Causes of menstrual irregularity
Gynecology-Obstetrics and IVF Specialist Op.Dr.Serdar Koç, women's menstrual irregularity problem in childhood, adolescence, fertility, pre-menopause and menopause by separating the irregular bleeding should be examined in this way, he said.
Gynecology and Obstetrics and IVF Specialist Op.Dr.Serdar Koç, “Menstrual irregularity before defining the normal menstrual order must be defined. The period from the beginning of one menstrual cycle to the beginning of the other is between 21-35 days (ideally 28 days). a pain is normal. Deviations from all these definitions should be perceived as menstrual irregularities. ”
Gynecology-Obstetrics and IVF Specialist Op.Dr.Serdar Koç, in his information on the subject noted the following:
“Frequent, early menstruation; The menstrual cycle lasts less than 21 days is called polymenorrhea. As a result, the number of menstrual bleeding seen in 1 year increases.
It should always be kept in mind that in the event of a frequent bleeding in a woman who has regular menstrual bleeding, this bleeding may actually be an intermediate bleeding.
Sparse menstruation, delays; Menstrual cycles last longer than 35 days is called oligomenorrhea. As a result of this, menstrual bleeding is seen 3-4 times a year.
In this case, if there is bleeding for less than 21 days and lasting more than 35 days, we can talk about the presence of a problem if there is more than 2-3 pads (40 ml in amount) and bleeding more than 8 days in the day. It is unnatural for menstrual blood to contain clots and fragments.
If we talk about the other problematic bleeding, one of them is less bleeding or short-term menstruation and the other is excessive bleeding or long-term menstruation. The decrease in the amount or day of bleeding is called hypomenorrhea.
The amount of bleeding in menstrual period tends to decrease with advancing age.
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 ...
Gynecology-Obstetrics and IVF Specialist Op.Dr.Serdar Koç, about the causes of menstrual irregularities, “Menstrual irregularities are usually caused by organic and hormonal reasons.
At the beginning of the uterus and benign tumors are considered as benign tumors. Adenomyosis, which causes thickening of the uterine wall, polyps arising from the uterine membranes, or spirals applied for birth control purposes are other common causes. increases.
Disorders in hormones secreted from the ovaries, birth control pills, etc., containing hormones and pregnancy, of course, are the major causes of hormonal-induced menstrual disorders.
Treatment; In order to reveal the source of the problem, gynecological examination, ultrasonographic examination (when necessary, tomography, MRI, hsg) and the measurement of hormones secreted from the ovary and other parts of the body (especially the thyroid gland) at the same time should be kept in mind. 2-4 days of the cycle).
It is not correct to use only menstrual medications before the problem is revealed. We can use this kind of preparations to give an 80-year-old woman a period, but in fact we cover the actual disease.
After a detailed examination, if the problem is an anaotomic problem, the preferred treatment modality is surgical approach.
In almost all of these problems, laparoscopic method called closed method should be preferred. Open surgery should be abandoned due to the side and adverse effects caused by modern medicine.
During the use of birth control pills should be kept in mind that there may be intermittent bleeding for the first 1-2 months, and the patient should be patient and the change of preperation should be recommended in cases of bleeding exceeding this period.
DOES THE QTY DISORDER HARD PREGNANT?
Since menstrual irregularity may be an indicator of ovulation disorder, it is normal for women with this problem to have difficulties in getting pregnant. A woman with menstrual irregularities should apply to a reproductive health center, especially if she wants to have children.
Once the cause of the irregularity has been identified, treatment for this reason is necessary. Sometimes pregnancy can be achieved with very simple treatments, but in some cases it may be necessary to apply in vitro fertilization techniques called advanced reproductive techniques.
CAN PIECE DISORDERS MAY BE DEPENDED ON PSYCHOLOGICAL CAUSES AND IS THERE A TIME TO SELF-CORRECTIVE?
In addition to stress and distress, climate changes can occasionally cause menstrual irregularities. If this is the only reason underlying the irregularity, it may resolve spontaneously over time.
WHAT SHOULD BE TAKEN WHEN THE PCS ARE DISCUSSED?
First of all, I recommend every woman to keep their menstrual calendar regularly from puberty. When menstrual irregularities begin to be observed, the diversity of menstrual irregularities should be considered. If these irregularities repeat and increase for several months, it is absolutely necessary to consult a physician. ”
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