Abnormal Menstruation. What is abnormal menstruation? Most women have menstrual periods that last four to seven days.
Cycle Q: What is menstruation? A: Menstruation (men-STRAY-shuhn) is a woman's monthly bleeding. Q: When does a girl usually get her first period? A: In the United States, the average.
A woman's period usually occurs every 2. Examples of menstrual problems include: Periods that occur less than 2. Missing three or more periods in a row. Menstrual flow that is much heavier or lighter than usual.
Periods that last longer than seven days. Periods that are accompanied by pain, cramping, nausea, or vomiting. Bleeding or spotting that happens between periods, after menopause, or following sex. Examples of abnormal menstruation include the following: Amenorrhea is a condition in which a woman’s periods have stopped completely. The absence of a period for 9. Young women who haven't started menstruating by age 1. Oligomenorrhea refers to periods that occur infrequently.
Dysmenorrhea refers to painful periods and severe menstrual cramps. Some discomfort during the cycle is normal for most women. Abnormal uterine bleeding may apply to a variety of menstrual irregularities, including: a heavier menstrual flow; a period that lasts longer than seven days; or bleeding or spotting between periods, after sex, or after menopause.
What causes abnormal menstruation? There are many causes of abnormal periods, ranging from stress to more serious underlying medical conditions: Stress and lifestyle factors. Gaining or losing a significant amount of weight, dieting, changes in exercise routines, travel, illness, or other disruptions in a woman's daily routine can have an impact on her menstrual cycle. Most birth control pills contain a combination of the hormones estrogen and progestin (some contain progestin alone).
The pills prevent pregnancy by keeping the ovaries from releasing eggs. Going on or off birth control pills can affect menstruation.
Some women have irregular or missed periods for up to six months after discontinuing birth control pills. This is an important consideration when you are planning on conception and becoming pregnant. Women who take birth control pills that contain progestin only may have bleeding between periods. Uterine polyps or fibroids.
The cell cycle, the process by which cells progress and divide, lies at the heart of cancer. In normal cells, the cell cycle is controlled by a complex series of signaling pathways by which a cell grows. The menstrual cycle, which is counted from the first day of one period to the first day of the next. Abnormal uterine bleeding in adolescents: Definition and evaluation. Female dogs can easily have heat cycle abnormalities. These can be prolonged heats, split heats, silent heats or even absent heats. At times, heat cycles can also be irregular. Most bitches follow the heat. The menstrual cycle is the regular natural change that occurs in the female reproductive system (specifically the uterus and ovaries) that makes pregnancy possible. The cycle is required for the production of ovocytes, and for.
Abnormal cycle - MedHelp's abnormal cycle Center for Information, Symptoms, Resources, Treatments and Tools for abnormal cycle. Find abnormal cycle information, treatments for abnormal cycle and abnormal cycle symptoms. The physiology of the normal menstrual cycle will be discussed here. Decreased Menstrual Cycles (Gynecology - Abnormal Vaginal Bleeding). Treatment of Abnormal Vaginal Bleeding. The menstrual cycle and your body's natural signal of fertility. 2003 Mar;126(Pt 3):623-31. Defective cell cycle control underlies abnormal cortical development in the hydrocephalic Texas rat. Owen-Lynch PJ(1), Draper CE, Mashayekhi F, Bannister CM, Miyan JA. Menstrual Cycle Abnormalities. Most women experience menstrual cycle abnormalities at one time or another, but if problematic periods are especially bothersome or interfere with daily activities, make an appointment with our.
Uterine polyps are small benign (noncancerous) growths in the lining of the uterus. Uterine fibroids are tumors that attach to the wall of the uterus. There may be one or several fibroids that range from as small as an apple seed to the size of a grapefruit. These tumors are usually benign, but they may cause heavy bleeding and pain during periods. If the fibroids are large, they might put pressure on the bladder or rectum, causing discomfort.
The endometrial tissue that lines the uterus breaks down every month and is discharged with the menstrual flow. Endometriosis occurs when the endometrial tissue starts to grow outside the uterus. Often, the endometrial tissue attaches itself to the ovaries or fallopian tubes; it sometimes grows on the intestines or other organs in the lower digestive tract and in the area between your rectum and uterus. Endometriosis may cause abnormal bleeding, cramps or pain before and during periods, and painful intercourse. Pelvic inflammatory disease. Pelvic inflammatory disease (PID) is a bacterial infection that affects the female reproductive system. Bacteria may enter the vagina via sexual contact and then spread to the uterus and upper genital tract.
Bacteria might also enter the reproductive tract via gynecologic procedures or through childbirth, miscarriage, or abortion. Symptoms of PID include a heavy vaginal discharge with an unpleasant odor, irregular periods, pain in the pelvic and lower abdominal areas, fever, nausea, vomiting, or diarrhea.
Polycystic ovary syndrome. In polycystic ovary syndrome (PCOS), the ovaries make large amounts of androgens, which are male hormones. Small fluid- filled sacs (cysts) may form in the ovaries. These can often been seen on ultrasound. The hormonal changes can prevent eggs from maturing, and so ovulation may not take place consistently.
