{"id":3477,"date":"2025-12-18T16:31:00","date_gmt":"2025-12-18T21:31:00","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/vdhlivewell\/?page_id=3477"},"modified":"2026-03-20T13:03:12","modified_gmt":"2026-03-20T17:03:12","slug":"menstrual-health","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/vdhlivewell\/menstrual-health\/","title":{"rendered":"Menstrual Health"},"content":{"rendered":"<div id=\"pl-3477\"  class=\"panel-layout\" ><div id=\"pg-3477-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-0-0-0\" class=\"so-panel widget widget_media_image panel-first-child\" data-index=\"0\" ><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"571\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341.jpg\" class=\"image wp-image-3571  attachment-full size-full\" alt=\"Hands holding various menstrual products\" style=\"max-width: 100%; height: auto;\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341.jpg 2000w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341-300x86.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341-1024x292.jpg 1024w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341-768x219.jpg 768w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/16\/hands-e1767991617341-1536x439.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/div><div id=\"panel-3477-0-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>On This Page<\/h3>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><a href=\"#anchor1\">What is menstruation?<\/a><br \/>\n<a href=\"#anchor2\">Can tracking my period help me plan for or prevent a pregnancy?<\/a><br \/>\n<a href=\"#anchor3\">What is \u201cnormal\u201d during my period? What is not \u201cnormal\u201d?<\/a><br \/>\n<a href=\"#anchor4\">Menstrual Disorders<\/a><br \/>\n<a href=\"#anchor5\">Endometriosis<\/a><br \/>\n<a href=\"#anchor6\">Heavy menstrual bleeding (HMB)<\/a><br \/>\n<a href=\"#anchor7\">Premenstrual dysphoric disorder (PMDD)<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><a href=\"#anchor8\">Polycystic ovarian syndrome (PCOS)<\/a><br \/>\n<a href=\"#anchor9\">Uterine Fibroids<\/a><br \/>\n<a href=\"#anchor10\">Why can it take so long for menstrual disorders to be diagnosed?<\/a><br \/>\n<a href=\"#anchor11\">What do I do if I think I have a menstrual disorder or problem?<\/a><br \/>\n<a href=\"#anchor12\">Menstrual Health Resources<\/a><br \/>\n<a href=\"#anchor13\">Resources for Providers<\/a><br \/>\n<a href=\"#anchor14\">Share Your Thoughts With VDH!<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4 style=\"margin-top: 0px;\">Menstrual health matters. Our periods are a key indicator of our reproductive health and overall health. Learning more about our cycles helps us understand our bodies and fertility.<\/h4>\n<h3 id=\"anchor1\">What is menstruation?<\/h3>\n<p>Menstruation, often referred to as a person\u2019s period or menses, occurs when the lining of the uterus (endometrium) sheds. Periods occur about once every 28 days. People often start their periods between the ages of 8 and 15. Periods stop during menopause. The average age of menopause is 51.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-3-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-3-1-0\" class=\"widget_text so-panel widget widget_custom_html panel-first-child panel-last-child\" data-index=\"6\" ><div class=\"textwidget custom-html-widget\"><iframe loading=\"lazy\" width=\"550\" height=\"250\" aria-label=\"Menstruation\" src=\"https:\/\/www.youtube.com\/embed\/DBe7-PHRav8?si=UmqbK4JeNBO3kdWh\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div><\/div><\/div><\/div><div id=\"pg-3477-4\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-4-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-4-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 id=\"anchor2\">Can tracking my period help me plan for or prevent a pregnancy?<\/h3>\n<p>Yes. When practiced correctly, natural family planning methods like tracking your period can help someone predict when they are most likely to be fertile. Virginia\u2019s family planning clinics offer information and guidance about natural family planning methods.<\/p>\n<h3 id=\"anchor3\">What is \u201cnormal\u201d during my period? What is not \u201cnormal\u201d?