Period Problems/Menstrual Disorders
Some women get through their monthly periods easily with few or no concerns. Their periods come like clockwork, starting and stopping at nearly the same time every month, causing little more than a minor inconvenience.
However, other women experience a host of physical and/or emotional symptoms just before and during menstruation. From heavy bleeding and missed periods to unmanageable mood swings, these symptoms may disrupt a woman's life in major ways.
Most menstrual cycle problems have straightforward explanations, and a range of treatment options exist to relieve your symptoms. If your periods feel overwhelming, discuss your symptoms with our gynaecologist. Once your symptoms are accurately diagnosed, she can help you choose the best treatment to make improve the conditions.
Types of Menstrual Disorders
If one or more of the symptoms you experience before or during your period causes a problem, you may have a menstrual cycle "disorder." These include
- Abnormal Uterine Bleeding during menstrual cycle or periods
- Premenstrual Syndrome (PMS)
- Premenstrual Dysphonic Disorder (PMDD)
Abnormal uterine bleeding can be heavy bleeding during the menstrual cycle or periods or no menstrual bleeding or bleeding in between periods. Most of the menstrual disorders present with following symptoms:
Moderate to Severe pain in abdomen or lower part of stomach
Bleeding Problems during periods
Heavy Bleeding during Menstrual Cycle or Periods - Heavy bleeding during menstruation or periods in females is usually related to a hormonal imbalance, although other causes include fibroids, cervical orendometrial polyps, the autoimmune disease lupus, pelvic inflammatory disease (PID), blood platelet disorder, a hereditary blood factordeficiency, or, possibly, some reproductive cancers. Thus, menorrhagia is actually a symptom of an underlying condition rather than adisease itself. It may also be related to the use of an IUD.
Women with menorrhagia experience not only significant pain in abdomen or lower stomach, but may feel very tired due to the loss of blood. It isusually diagnosed when a woman soaks through a tampon or pad every hour for several hours or has a period lasting more than 7 days.Clots are not related to menorrhagia, although women with heavy cycles may pass clots. They are typically a normal part of menstruation,more common when a woman has been sitting or in a stationary position for a while
- Amenorrhea - You may also experience the opposite problem of heavy menstrual bleeding—no menstrual periods at all. This condition called amenorrhea or the absence of menstruation is normal before puberty, after menopause and during pregnancy. If you don't have a monthly period and don't fit into one of these categories, then you need to discuss your condition with the gynaecologist. There are two types of Amenorrhea -
- Primary Amenorrhea - Primary amenorrhea is diagnosed if you turn 16 and haven't menstruated. It's usually caused by some problem in your endocrine system, which regulates your hormones. Sometimes this results from low body weight associated with eating disorders, excessive exercise or medications. This medical condition can be caused by a number of other things, such as a problem with your ovaries or an area of your brain called the hypothalamus or genetic abnormalities. Delayed maturing of your pituitary gland is the most common reason, but you should be checked for any other possible reasons.
- Secondary Amenorrhea - Secondary amenorrheais diagnosed if you had regular periods, but they suddenly stop for three months or longer. It can be caused by problems that affect estrogen levels, including stress, weight loss, exercise or illness.
Dysmenorrhea - Most women have experienced menstrual cramps before or during their period at some point in their lives. For some, it's part of the regular monthly routine. But if your cramps are especially painful and persistent, you may have a condition called dysmenorrhea and should consult the gynaecologist.
Pain from menstrual cramps is caused by uterine contractions, triggered by prostaglandins, hormone-like substances that are produced by the uterine lining cells and circulate in your bloodstream. If you have severe menstrual pain, you might also find you have some diarrhea or an occasional feeling of faintness where you suddenly become pale and sweaty. That's because prostaglandins speed up contractions in your intestines, resulting in diarrhea, and lower your blood pressure by relaxing blood vessels, leading to lightheadedness.
Premenstrual Syndrome (PMS) - PMS is a term commonly used to describe a wide variety of physical and psychological symptoms associated with the menstrual cycle. About 30 to 40 percent of women experience symptoms severe enough to disrupt their lifestyles. PMS symptoms are more severe and disruptive than the typical mild premenstrual symptoms that as many as 75 percent of all women experience. PMS appears to be caused by rising and falling levels of the hormones estrogen and progesterone, which may influence brain chemicals, including serotonin, a substance that has a strong affect on mood. It's not clear why some women develop PMS or PMDD and others do not, but researchers suspect that some women are more sensitive than others to changes in hormone levels. PMS differs from other menstrual cycle symptoms because symptoms:
- tend to increase in severity as the cycle progresses
- are relieved when menstrual flow begins or shortly after
- are present for at least three consecutive menstrual cycles
Premenstrual Dysphonic Disorder (PMDD)- Premenstrual dysphoric disorder is far more severe than the typical PMS. Women who experience PMDD (about 3 to 8 percent of all women) say it significantly interferes with their lives. Experts equate the difference between PMS and PMDD to the difference between a mild tension headache and a migraine. The most common symptoms of PMDD are heightened irritability, anxiety and mood swings. Women who have a history of major depression,postpartum depression or mood disorders are at higher risk for PMDD than other women.
Apart from above condition there might be following reasons as well for abnormal periods or menstrual cycle:
Cyst in Ovaries