There are various types of menstrual disorders. Thiscan be range from heavy and painful periods to no period at all. There were so many variations in the menstrual patterns, but in general a woman needs to be concerned when the periods come fewer 21 days before or more than 3 months apart, or if they are lasting for more than 10 days. This kind of events will indicate the ovulation problems or other kind of medical conditions.

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MENSTRUAL DISORDERS INCLUDE:

Painful Cramps (Dysmenorrhea) During Menstruation:

Primary dysmenorrhea was caused by menstruation itself. Secondary dysmenorrhea is triggered by other condition, such as endometriosis or uterine fibroids.

Heavy Bleeding (Menorrhagia):

Heavy bleeding which include prolonged menstrual periods or excessive bleeding.

Absence of Menstruation (Amenorrhea):

Primary amenorrhea is been considered when a girl does not begin to menstruate at the age of 16. Secondary amenorrhea may occur, when the periods which are previously regular stop for at least 3 months.

Light or infrequent menstruation (oligomenorrhea):

Refers to the menstrual period which occurs more than 35 days or more. It is generally not a cause for the concern, except if the periods occur more than 3 months apart.
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DIAGNOSIS:

Patient medical history will help the doctor to determine whether her menstrual problem is caused by any other medical conditions. Like non-menstrual conditions that will cause the abdominal pain which includes irritable bowel syndrome, appendicitis, urinary tract infections & ectopic pregnancy. Endometriosis & uterine fibroids can cause heavy bleeding & pain. Doctor will ask questions concerning about:

  • Menstrual cycle patterns – Length of the time in between periods, number of days which the periods last, number of days of the heavy or light bleeding
  • The presence or history of any other medical conditions that are causing the menstrual problems
  • Any family history who are suffered from menstrual problems
  • History of pelvic pain
  • Regular usage of any other medications that includes vitamins & over-the-counter drugs.
  • Diet history, which includes caffeine & alcohol intake
  • Past or present contraceptive use
  • Any recent stressful events
  • Sexual history

TREATMENT FOR MENSTRUAL DISORDERS MAY INCLUDE:

  • MEDICAL TREATMENT: This includes hormonal therapies, such as birth control pills.
  • SURGICAL TREATMENT: Menstrual disorders can be caused by endometrial polyps, fibroids, & adnemyosis. Doctor may also recommend for the surgery to treat these type of condition. This will require a vaginal procedure called as hysteroscopy, or a laparoscopic method that includes removal of the fibroids or hysterectomy.
  • INTERVENTIONAL RADIOLOGY PROCEDURES: These include uterine artery embolization & focused ultrasound & can provide an alternative to the surgical treatments.