<\/h3>\n<p>Everyone\u2019s body is different, and bodies can change in different stages of life; what is \u201cnormal\u201d can vary from one person to another. That said, some common period symptoms include headaches, bloating, mood changes, breast tenderness, acne, and trouble sleeping. Sometimes periods are irregular or cause significant discomfort. A person\u2019s period may not follow a regular pattern, feel very painful, or make it hard to do everyday activities. These may be signs of a <a href=\"#menstrual-disorders\">menstrual disorder<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-5\"  class=\"panel-grid panel-has-style\" ><div class=\"equal-height panel-row-style panel-row-style-for-3477-5\" ><div id=\"pgc-3477-5-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-5-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"8\" ><div class=\"col panel-widget-style panel-widget-style-for-3477-5-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2 style=\"color: #ffffff; margin-top: 0px;\">Common Symptoms<\/h2>\n<ul>\n<li>\n<h4 style=\"color: #ffffff; margin-top: 10px;\">Cramps in the abdomen and\/or lower back that feel better after taking over-the-counter medications like acetaminophen (Tylenol), ibuprofen (Motrin), naproxen (Aleve), etc.<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #ffffff; margin-top: 5px;\">Bleeding that requires changing a tampon or pad every 3-4 hours<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #ffffff; margin-top: 5px;\">Passing small and occasional clots<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #ffffff; margin-top: 5px;\">Bleeding for 3-7 days<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #ffffff; margin-top: 5px;\">Bleeding every 24-38 days<\/h4>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-3477-5-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-5-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"9\" ><div class=\"col panel-widget-style panel-widget-style-for-3477-5-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2 style=\"color: #4c4184; margin-top: 0px;\">Uncommon Symptoms<\/h2>\n<ul>\n<li>\n<h4 style=\"margin-top: 10px; color: #4c4184;\">Severe cramps that may be accompanied by nausea or vomiting<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #4c4184; margin-top: 5px;\">Heavy bleeding characterized by bleeding through a tampon or pad every 1-2 hours<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #4c4184; margin-top: 5px;\">Passing blood clots larger than a quarter<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #4c4184; margin-top: 5px;\">Bleeding for more than 7 days in a row<\/h4>\n<\/li>\n<li>\n<h4 style=\"color: #4c4184; margin-top: 5px;\">Bleeding more frequently than every 21 days or having no period for three months<\/h4>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-3477-6\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-6-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-6-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"10\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"margin-bottom:40px;\">(Source: <a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/10132-menstrual-cycle\" target=\"_blank\" rel=\"noopener\">Cleveland Clinic<\/a>)<\/p>\n<hr \/>\n<h2 id=\"anchor4\">Menstrual Disorders<\/h2>\n<p>Uncommon symptoms, like those listed above, may be the sign of an underlying menstrual problem. Below is more information about some common menstrual disorders. It is possible to have more than one menstrual health disorder.<\/p>\n<p>You know your body best. Talk to your healthcare provider if something does not feel right, you are in pain, or if you think you might have a menstrual disorder.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-7\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-7-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-7-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"11\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 style=\"margin-top: 0px;\" id=\"anchor5\">Endometriosis<\/h3>\n<p>Endometriosis is a condition where the tissue that forms the lining of the uterus (endometrium) is found outside the uterus. Up to 10% of people who menstruate have endometriosis. The cause of endometriosis is not well understood.<\/p>\n<p>Common signs and symptoms of endometriosis include:<\/p>\n<ul>\n<li>Consistent pelvic pain, especially just before and during periods.