Summary of irregular Menstrual Cycle and treatment in Dubai in the PRC
Menstrual cycle last four to seven days, and a typical period occurs every 21 to 35 days, with 28-day average. An irregular menstrual cycle is when the period deviates from the normal definition.
Problems associated with irregular menstrual cycles?
Irregular menstrual cycles can be:
- Periods that last more than seven days
- Periods that are less than 21 days
- Periods that are more than 35 days apart
- Absence of menstruation during 2-3 cycles
- Heavy or light menstrual flow
- Spotting or bleeding between periods, after sex or after menopause
What causes abnormal menstruation?
Menstrual cycles are caused by:
- Factors of stress and lifestyle – lose or gain a significant amount of weight, changes in the exercise routines, diet, travel, sickness or other disruptions in the daily routine of a woman that can affect your menstrual cycle.
- Birth control pills – most pills have a combination of the hormones progestin and estrogen, but some contain only progestin. These pills are used to prevent pregnancy by causing the ovaries do not release eggs. Stop birth control pills can cause irregular periods, and some women have lost periods when they are taken.
- Uterine fibroids and polyps, uterine polyps are benign, small growths in the lining of the uterus that are not cancerous. Fibroids are tumors composed of muscle tissue that attach to the wall of the uterus. Both of these growths cause problems with menstruation.
- Endometriosis – this is the result of endometrial tissue grows outside the uterus. Endometriosis often causes pain during the relationship, as well as cramps, bleeding, and pain.
- Pelvic inflammatory disease: caused by bacteria entering the reproductive tract through sexual contact, PID affects the uterus and fallopian tubes. This causes scarring, irregular periods, pelvic pain and fever.
- PCOS (SOP) – with this condition, the ovaries produce too much androgen, which then causes hormonal imbalance. Form of cysts in the ovaries, and this prevents the maturation of eggs. Ovulation is not consistent with the syndrome, or may be absent.
How diagnosed is abnormal menstruation?
Irregular menstrual cycles are diagnosed by a medical history, review of evaluation systems and research on the main complaint. Monitoring of their menstrual cycles, documenting the beginning and duration of the flow, the amount of flow and duration must be between each period. The doctor will also perform a physical exam, pelvic exam and Pap test. In addition, certain tests are performed:
- Blood tests to check for medical conditions several
- Vaginal cultures to assess for infections
- A pelvic ultrasound to detect polyps, fibroids and ovarian cysts
- Endometrial biopsy, to find problems of endometriosis, cancer and hormone
What is the treatment for irregular or abnormal menstruation?
The treatment of irregular menstrual cycles and abnormal menstruation depends on the underlying cause. Treatment options include:
- Regulation of the cycle – prescribed hormones control heavy bleeding (estrogen and progestin).
- Control of pain, is a soft such as paracetamol or ibuprofen analgesic. Aspirin should be avoided because it can cause bleeding. Pads and hot soaks are used to relieve cramps.
- Removal of fibroid uterine-dose low birth control pills and injections of progestin can control the irregular bleeding associated with fibroids. Gonadotropin releasing hormone agonists can be effective for the reduction of the size of the fibroids and to control bleeding. In addition, a myomectomy is done to remove large fibroids (surgery). Women with severe to cause great pain and bleeding, fibroids, hysterectomy may be necessary.