you may be at a higher risk of developing the condition yourself.

In endometriosis, tissue that looks like the uterine lining grows in places where it shouldn't.

The menstrual cycle may be affected by these effects.

  • heavy loss of blood
  • Detecting a pause in the Menstrual Cycle
  • midcycle bleeding
  • Periodic Irregularities
  • irrational menstruation

Hormones and genetics have been hypothesized to be involved, but no definitive cause has been identified.

Women in their 30s and 40s appear to be at greatest risk for developing endometriosis, but anyone can be at increased risk if they meet the following criteria:

  • they are childless
  • a close relative already suffers from it
  • menstrual cycles last no more than 27 days for them.

About 1 in 10 American women are overweight or obese. S according to the Office on Women's Health, endometriosis affects approximately


Medications, including but not limited to those listed below, are often used in the treatment of endometriosis.

As an alternative, surgery may be performed. A 2018 meta-analysis found that 95% of patients who have lesions removed underwent pain relief after the procedure.


Endometriosis can be diagnosed when a doctor:

  • When conducting a pelvic exam, a doctor will check for cysts and scars in the pelvic region.
  • To detect ovarian cysts, an ultrasound is a useful imaging tool.
  • If an ultrasound reveals cysts, the doctor may prescribe medication. Pain relief from birth control pills and reduced estrogen production from gonadotropin-releasing hormone agonists are both options. Improvement in pain is a possible indicator of endometriosis.
  • The doctor may perform a laparoscopy to examine the endometrial-like tissue. Furthermore, a biopsy could be done.

Identifying the Right Time to Visit the Doctor

If one has the following symptoms, medical attention is recommended:

  • Period cramps are extremely uncomfortable.
  • Backache Low Backache
  • stomach ache
  • periods between spotting
  • problems digesting

An early period is not usually cause for alarm. A doctor should be consulted if a woman experiences unusual changes to her menstrual cycle or has any other concerns.

When a woman's hormones are out of whack, like they are during puberty or perimenopause, her period may begin earlier than usual.

Still, chlamydia, gonorrhea, and syphilis are just a few of the STIs that can lead to irregular menstrual bleeding.

In addition, the cramping and spotting that can accompany both implantation bleeding and miscarriage are eerily reminiscent of menstruation.

Keep in mind that implantation blood may appear significantly darker than period blood. If someone is unsure of the cause of their bleeding, a home pregnancy test can help.

When a pregnancy ends in miscarriage, the placenta is expelled from the body in the form of a bloody clot. Everyone who thinks they might be experiencing this should see a doctor right away.

As of the most recent checkup, on October 28th, 2021

Peer-reviewed studies, academic institutions, medical journals, and professional medical organizations are the only acceptable sources for Medical News Today. Tertiary references are not used. We provide in-text citations and external links to relevant primary sources (such as studies, scientific references, and statistics) wherever possible. Our editorial policy explains the methods we use to maintain the currency and accuracy of our articles.
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