<\/li>\n<li>Pain during sex<\/li>\n<li>Heavy bleeding<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-7-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-7-1-0\" class=\"widget_text so-panel widget widget_custom_html panel-first-child panel-last-child\" data-index=\"12\" ><div class=\"textwidget custom-html-widget\"><iframe loading=\"lazy\" width=\"550\" height=\"250\" aria-label=\"Mayo Clinic\" src=\"https:\/\/www.youtube.com\/embed\/uu0EKzRBvg4?si=dc8bUusInfprqLpS\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div><\/div><\/div><\/div><div id=\"pg-3477-8\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-8-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-8-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4>Endometriosis resources<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/endometriosis\" target=\"_blank\" rel=\"noopener\">ACOG\u2019s FAQs<\/a> about Endometriosis<\/li>\n<li><a href=\"https:\/\/www.pbs.org\/newshour\/show\/below-the-belt-highlights-uphill-battle-for-endometriosis-treatment\" target=\"_blank\" rel=\"noopener\">Below the Belt<\/a>, a PBS documentary that discusses the challenges many people face in diagnosing and treating this condition.<\/li>\n<li><a href=\"https:\/\/www.endofound.org\/\" target=\"_blank\" rel=\"noopener\">Endometriosis Foundation of America<\/a>, a national organization focused on research, advocacy, education, and awareness<\/li>\n<li><a href=\"https:\/\/www.myendometriosisteam.com\/\" target=\"_blank\" rel=\"noopener\">My Endometriosis Team<\/a>, a free social network for people with endometriosis<\/li>\n<li><a href=\"https:\/\/vahope.org\/\" target=\"_blank\" rel=\"noopener\">Virginia HOPE<\/a>, a Virginia-specific resource for information and education about endometriosis<\/li>\n<\/ul>\n<h3 id=\"anchor6\">Heavy menstrual bleeding (HMB)<\/h3>\n<p>Approximately one-third of people who menstruate seek treatment for heavy menstrual bleeding. Bleeding is considered \u201cheavy\u201d if it:<\/p>\n<ul>\n<li>Lasts more than 7 days<\/li>\n<li>Soaks through one or more tampons or pads every hour for several hours in a row<\/li>\n<li>Requires wearing more than one pad at a time<\/li>\n<li>Requires changing pads or tampons during the night<\/li>\n<li>Includes blood clots that are as big as a quarter or larger<\/li>\n<\/ul>\n<p>Heavy menstrual bleeding is sometimes caused by a menstrual disorder like endometriosis or polycystic ovarian syndrome (PCOS), but it can be caused by a variety of other conditions.<\/p>\n<h4>Heavy menstrual bleeding resources<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/heavy-menstrual-bleeding\" target=\"_blank\" rel=\"noopener\">ACOG\u2019s FAQs<\/a> about heavy menstrual bleeding<\/li>\n<\/ul>\n<h3 id=\"anchor7\">Premenstrual dysphoric disorder (PMDD)<\/h3>\n<p>Premenstrual syndrome (PMS) is normal and affects nearly everyone who menstruates. Common PMS symptoms include irritability, cramping, bloating, and breast tenderness in the 1-2 weeks before menstruation. PMS symptoms can largely be treated with over-the-counter pain medication, heating pads\/warm baths, and exercise.<\/p>\n<p>Premenstrual dysphoric disorder (PMDD) is when these symptoms disrupt someone\u2019s social, academic, personal, professional, and sexual life. Approximately 5% of people who menstruate have PMDD.<\/p>\n<p>Symptoms of PMDD include:<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-9\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-9-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-9-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"14\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li>Depression<\/li>\n<li>Tearfulness<\/li>\n<li>Loss of interest in usual activities<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-9-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-9-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"15\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li>Feeling overwhelmed and out of control<\/li>\n<li>Low energy<\/li>\n<li>Big changes in appetite and sleep<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-10\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-10-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-10-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"16\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h4>PMDD resources<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/experts-and-stories\/the-latest\/what-i-wish-everyone-knew-about-premenstrual-dysphoric-disorder\" target=\"_blank\" rel=\"noopener\">ACOG\u2019s expert post<\/a> about PMDD<\/li>\n<li><a href=\"https:\/\/www.iapmd.org\/\" target=\"_blank\" rel=\"noopener\">IAPMD<\/a>: Support, information, and resources for those affected by Premenstrual Dysphoric Disorder and Premenstrual Exacerbation<\/li>\n<\/ul>\n<h3 id=\"anchor8\">Polycystic ovarian syndrome (PCOS)<\/h3>\n<p>PCOS is a condition where the ovaries produce excess hormones called androgens. High androgen levels can interfere with ovulation and cause the ovaries to release an egg sporadically or not at all. High androgen levels can also affect ovarian follicles (the sacs where eggs grow), increase hair growth, and cause acne. Up to 15% of people who menstruate have PCOS. The causes of PCOS are not fully understood, but research suggests that PCOS is caused in wholly or in part by a hormonal imbalance.