Sometimes a woman with polycystic ovary syndrome will have irregular periods or stop menstruating completely. In addition, the condition is associated with obesity, infertility, and hirsutism (excessive hair growth and acne). This condition may be caused by a hormonal imbalance, although the exact cause is unknown. Treatment of PCOS depends on whether a woman desires pregnancy.
If pregnancy is not a goal, then weight loss, oral contraceptive pills, and the medication Metformin. If pregnancy is desired, ovulation- stimulating medications can be tried. Premature ovarian insufficiency. This condition occurs in women under age 4. The menstrual cycle stops, similar to menopause.
This can occur in patients who are being treated for cancer with chemotherapy and radiation, or if you have a family history of premature ovarian insufficiency or certain chromosomal abnormalities. If this condition occurs, see your physician. Other causes of abnormal menstruation include: uterine cancer or cervical cancermedications, such as steroids or anticoagulant drugs (blood thinners) medical conditions, such as bleeding disorders, an under- or overactive thyroid gland, or pituitary disorders that affect hormonal balancecomplications associated with pregnancy, including miscarriage or an ectopic pregnancy (the fertilized egg is implanted outside the uterus; for example, within the fallopian tube) How is abnormal menstruation diagnosed? If any aspect of your menstrual cycle has changed, you should keep an accurate record of when your period begins and ends, including the amount of flow and whether you pass large blood clots. Keep track of any other symptoms, such as bleeding between periods and menstrual cramps or pain. Your doctor will ask you about your menstrual cycle and medical history. He or she will perform a physical examination, including a pelvic exam and sometimes a Pap test.
The doctor might also order certain tests, including the following: blood tests to rule out anemia or other medical disordersvaginal cultures, to look for infectionsa pelvic ultrasound exam to check for uterine fibroids, polyps, or an ovarian cystan endometrial biopsy, in which a sample of tissue is removed from the lining of the uterus, to diagnose endometriosis, hormonal imbalance, or cancerous cells. Endometriosis or other conditions may also be diagnosed using a procedure called a laparoscopy, in which the doctor makes a tiny incision in the abdomen and then inserts a thin tube with a light attached to view the uterus and ovaries. When should you seek medical attention for abnormal menstruation? Contact a doctor or medical professional if you have any of the following symptoms: severe pain during your period or between periodsunusually heavy bleeding (soaking through a sanitary pad or tampon every hour for 2 or 3 hours) or passing large clotsan abnormal or foul- smelling vaginal dischargehigh fevera period lasting longer than 7 daysvaginal bleeding or spotting between periods or after you have gone through menopauseperiods that become very irregular after you have had regular menstrual cyclesnausea or vomiting during your periodsymptoms of toxic shock syndrome, such as a fever over 1.
You should also see a doctor if you think you might be pregnant. How is abnormal menstruation treated? The treatment of abnormal menstruation depends on the underlying cause: Regulation of the menstrual cycle: Hormones such as estrogen or progestin might be prescribed to help control heavy bleeding. Pain control: Mild to moderate pain or cramps might be lessened by taking an over- the- counter pain reliever, such as ibuprofen or acetaminophen. Aspirin is not recommended because it might cause heavier bleeding. Taking a warm bath or shower or using a heating pad might help to relieve cramps. Uterine fibroids: These can be treated medically and/or surgically.
Initially, most fibroids that are causing mild symptoms can be treated with over- the- counter pain relievers. If you experience heavy bleeding, an iron supplement might be helpful in preventing or treating anemia.
Low- dose birth control pills or progestin injections (Depo- Provera. Drugs called gonadotropin- releasing hormone agonists may be used to shrink the size of the fibroids and control heavy bleeding. These drugs reduce the body’s production of estrogen and stop menstruation for a while. If fibroids do not respond to medication, there are a variety of surgical options that can remove them or lessen their size and symptoms. The type of procedure will depend on the size, type, and location of the fibroids. A myomectomy is the simple removal of a fibroid. In severe cases where the fibroids are large or cause heavy bleeding or pain, a hysterectomy might be necessary.
During a hysterectomy, the fibroids are removed along with the uterus. Other options include uterine artery embolization, which cuts off the blood supply to the active fibroid tissue.
Endometriosis: Although there is no cure for endometriosis, over- the- counter or prescription pain relievers may help to lessen the discomfort. Hormone treatments such as birth control pills may help prevent overgrowth of uterine tissue and reduce the amount of blood loss during periods. In more severe cases, a gonadotropin- releasing hormone agonist or progestin may be used to temporarily stop menstrual periods.
In severe cases, surgery may be necessary to remove excess endometrial tissue growing in the pelvis or abdomen. A hysterectomy might be required as a last resort if the uterus has been severely damaged. There are other procedural options which can help heavy menstrual bleeding.
A 5 year contraceptive intrauterine device (IUD), called Mirena. This is inserted in the doctor’s office with minimal discomfort, and also offers excellent contraception. Endometrial ablation is another option. It uses heat or electrocautery to destroy the lining of the uterus.
It is usually only used when other therapies have been tried and failed. This is because scar from the procedure can make monitoring the uterus more difficult if bleeding persists in the future.