Last month ACOG (the American Committee of Obstetricians and Gynecologists) published a report recommending that teenage girls, their parents, and their clinicians consider the menstrual cycle as the “fifth vital sign” of health.
In this landmark announcement, this group of women’s health experts suggested that teens keep track of their periods and develop cycle awareness to help clinicians with early diagnosis of reproductive health issues like PCOS, thyroid disease, and endometriosis, which can be indicated by abnormally long cycles, excessive bleeding, or lack of periods entirely. The report includes guidelines on what should be considered outside the normal range when it comes to a teen’s cycle experience – from the onset of periods, to cycle length, to duration of the flow.
The ACOG report states: “By including an evaluation of the menstrual cycle as an additional vital sign, clinicians reinforce its importance in assessing overall health status for patients and caretakers. Just as abnormal blood pressure, heart rate, or respiratory rate may be key to diagnosing potentially serious health conditions, identification of abnormal menstrual patterns in adolescence may improve early identification of potential health concerns for adulthood.”
HALLELUIAH!! I would have loved THAT to have been part of my conversation as a teenager with all my period issues! I’ve long known the menstrual cycle to be a signifier of our health (you can read my own guidelines on what it means to have a “normal” period here), but I also know the menstrual cycle is the key to developing and nurturing our health.
How to help the teen in your life
If you are the mother, aunt, sister, or godmother of a teenage girl, this report contains crucial information that I believe ought to be conveyed with the same importance as instructions on how to use a tampon or pad. Most of us are comfortable now with sharing the latter with teens – gone are the days when teens would be shocked and horrified by the arrival of their first period, I hope – but all of us adult women, we need to support the younger generation now beyond the practicalities. A great book to help start a teen on this journey is “Cycle Savvy” by Toni Weschler (who wrote the comprehensive cycle knowledge bible “Taking Charge of Your Fertility”).
Of course, it’s a little like what they tell you in the airplane safety schpeel – “help yourself before you help others.” Or – lead by example!
If you’re living in your Flo and reaping the benefits then you are better equipped to support young women in learning, appreciating, and understanding their menstrual cycles. From this position you can give the gift of hormonal imbalance to others.
As the mother of a daughter, I am thrilled that this report was created by ACOG. Although I know that, when the time comes, I will teach my daughter the art of cycle tracking, cycle awareness, and cycle syncing, I am happy that now a certain standard of care when it comes to young women’s reproductive health will become the expected practice. I am glad that we are finally seeing the period as indicator of our overall health and well-being, rather than just something to be suffered through, ignored, or hidden away.
That said, there’s one thing missing from this otherwise encouraging report that concerns me, and that’s how these reproductive health issues will be treated, once they are diagnosed.
When the Pill is the problem
Early diagnosis is an important step forward in how we care for women’s health. However, if the primary or only treatment offered to teen girls is the birth control pill or hormone-based IUD, then we are missing out on a huge opportunity to truly help our young women.
If the teen in your life is dealing with reproductive health issues like those mentioned in the report, then consulting a doctor is an important part of getting her back on track. However, we must always question the prescription of hormonal birth control as it never treats the health issue, but only masks the symptoms. Once your teen decides to come off, and this might be years down the line, she will discover the health issue will return and possibly be worse than before.
If the teen in your life is dealing with very common problems like acne or PMS then the Pill is not the answer there either. Again, it will only mask these issues, not solve them. Although it can be very tempting to reach for these drugs to put a stop to the problem, it’s important to know that doing so can set a young women up for a lifetime of side effects (such as depression, low libido, anxiety, hair loss, cancer risk, and even life-threatening blood clots) and suppressed functioning of her endocrine, metabolic, and immune systems. It really can have a serious domino effect for her health.
Finding your Flo as a young woman
The source of hormonal imbalance issues in teen girls is mainly diet, exposure to synthetic estrogens in everything from cosmetics to shampoos, and stress. While some cycle irregularity is normal during teenage years (your reproductive system does take a few years to mature) we should not be seeing the symptoms to the extent that we are in new generations. Teaching teens to be conscious of their cycles AND teaching them to live in harmony with their hormones will go a long way to saving them much suffering.
Although this is not an area I detail extensively in my book “WomanCode,” teen girls can absolutely follow the exact same Flo Living diet and lifestyle plan outlined there from the time they begin cycling. As I recommend for all women, start simply by layering foods in a cycle-synced pattern and build from there.
What if a girl’s first period were not only met with a care package of tampons and pads, but also a copy of “Cycle Savvy” and “WomanCode”?