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-11\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-11-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-11-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"17\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>Common signs and symptoms of PCOS include:<\/p>\n<ul>\n<li>Irregular periods<\/li>\n<li>Infertility<\/li>\n<li>Obesity<\/li>\n<li>Excess hair growth<\/li>\n<li>Severe acne<\/li>\n<li>Oily skin<\/li>\n<li>Patches of thickened, velvety, darkened skin (acanthosis nigricans)<\/li>\n<li>Ovarian cysts<\/li>\n<\/ul>\n<h4>PCOS resources<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/polycystic-ovary-syndrome-pcos\" target=\"_blank\" rel=\"noopener\">ACOG\u2019s FAQs<\/a> about PCOS<\/li>\n<li><a href=\"https:\/\/www.nichd.nih.gov\/health\/topics\/pcos\/conditioninfo\/causes\" target=\"_blank\" rel=\"noopener\">The National Institute of Health\u2019s webpage<\/a> about PCOS<\/li>\n<li><a href=\"https:\/\/www.pcosaa.org\/\" target=\"_blank\" rel=\"noopener\">The PCOS Awareness Association<\/a>, an organization that offers information and support about this condition.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-11-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-11-1-0\" class=\"widget_text so-panel widget widget_custom_html panel-first-child panel-last-child\" data-index=\"18\" ><div class=\"textwidget custom-html-widget\"><iframe loading=\"lazy\" width=\"550\" height=\"280\" aria-label=\"ACOG\" src=\"https:\/\/www.youtube.com\/embed\/gPJDz4kXY7E?si=fKy7S_JvZEXbt7OX\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div><\/div><\/div><\/div><div id=\"pg-3477-12\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-12-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-12-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"19\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 id=\"anchor9\">Uterine Fibroids<\/h3>\n<p>Uterine fibroids are benign (non-cancerous) growths that form on the uterus. These growths can form inside the uterus or on the outer wall. They can be as small as a pea to more than 6 inches wide. Fibroids can grow slowly over a period of years or grow rapidly. Uterine fibroids are very common; up to half of all people with uteruses have fibroids by age 50. The cause of uterine fibroids is not well understood, but research suggests they may be related to a person\u2019s hormones or genetics.<\/p>\n<p>Common symptoms of uterine fibroids include:<\/p>\n<ul>\n<li>Changes in menstruation<\/li>\n<li>Pain or cramps in the abdomen or lower back<\/li>\n<li>Pain during sex<\/li>\n<li>Pressure or pain that makes you urinate frequently or makes it difficult to urinate or have a bowel movement<\/li>\n<li>Enlarged uterus or abdomen<\/li>\n<li>Miscarriages or infertility<\/li>\n<\/ul>\n<h4>Uterine fibroids resources<\/h4>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-13\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-13-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-13-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"20\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/uterine-fibroids\" target=\"_blank\" rel=\"noopener\">ACOG\u2019s FAQs<\/a> about uterine fibroids<\/li>\n<li><a href=\"https:\/\/www.fibroidfoundation.org\/\" target=\"_blank\" rel=\"noopener\">The Fibroid Foundation<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-13-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-13-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"21\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/medlineplus.gov\/ency\/article\/000914.htm\" target=\"_blank\" rel=\"noopener\">MedlinePlus's page<\/a> about uterine fibroids<\/li>\n<li><a href=\"https:\/\/www.thewhitedressproject.org\/\" target=\"_blank\" rel=\"noopener\">The White Dress Project<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-14\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-14-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-14-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"22\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 id=\"anchor10\">Why can it take so long for menstrual disorders to be diagnosed?<\/h3>\n<p>Unfortunately, menstrual disorders can take several years to be diagnosed. For endometriosis, the average time for diagnosis is 5-12 years. For PCOS, a diagnosis often takes over two years and requires visits with three or more health providers.