How normal is the menstrual irregularity?
Menstrual bleeding is a periodic bleeding that starts in puberty and continues every month until menopause. Menstrual bleeding that occurs every 26 to 32 days and lasts 3 to 5 days is considered normal.
ISTANBUL - Bleeding between 2-4 pads a day is also natural. The menstrual cycle, which is 28 days on average, is different from 26-32 days.
The most frequently asked question is neden Why are my menses irregular? ”. Under this problem, in fact, the regular menstrual period, because they are psychologically conditioned because there is a tendency to expect menstruation on the same day every month, "said Acibadem Bakirkoy Hospital Gynecology and Obstetrics Department Responsible Prof. Dr. Cihat Ünlü, women frequently asked questions about irregularities :
What types of irregularities do women have?
Frequent menstruation (every 15-20 days), rare menstruation, longer than 35 days (every 2-3 months). Bleeding occurs in non-menstrual periods, can see a large amount of menstrual period, may be prolonged, the amount may be too much, can continue for 8-10 days, 6-12 pads per day can be used.
The amount of menstruation is very small, which is not always pathological. Women who take birth control pills and similar medications will have a reduced menstrual period, and some menstrual hormones may also decrease. In other periods, the amount of menstruation decreases rarely. The most advanced dimension of menstrual irregularities is eme amenorrhea eme. If a young girl has reached the age of 15-16 and has not yet had menstruation, the cause should be investigated: var Physiological amenorrhea var. During pregnancy, women do not menstruate, before puberty and menopause, breastfeeding is not seen.
Why Does a Woman Have Menstruation?
The reason for menstruation is the following: The uterus prepares for a future baby each month following ovulation, the walls of the uterus become thicker, preparing a velvet bed for the nesting of a possible embryo. This is caused by hormones. If there is no sexual intercourse during ovulation or if pregnancy is prevented, this intrauterine layer (endometrium), which is prepared for nesting of the baby, thickens when the pregnancy does not occur, is poured out with bleeding. Then the layer thickens again. Preparing for baby again. This process is repeated every month until menopause. Regular menstruation is provided.
Why are the irregularities caused?
The mechanism that operates the entire hormonal system in a woman starts from the brain. Ovarian hormones are produced, the walls of the uterus thickens. All kinds of factors, stress, mental problems, seasonal changes, long air travels and all kinds of events that may affect you can change the order of the mechanism that initiates this system in the brain. Problems in hormones, the absence of ovulation, ovulation problems, polycystic ovarian disease, ovarian tiny cysts can cause menstrual irregularities.
Apart from these, the most important reason is the organic problems that we will investigate after excluding these hormonal factors. If uterine fibroids are located in the inner layer of the uterus causes menstrual irregularity. Other fibroids also cause menstrual irregularity. Cysts should not be forgotten.
What is done in the treatment?
First, we go through a very detailed gynecological examination to find the cause. Young girls are doing ultrasound. We exclude uterine fibroids, ovarian cysts, organic problems, and look at hormones, vaginal smears, ultrasound. We look at tumor values, and if hormonal factors are involved, we can give corrective treatments. We also apply treatments that dissolve the cysts. We remove them by laparoscopy, we take fibroids.
The uterine fibroids located in the internal cavity must be removed. It is not possible to correct them with drug treatment. With the advanced technology called hysteroscopy, we can remove these fibroids without opening the abdomen and regularize the menstrual bleeding. My advice to every woman is that they keep their menstrual calendar regularly since puberty. Every woman has menstrual irregularities once or twice a year. They should not panic.
If these irregularities repeat and increase for several months, it is absolutely necessary to consult a physician. Cysts should be prevented with simple treatments when fibroids are mostly in small stages. Very rarely, hemorrhages may be large enough to require removal of the uterus. We can solve this in simpler ways. We can take a 51-year-old woman with a uterine fibroid to restore her health, but we cannot recommend it to a 28-year-old woman.
Does Painful Menstrual Affect Daily Life?
Painful menstruation can adversely affect a person's social and business life. One can have difficulty focusing on his or her daily life from thinking of pain. Professor Dr. Cihat Ünlü, these pains are actually physiological and the resulting menstrual blood should be thrown out by opening the uterus, as a result of the contraction of the uterus says that more or less pain occurs. Pointing out that painful menstruation is a very serious health problem. Dr. Cihat Ünlü, said:
“This is a very serious health problem. We do all the examinations along with the examinations. Cysts, fibroids, chocolate cysts that we call endometriosis cause it. The removal of these cysts as soon as they are diagnosed is an important factor. We certainly use medication. Drug treatments can be given primarily to these cysts. We eliminate cysts that can be prevented with medication. We provide pain relief treatments, and use a wide range of painkillers.
It is more effective if the patient takes the drug while the pain begins. This is the most important criterion in pain management. Birth control pills can also suppress ovulation and eliminate menstrual pains. To be effective, these pills need to be used in certain periods. ”
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