Guidance for teenagers and families about irregular periods, heavy bleeding, pain and possible PCOS.
Understanding the concern
Periods can be irregular after they first begin, but severe pain, very heavy bleeding, prolonged absence or symptoms affecting school and daily life deserve attention.
How it may be assessed
A sensitive consultation reviews cycle history, growth, medicines, nutrition, activity and symptoms such as acne or excess hair growth. Tests are chosen carefully and examination is not always required.
Treatment and care options
Care may include education, symptom relief, treatment of anaemia, lifestyle support or hormonal options. Privacy, consent and clear explanations are central to adolescent care.
When to seek urgent help
Fainting, soaking pads very rapidly, severe pain, pregnancy possibility or feeling acutely unwell requires urgent assessment.
Frequently asked questions
Does irregular menstruation always mean PCOS in teenagers?
No. Cycles can take time to mature, and other medical or lifestyle factors may contribute.
Can a teenager attend with a parent?
Yes. Support is welcome, while confidential and age-appropriate communication should also be respected.