<\/p>\n<p>The reasons for this are complex. People may wait years after they first experience symptoms before they seek help. They may be unaware of the symptoms, used to the symptoms, or think the symptoms are normal. They may suspect something is wrong but feel scared to be diagnosed. They may lack access to healthcare or have cultural beliefs that make them hesitant to engage with healthcare systems. Once receiving care, for many reasons, it can still take years to reach an accurate diagnosis. Folks may mistake their symptoms for something else, or they may think symptoms are normal. Some providers may not have the medical tools, training, or expertise to identify and treat menstrual disorders. Gaps in the healthcare system can also contribute to someone waiting for a diagnosis; for example, patients may visit multiple providers to address their symptoms, but those providers may not communicate or work together.<\/p>\n<p>If you are experiencing the symptoms of concern, seek help from a provider. Your provider should take your pain and your experiences seriously. If your provider does not take your pain and your experiences seriously, you deserve a provider that does. Do not be afraid to look for another provider or to get a second medical opinion if you are not satisfied.<\/p>\n<p>Waiting to find out why you are not feeling well can be hard and going to several doctor\u2019s visits can feel exhausting. Your mental health is just as important as your physical health, particularly when waiting for a diagnosis. It is natural to experience uncertainty or stress during this time. Prioritizing emotional care and seeking support when needed are important steps in supporting yourself while awaiting further information.<\/p>\n<p>(Sources: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11625652\/\" target=\"_blank\" rel=\"noopener\">Time to Diagnose Endometriosis: Current Status, Challenges and Regional Characteristics\u2014A Systematic Literature Review<\/a>, <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6283441\/\" target=\"_blank\" rel=\"noopener\">Delayed Diagnosis and a Lack of Information Associated With Dissatisfaction in Women With Polycystic Ovary Syndrome<\/a>)<\/p>\n<h3 id=\"anchor11\">What do I do if I think I have a menstrual disorder or problem?<\/h3>\n<p>If your periods are making you very uncomfortable or you think you may have a menstrual disorder, make an appointment with a gynecologist or women\u2019s health provider. Your provider may recommend a series of tests and treatments, including but not limited to:<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-15\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-15-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-15-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"23\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li>Physical exam to better understand symptoms<\/li>\n<li>Ultrasound to visualize cysts<\/li>\n<li>Lab work to measure hormonal level<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3477-15-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-15-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"24\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li>Hormonal contraception to manage symptoms<\/li>\n<li>Pain medication to manage pain<\/li>\n<li>Surgery<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-3477-16\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3477-16-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3477-16-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"25\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<h2 id=\"anchor12\">Menstrual Health Resources<\/h2>\n<p>The resources below may be helpful to you or a loved one. These resources were developed by organizations outside of VDH, and inclusion on this list does not indicate an endorsement.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.acog.org\/womens-health\/resources-for-you#f:@patientportaltopicnames=[Menstrual%20Health]\" target=\"_blank\" rel=\"noopener\">ACOG<\/a>: Resources made by OBGYNs about menstrual health in both English and Spanish<\/li>\n<li>Amaze: Fun, animated videos that answer questions young people may have about puberty and their bodies.\n<ul>\n<li><a href=\"https:\/\/amaze.org\/video\/why-do-periods-exist\/\" target=\"_blank\" rel=\"noopener\">Why Do Periods Exist??