If you’re reading this thinking of the teen daughter who is possibly in your future, it’s good to know that the gift of hormonal balance can be given when she’s still in the womb. Prepping yourself for a healthy pregnancy will be one of the best things you can do for your daughter. But, if you’ve come to Flo Living already with a pre-teen or teen in the family, then know that it’s never too late to start living in and loving your Flo. Share your journey with her, she’ll surely thank you for it.
Always remember, that once you have the right information about how your body really works, you can start making health choices that finally start to work for you! You can do this – the science of your body is on your side!
to your FLO,
Alisa
Good things come in threes:
I want to hear from you!
First, have you shared Flo Living with your family?
Second, what do you wish you knew as a teenager?
Third, everyone you know is hormonal – spread a little good ovary karma and share this article on social 😉
Need more Hormone Help?
If you’re needing some health upgrading, it’s time you started you looking into what’s going on with your hormones.
I’ve designed a 4 day hormone detox and evaluation to help you understand exactly what’s out of whack and how you can start getting back to balance so that your hormones no longer have to suffer.
Click here to get your FREE detox and evaluation!
I LOVE this! Thank you for continuing the flo conversation & addressing the younger crowd. As a mother of 2 daughters not yet at puberty, I I’d love to see more on this & would welcome any articles you want to write or direct our attention to. Thank you for all you do!
As a quick side note, the layout & text on your website recently changed & it’s super hard to read certain things – like the date on each article & also everything I’m typing right now. Hope it can be fixed soon. 🙂
Alisa,
I stopped taking all medications in hopes of starting to have a natural period. I also stopped taking my metformin. Should I stop the metformin or continue taking it?
Hi Lauren,
I would recommend that you get on a Flo program before quitting medication so that you can lay a healthy foundation first!
Alisa
Alissa,
I’ve just recently stumbled across your book, and I do believe that it would be a wonderful thing for teenagers to read this before they fall into the trap of hormonal birth control. I actually never had problems with my period as a teenager, but I had terrible acne. I took accutane when I was in college and then got on birth control shortly thereafter because I got married. My skin was beautiful until I came off my birth control when I was 27 after being on it for six years. I have been dealing with an avalanche of hormonal symptoms for a year and half including irregular periods, acne (everywhere face, chest, and back), yeast infections, and the worst of all is hair loss. I have battled depression and anxiety over my health….it has been terrible, probably the worst year of my life. I want to have a family one day, but right now I don’t think my body is healthy enough to carry a baby…sometimes I feel like I can actually hear my fertility clock ticking away. I’m worried that these symptoms will never get better, especially after reading what you said about teenagers setting themselves up for a lifetime of side effects by taking hormonal birth control. I already eat extremely healthy…almost no gluten, no refined sugar, lots of veggies, some fruit, and organic meats. I exercise six days per week and have developed a regular practice of yoga, meditation, and prayer journaling. Help…is there any hope that I will heal?
She would say “of course there is.” Check out the facebook lives and start the cycle cyncing with food from the book. Also see her supplements.
Hi Alisa,
I agree with your concerns about how these reproductive health issues will be treated,once they have been diagnosed.”Especially in teenagers and young women.when it comes to synthetic hormone birth control,the standard medical care for women with heavy menstrual cycles,Endo,Benign Fibroids and cysts is a Hysterectomy.
Half of million women a year in the united states have been hysterectomized.
Doctors withhold information according to a study published in December 2002 issue of American Journal of Obstetrics and Gynecology,the rate of hysterectomies performed each year is on the rise.In his comments for print interview made public at the time of the release of the study,Dr.Ernest Bartsich a New York gynecologist,attributed increase to his colleagues who continue to with hold information about the after effects of a hysterectomy and ovary removal.He added something to the effect that if women knew the truth,they wouldn’t agree to the surgeries and as readily.And I would like to add that if women aren’t given all the information they need to decide,how can it be informed consent?
I know all to well that gynecologist are telling women you don’t need your useless disposable uterus.If you are done having children you don’t need your uterus.I am a victim of uninformed hysterectomy consent.Doctors give you a generic informed consent form to sign.My doctor didn’t tell me about any side effects or consequences of a hysterectomy didn’t try other treatments options for my fibroid.I know the Hers Foundation is working on Hysterectomy Informed Consent Legislation and has a 12 minute video of the female Anatomy: Functions of the Female Organs.I support the Hers Foundation and Nora W,Coffey’s efforts and courage to give woman the information on side effects and consequences of a hysterectomy and oophorectomy.Had I been allowed access to full disclosure and Nora’s video I would not be a victim.This bill is a small victory,to know that future generations will learn from our mistakes.My mistake was putting doctors on a pedestal and believing they had only my best interest at heart.