Q.  I’m 16 years old and have not had my period in 2 months. I went through a week of serve anxiety and wasn’t sleeping or eating. I recently started on duloxetine for the anxiety. I have had cramping, discharge and some nausea. Last night my anxiety was heightened and woke up with terrible cramps and nausea. There is no chance of pregnancy. I know it is common to miss periods especially due to stress. Just making sure it doesn’t seem like anything serve is going on.

A. It is not unusual to have irregular periods with anxiety, changes in sleep or diet. Talk to your health care provider if these symptoms continue