<\/a><\/li>\n<li><a href=\"https:\/\/amaze.org\/video\/pimples-and-periods-a-puberty-guide\/\" target=\"_blank\" rel=\"noopener\">Pimples and Periods: A Puberty Guide<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/goauntflow.com\/\" target=\"_blank\" rel=\"noopener\">Aunt Flow<\/a>: An organization focused on making period products free in restrooms<\/li>\n<li><a href=\"https:\/\/flo.health\/\" target=\"_blank\" rel=\"noopener\">Flo Health<\/a>: An app used to track periods, ovulation and pregnancy<\/li>\n<li><a href=\"https:\/\/www.hashtaghappyperiod.org\/#mission\" target=\"_blank\" rel=\"noopener\">Hashtag Happy Period<\/a>: African American-led organization focused on increasing education and awareness of period poverty and menstrual equity<\/li>\n<li><a href=\"https:\/\/ourbodiesourselves.org\/subject-area\/menstrual-cycle\" target=\"_blank\" rel=\"noopener\">Our Bodies Ourselves<\/a>: Information from a reliable source of information about menstrual cycles<\/li>\n<li><a href=\"https:\/\/www.periodpatch.org\/\" target=\"_blank\" rel=\"noopener\">Period Patch<\/a>: A 501(c)3 organization that collects and distributes donations of pads and tampons<\/li>\n<li><a href=\"https:\/\/www.plannedparenthood.org\/learn\/health-and-wellness\/menstruation\" target=\"_blank\" rel=\"noopener\">Planned Parenthood<\/a>: Information about the basics of menstruation from a trusted healthcare source.<\/li>\n<li><a href=\"https:\/\/positiveperiod.bwhi.org\/?_gl=1*1vseyql*_ga*MTkwNjEyMTIyOS4xNzU2MzE1Nzkz*_ga_0JH1TMC1K0*czE3NTYzMTU3OTMkbzEkZzAkdDE3NTYzMTU3OTMkajYwJGwwJGgw\" target=\"_blank\" rel=\"noopener\">Positive Period<\/a>: Campaign to end menstrual stigma and offer access to menstrual products and education.<\/li>\n<li><a href=\"https:\/\/sylviassisters.org\/learn\/\" target=\"_blank\" rel=\"noopener\">Sylvia\u2019s Sisters<\/a>: Comprehensive menstrual health education website developed in partnership with Virginia Physicians for Women<\/li>\n<\/ul>\n<h3 id=\"&quot;anchor13\" style=\"margin-bottom: 10px;\">Resources for Providers<\/h3>\n<\/div>\n<\/div><\/div><div id=\"panel-3477-16-0-1\" class=\"so-panel widget widget_sow-accordion\" data-index=\"26\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-81d1ea637606-3477\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"menstruation-irregular-bleeding-uterine-fibroids-and-pmdd\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-menstruation-irregular-bleeding-uterine-fibroids-and-pmdd\" aria-controls=\"accordion-content-menstruation-irregular-bleeding-uterine-fibroids-and-pmdd\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 style=\"margin-top:4px;font-weight:600\">Menstruation, Irregular Bleeding, Uterine Fibroids, and PMDD<\/h4>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-menstruation-irregular-bleeding-uterine-fibroids-and-pmdd\"\n\t\t\t\tid=\"accordion-content-menstruation-irregular-bleeding-uterine-fibroids-and-pmdd\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/clinical-consensus\/articles\/2022\/09\/general-approaches-to-medical-management-of-menstrual-suppression\" target=\"_blank\" rel=\"noopener\">ACOG: General Approaches to Medical Management of Menstrual Suppression<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2013\/04\/management-of-acute-abnormal-uterine-bleeding-in-nonpregnant-reproductive-aged-women\" target=\"_blank\" rel=\"noopener\">ACOG: Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2015\/12\/menstruation-in-girls-and-adolescents-using-the-menstrual-cycle-as-a-vital-sign\" target=\"_blank\" rel=\"noopener\">ACOG: Menstruation in Girls and Adolescents - Using the Menstrual Cycle as a Vital Sign<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2021\/01\/options-for-prevention-and-management-of-menstrual-bleeding-in-adolescent-patients-undergoing-cancer-treatment\" target=\"_blank\" rel=\"noopener\">ACOG: Options for Prevention and Management of Menstrual Bleeding in Adolescent Patients Undergoing Cancer Treatment<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2012\/07\/diagnosis-of-abnormal-uterine-bleeding-in-reproductive-aged-women\" target=\"_blank\" rel=\"noopener\">ACOG: Practice Bulletin no. 128, Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2021\/06\/management-of-symptomatic-uterine-leiomyomas\" target=\"_blank\" rel=\"noopener\">ACOG: Practice Bulletin no. 228, Management of Symptomatic Uterine Leiomyomas<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2014\/07\/primary-ovarian-insufficiency-in-adolescents-and-young-women\" target=\"_blank\" rel=\"noopener\">ACOG: Primary Ovarian Insufficiency in Adolescents and Young Women<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2019\/09\/screening-and-management-of-bleeding-disorders-in-adolescents-with-heavy-menstrual-bleeding\" target=\"_blank\" rel=\"noopener\">ACOG: Screening and Management of Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding<\/a><\/li>\n<li><a