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Menstrual Problems

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    Overview

    Menstruation usually lasts between four and seven days for most women. However, some women face menstrual problems. These issues can include periods that are fewer than 21 days apart or are more than 35 days apart, the absence of three or more menstrual cycles in a row, and a menstrual flow which is much heavier or lighter.

    All these issues are menstrual problems that need medical attention. Keep reading to know more about menstrual problems in detail.

     

    Everything You Need To Know About Menstrual Problems

    What are Menstrual Problems?

    Most gynecologic disorders begin with menstruation, and this is one of the most prevalent. If a woman has menstrual irregularities, she may not receive her period or have periods that are excessively frequent or irregularly spaced. Some other menstrual issues include irregular or heavy bleeding, as well as significant discomfort.

    Period irregularities are often a symptom of a more severe medical problem. That’s why you should see your doctor if your menstrual cycle changes in any way, including:

    • Periods that are more than 21 days apart or fewer than 35 days apart may be a sign of irregular menstrual cycles
    • Menopausal bleeding or spotting or bleeding in between cycles
    • More than seven days of menstrual bleeding
    • Changing tampon or pad every hour due to heavy bleeding
    • Unbearable menstrual cramps

     

    Types of Menstrual Problems

    Menstrual issues include four categories:

    • The absence of menstruation is referred to as amenorrhea. Females who do not start menstruating by the age of 16 or cease menstruating for at least three months without becoming pregnant suffer from amenorrhea.
    • Oligomenorrhea is a medical word that describes irregular menstrual cycles.
    • Menorrhagia (excessive menstrual bleeding) or bleeding/spotting between periods or after menopause are two examples of abnormal uterine bleeding. Menstrual bleeding that happens more than once every 21 days or more than 35 days is referred to as dysfunctional uterine hemorrhage. DUB may also lead to longer-than-seven-day intervals.
    • Dysmenorrhea is a medical term for uncomfortable menstruation cycles, which may include intense cramping. When it comes to dysmenorrhea, it may be accompanied by a variety of symptoms such as diarrhea, nausea, vomiting, headache, or back pain.

    Treatment Options

    Treatment options are based on the cause and severity of the problem. Some of the treatment options include:

    • Regulation of the menstrual cycle: If you have excessive bleeding, your doctor may give estrogen or progestin hormones to help reduce it.
    • Pain control: Taking an over-the-counter pain medication like ibuprofen or acetaminophen may help with mild to severe discomfort or cramping. Aspirin isn’t a good idea since it may make you bleed more. Using a heating pad or a warm bath or shower may help ease cramps.
    • Uterine fibroids: Medicinal and surgical treatments are available. Most mild symptoms of fibroids may be treated with over-the-counter pain medicines. If you’re bled out a lot, an iron supplement may assist. Low-dose birth control pills or progestin injections (Depo-Provera®) may reduce heavy fibroids bleeding. 
      The use of gonadotropin-releasing hormone agonists may alleviate excessive bleeding and fibroids. The ability of these medicines to reduce estrogen production in the body temporarily stops menstruation. Non-resolving fibroids may be surgically removed or reduced in size and symptoms. The therapy chosen will depend on the size, kind, and location of the fibroids. A myomectomy merely removes a fibroid. Large fibroids producing bleeding or pain may need a hysterectomy. A hysterectomy removes the uterus and fibroids. Another therapeutic option is uterine artery embolization, which blocks the blood supply to the fibroid tissue.
    • Endometriosis: The only way to alleviate the pain associated with endometriosis is to take pain medication, whether it’s over-the-counter or prescribed. Birth control medications, for example, include hormones that may help prevent uterine tissue expansion and decrease menstrual blood loss. A progestin that releases gonadotropin may be used to halt menstruation temporarily in more severe instances. Excess endometrial tissue developing in the pelvis or abdomen may need surgery in extreme instances. If the uterus has been badly destroyed, a hysterectomy may be the only option.

    A variety of additional procedural alternatives are available to women who are experiencing excessive menstrual bleeding. Surgical treatments like endometrial ablation may be as successful as a five-year contraceptive intrauterine device (IUD) called Mirena® in reducing bleeding. With little pain, this is implanted at the doctor’s office and also serves as a method of contraception.

    Conclusion

    Menstrual problems are not rare, and if not treated, they can bring complications. If you experience any symptoms, consult an expert immediately. 

    A diverse group of board-certified gynecologic health specialists works at our facility. Reproductive endocrinologists and other subspecialists join forces with these health professionals to offer a coordinated approach to the treatment of menstruation issues that includes the most up-to-date treatment choices tailored to suit each patient’s requirements as they change over time.

    Our doctor can provide you with additional information about menstruation issues, such as diagnosis and therapy.

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