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    72678 posted:
    ok heres my question i have always had regular periods but now they are coming 3-4 days earlier then they should be in the past i did have them come a day early this has only happened for my last 3 periods, i have 2 children so i dont know if that effects anything my youngest is 20 months old so i know its been too long after having him for my periods to be early/off i am expecting my next period within the next 4 days im experiencing leg soreness, fatigue, boobs are hurting mostly the nipple i know these are all sypmtoms of pms but im just still weirded out about having so many periods in a row coming 4 days early any advice would be appricated thank you
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    Jane Harrison Hohner, RN, RNP responded:
    Dear 72678: A normal interval for periods is considered 21-35 days apart. There are things which can cause a woman to begin having closer together flows:

    1. Age--As we move into our mid to late 30's flows can begin to come closer together. The pattern of flow will begin to change as well resulting in more of a "flooding" heavy type of flow.

    2. Pituitary problem--With an elevated blood prolactin level from a pituitary adenoma, cycle can become closer together, and sometimes even disappear. Usually the woman will have bilateral nipple discharge as well.

    3. Earlier ovulation or even missed ovulations--Generally time of ovulation helps set the time of flow to arrive.

    If this continues to be a concern, if your cycles get steadily closer together, or if you have other symptoms (eg breast discharge) see your OB/GYN or clinic.For those women lucky enough to have cycles like clockwork it is understandable why even a small variation would be alarming.

    Yours,
    Jane


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