href=\"https:\/\/www.cochrane.org\/evidence\/CD002126_use-progestogen-releasing-intrauterine-systems-heavy-menstrual-bleeding\" target=\"_blank\" rel=\"noopener\">Cochrane: Use of progestogen-releasing intrauterine systems for heavy menstrual bleeding<\/a><\/li>\n<li><a href=\"https:\/\/www.reproductiveaccess.org\/resource\/contraceptive-pearl-premenstrual-syndrome-pms\/\" target=\"_blank\" rel=\"noopener\">Reproductive Health Access Project: Contraceptive Pearl - Premenstrual Syndrome (PMS)<\/a><\/li>\n<li><a href=\"https:\/\/www.reproductiveaccess.org\/resource\/contraceptive-pearl-progestin-iud-as-treatment-for-menorrhagia\/\" target=\"_blank\" rel=\"noopener\">Reproductive Health Access Project: Contraceptive Pearl - Progestin IUD as Treatment for Menorrhagia<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"endometriosis\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-endometriosis\" aria-controls=\"accordion-content-endometriosis\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 style=\"margin-top:4px;font-weight:600\">Endometriosis<\/h4>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-endometriosis\"\n\t\t\t\tid=\"accordion-content-endometriosis\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n \t<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2018\/12\/dysmenorrhea-and-endometriosis-in-the-adolescent\" target=\"_blank\" rel=\"noopener\">ACOG: Dysmenorrhea and Endometriosis in the Adolescent<\/a><\/li>\n \t<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2010\/07\/management-of-endometriosis\" target=\"_blank\" rel=\"noopener\">ACOG: Practice Bulletin no. 114, Management of Endometriosis<\/a><\/li>\n \t<li><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2022\/1000\/endometriosis.html\" target=\"_blank\" rel=\"noopener\">American Family Physician: Endometriosis - Evaluation and Treatment<\/a><\/li>\n \t<li><a href=\"https:\/\/ctcsrh.org\/ctcsrh-resource\/endometriosis-awareness-interview\/\" target=\"_blank\" rel=\"noopener\">Clinical Training Center for Sexual and Reproductive Health: Endometriosis Awareness Interview<\/a><\/li>\n \t<li><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD001019.pub3\/information\" target=\"_blank\" rel=\"noopener\">Cochrane: Oral contraceptives for pain associated with endometriosis<\/a><\/li>\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21545757\/\" target=\"_blank\" rel=\"noopener\">Journal of Obstetrics and Gynaecology Canada: Endometriosis - Diagnosis and management<\/a><\/li>\n \t<li><a href=\"https:\/\/www.reproductiveaccess.org\/resource\/5174\/\" target=\"_blank\" rel=\"noopener\">Reproductive Health Access Project: Contraceptive Pearl - Contraception for Women with Endometriosis<\/a><\/li>\n \t<li><a href=\"https:\/\/www.reproductiveaccess.org\/resource\/contraceptive-pill-oral-contraceptive-pearls-and-endometriosis\/\" target=\"_blank\" rel=\"noopener\">Reproductive Health Access Project: Contraceptive Pearl - Oral Contraceptive Pills and Endometriosis<\/a><\/li>\n<\/ul>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"pcos\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-pcos\" aria-controls=\"accordion-content-pcos\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 style=\"margin-top:4px;font-weight:600\">PCOS<\/h4>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-pcos\"\n\t\t\t\tid=\"accordion-content-pcos\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2018\/06\/polycystic-ovary-syndrome\" target=\"_blank\" rel=\"noopener\">ACOG: Practice Bulletin no. 194, Polycystic Ovary Syndrome<\/a><\/li>\n<li><a href=\"https:\/\/www.asrm.org\/practice-guidance\/practice-committee-documents\/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome\/\" target=\"_blank\" rel=\"noopener\">American Society for Reproductive Medicine: Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome<\/a><\/li>\n<li><a href=\"https:\/\/ctcsrh.org\/ctcsrh-resource\/pcos-in-todays-world\/\" target=\"_blank\" rel=\"noopener\">Clinical Training Center for Sexual and Reproductive Health: Podcast - PCOS in Today\u2019s World<\/a><\/li>\n<li><a href=\"https:\/\/ctcsrh.org\/ctcsrh-resource\/pcos-obesity-and-metabolic-syndrome\/\" target=\"_blank\" rel=\"noopener\">Clinical Training Center for Sexual and Reproductive Health: Podcast - PCOS, Obesity, and Metabolic Syndrome<\/a><\/li>\n<li><a href=\"https:\/\/www.reproductiveaccess.org\/resource\/contraceptive-pearl-understanding-conventional-and-non-hormonal-approaches-to-pcos\/\" target=\"_blank\" rel=\"noopener\">Reproductive Health Access Project: Contraceptive Pearl - Understanding