Menstrual Disorders Treatment

Dr. Sabita Kumari

Menstrual Disorders

Information:

During each menstrual cycle, the lining of a woman's uterus naturally sheds. Menstrual blood exits the uterus, passes through the cervix, and is expelled from the body through the vagina.

If you experience any of the following symptoms related to your menstrual cycle, it's advisable to consult your doctor:

  • Delayed Menstruation: If you haven't started menstruating by the age of 16
  • Unusually Prolonged Bleeding: If your menstruation lasts longer than usual
  • Excessive Menstrual Bleeding: In case you're experiencing heavier bleeding than your regular menstrual flow
  • Severe Menstrual Pain: If you endure severe pain during your menstrual periods
  • Adverse Reactions to Tampons: If you feel unwell or experience discomfort after using tampons.
  • Late Period after Sexual Activity: If you've had sexual intercourse and your period is at least five days late.
  • Absence of Periods Post Discontinuation of Birth Control: If you've ceased using birth control pills, and your menstrual cycle hasn't resumed within three months.
  • If you are seeking treatment for menstrual disorders, particularly in the Faridabad area, you may want to look for Menstrual Disorders Treatment in Faridabad. It's essential to consult with a healthcare professional to address any concerns related to your menstrual health and explore appropriate treatment options.

Types of menstrual disorder
  1. Premenstrual syndrome (PMS)
  2. Amenorrhea
  3. Dysmenorrhea
  4. Menorrhagia
  5. Treatments
  1. Premenstrual syndrome (PMS)
    • In PMS, during your menstruation cycle, unpleasant and uncomfortable symptoms may temporarily disturb normal functioning. The degree of symptoms can vary in individual and may last from a few hours to many days.
    • Although an individual may experience symptoms differently, the most common symptom can include any of the following:

    • Psychological symptoms (depression, anxiety, irritability)
    • Gastrointestinal symptoms (bloating)
    • Swelling of fingers, hands, feets)
    • Acne problems
    • Headache,fainting
    • Muscle spasms
    • Heart palpitations
    • Allergies, infections
    • Change in visions
    • Decreased coordination
    • Diminished sex drive
    • Changes in appetite
    • To eliminate or reduce the severity of symptoms, simple modifications in lifestyle can help you by including:

    • Exercising 3 to 5 times each week
    • Eating a well-balanced diet
    • Adequate sleep and rest
  2. Amenorrhea: an individual experiences the absence of menstrual periods for more than three monthly menstrual cycles.
  3. Types-

    1. Primary amenorrhea- menstruation does not begin at puberty.
    2. Secondary amenorrhea- normal and regular menstrual periods that become increasingly abnormal and irregular or absent.

    Amenorrhea can occur during pregnancy,breastfeeding or menopause. Or it may occur as result of medications or a medical problem including:

    • Obesity
    • Anatomical abnormality
    • Ovulation abnormality
    • Eating disorder
    • Excessive or strenuous exercise
    • Birth defect or other medical condition

    Dysmenorrhea: a severe and frequent menstrual cramps and pain associated with menstruation characterizes dysmenorrhea in an individual.

    Women with primary dysmenorrhea experience abnormal uterine contractions that result from a chemical substance in the body. Where secondary dysmenorrhea is caused by other medical conditions, most often endometriosis.

    Other causes may include:

    Women at increased risks (can develop dysmenorrhea) include:

    • Smokers
    • Consume excessive alcohol during their period
    • Women who started menstruating before the age 11

    Dysmenorrhea symptoms

    The most common symptoms may include:

    • Lower abdomen pain or cramps
    • Low back pain
    • Nausea
    • Vomiting
    • Diarrhea
    • Fatigue
    • Fainting
    • headaches

    Menorrhagia - heavy and prolonged menstrual bleeding characterizes menorrhagia. In some cases, daily activities are disrupted due to severe bleeding.

    Other types of menorrhagia conditions include:

    • Polymenorrhagia: too frequent menstruation
    • Oligomenorrhea: infrequent or light menstrual cycles
    • Metrorrhagia: any irregular, non-menstrual bleeding as in bleeding occurs between menstrual periods.
    • postmenopausal bleeding: any bleeding that occurs more than one year after the last normal menstrual period at menopause.

    Menorrhagia causes:

    There may several possible causes include:

    • Hormonal imbalance
    • Pelvic inflammatory disease
    • Uterine fibroids
    • Abnormal pregnancy
    • Intrauterine devices (IUDs)
    • Bleeding or platelet disorders
    • High levels of prostaglandins
    • High level of endothelins
    • Liver,kidney or thyroid disease

    Symptoms-

    • When a woman has soaked through enough sanitary napkins or tampons to require changing every hour, and/or a menstrual period lasts longer than 7days in duration.
    • Other common symptoms- spotting or bleeding between menstrual periods, or spotting or bleeding during pregnancy.

    Diagnosis-

    Diagnostic procedure may include:

    • Blood tests (to check thyroid, check for anemia, how the blood clots)
    • Pap test (to look for early changes in cells that can lead to cervical cancer)
    • Ultrasound (to check the functions of blood vessels,tissues and organs)
    • Endometrial biopsy (to check uterine tissue for cancer or abnormalities)
    • Laparoscopy (to detect abnormal growth into the pelvic and abdomen area)
    • Hysteroscopy (to check for polyps,fibroids or other problems)
    • Dilation and curettage(D&C)- the lining of the uterus is scraped with a curette and examined under sedation during this test. This test can also treat the cause of the bleeding)

    Treatment-

    Your medical history,health age ,how serious the bleeding is,decides the treatment for menorrhagia.

    Common treatments include:

    • Ibuprofen to reduce pain and amount of bleeding
    • Birth control to make periods more regular and reduce bleeding
    • Intrauterine contraception(IUD)
    • Antifibrinolytic medicines to reduce bleeding
Treatment for menstrual disorders-
  1. Treatment for menstrual disorders that are due to
    1. Ovulatory bleeding includes:
      • Insertion of a hormone-releasing intrauterine device
      • Use of various medications or non-steroidaL anti-inflammatory medications
    2. Anovulatory bleeding includes:
      • oral contraceptives
      • cyclic progestin
      • treatments for an underlying disorder that is Causing the menstrual problem, such as Counseling and nutritional therapy for an eating Disorder.
    3. If the cause is structural or if medical management is ineffective, then the following may be considered:
      • Surgical removal of polyps or uterine fibroids
      • Uterine artery embolization, a procedure to block flow to the uterus
      • Endometrial ablation, a procedure to cauterize blood vessels in the endometrial lining of the uterus
      • Hysterectomy
  Consultation