Conventional and Non-Hormonal Approaches to PCOS<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"professional-organizations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-professional-organizations\" aria-controls=\"accordion-content-professional-organizations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 style=\"margin-top:4px;font-weight:600\">Professional Organizations<\/h4>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-professional-organizations\"\n\t\t\t\tid=\"accordion-content-professional-organizations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.acog.org\/\" target=\"_blank\" rel=\"noopener\">American College of Obstetricians and Gynecologists (ACOG)<\/a><\/li>\n<li><a href=\"https:\/\/www.awhonn.org\/education\/womens-health-education\/\" target=\"_blank\" rel=\"noopener\">Association of Women\u2019s Health, Obstetric, and Neonatal Nurse (AWHONN)-Women\u2019s Health Education<\/a><\/li>\n<li><a href=\"https:\/\/sgs.memberclicks.net\/home\" target=\"_blank\" rel=\"noopener\">Society of Gynecologic Surgeons<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-3477-16-0-2\" class=\"widget_text so-panel widget widget_custom_html\" data-index=\"27\" ><div class=\"textwidget custom-html-widget\"><style type=\"text\/css\">\n\/* 1. Add bottom border to each panel *\/\n.sow-accordion-panel {\n  border-bottom: 1px solid #ccc;\n  margin: 0 !important;   \/* removes vertical gaps between panels *\/\n}\n\n\/* 2. Remove left indent (reserved for icons) *\/\n.sow-accordion .sow-accordion-panel-header,\n.sow-accordion .sow-accordion-title,\n.sow-accordion .sow-accordion-title-icon-left {\n  padding-left: 0 !important;\n}\n\n.sow-accordion .sow-accordion-title-icon-left::before {\n  content: none !important;\n  display: none !important;\n  width: 0 !important;\n}\n\n.sow-accordion .sow-accordion-title h3 {\n  margin-left: 0 !important;\n}\n\n\/* 3. Remove right padding (around the toggle button) *\/\n.sow-accordion .sow-accordion-panel-header {\n  padding-right: 0 !important;\n}\n\n.sow-accordion .sow-accordion-open-close-button,\n.sow-accordion .sow-accordion-open-button,\n.sow-accordion .sow-accordion-close-button {\n  margin-right: 0 !important;\n  padding-right: 0 !important;\n}\n\t\/* 4. Remove left\/right padding inside expanded panels *\/\n.sow-accordion .sow-accordion-panel-content,\n.sow-accordion .sow-accordion-panel-border {\n  padding-left: 0 !important;\n  padding-right: 0 !important;\n\t  padding-top: 0 !important;   \/* remove top padding inside content *\/\n}\n\n.sow-accordion .sow-accordion-title h3 {\n  margin-bottom: 0 !important; \/* remove space under the title text *\/\n}\n\t.sow-accordion {\n  margin-top: 0 !important;\n  padding-top: 0 !important;\n}\n<\/style><\/div><\/div><div id=\"panel-3477-16-0-3\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"28\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2 id=\"anchor14\">Share Your Thoughts With VDH!<\/h2>\n<p>The Virginia Department of Health (VDH) wants to hear about your experience. We are collecting information from people who have had menstrual problems or menstrual disorders. Your story can help educate others about why more support is needed. We will not share your name or any other information that identifies who you are. <a href=\"https:\/\/redcap.link\/menstrual_health_experience\" target=\"_blank\" rel=\"noopener\">Share your experience with menstrual disorders here.<\/a><\/p>\n<p>VDH is collecting information from providers who treat menstrual disorders. We want to hear about the challenges and barriers that they face in providing patient care. We intend to compile the information and share it with stakeholders and the public for educational purposes. <a href=\"https:\/\/redcap.link\/menstrual_health_providers\" target=\"_blank\" rel=\"noopener\">Share your experience in treating menstrual disorders here.<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>On This Page What is menstruation? Can tracking my period help me plan for or prevent a pregnancy? What is \u201cnormal\u201d during my period? What is not \u201cnormal\u201d? Menstrual Disorders [&hellip;]<\/p>\n","protected":false},"author":657,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-3477","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Menstrual Health - VDHLiveWell<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/vdhlivewell\/menstrual-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Menstrual Health - VDHLiveWell\" \/>\n<meta property=\"og:description\" content=\"On This Page What is menstruation? 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