Menstrual disorders are problems related to a woman’s normal menstrual cycle. They are one of the most common reasons women visit their gynaecologists.
Associated symptoms can disrupt a woman’s daily life. They can also affect her ability to become pregnant.
Types of menstrual disorders
There are many types of menstrual disorders, including:
Abnormal uterine bleeding. Excessive or prolonged menstrual bleeding
The absence of menstrual bleeding
Light or infrequent menstruation
Noncancerous uterine tumours
Premenstrual syndrome (PMS). Physical and emotional discomfort prior to menstruation
Premenstrual dysphoric disorder (PMDD). Severe physical and emotional discomfort prior to menstruation
What causes menstrual disorders?
Menstrual disorders can be caused by a variety of factors, including:
Uterine fibroids
Hormonal imbalances
Clotting disorders
Cancer
Sexually transmitted infections (STIs)
Polycystic ovary syndrome (PCOS) – cysts on the ovaries
Genetics
What are the symptoms of menstrual disorders?
Symptoms may include:
Abnormal menstrual bleeding
Pain or cramping
Depression
Headaches
Emotional distress
Bloating or fullness in the abdomen
If your periods come too frequently (fewer than 21 days apart), not often enough (more than three months apart), or last longer than 10 days, talk with your doctor.
How are menstrual disorders diagnosed
Diagnosis starts with a detailed medical history and physical exam, including a pelvic exam and Pap smear.
You may be asked to keep a diary of your menstrual cycles, including dates, amount of flow, pain and any other symptoms.
Additional testing may include:
Blood tests
Hormonal tests
Ultrasound: To detect conditions that may be causing menstrual disorders.
Hysterosonography: An ultrasound using sterile saline to expand the uterine cavity for better imaging.
Magnetic resonance imaging (MRI): For intricate pictures of the uterus and surrounding organs.
Hysteroscopy: An office procedure that uses a small, lighted telescope (hysteroscope) inserted through the vagina and cervix to examine the uterus for fibroids, polyps, or other areas of concern.
Laparoscopy: Look for abnormalities of the reproductive organs using a tiny lighted instrument with a camera on the end (laparoscope) inserted through a small incision in the abdomen.
Endometrial biopsy: An office procedure in which a small sample of the lining of the uterus is removed to examine for abnormal cells.
Dilation and Curettage (D&C): Involves scraping the inside lining of the uterus and cervix to take tissue samples or relieve heavy bleeding.
How are menstrual disorders treated?
Treatment for menstrual disorders will depend on the underlying cause, the woman’s desire to have children, and other factors. Treatment options range from lifestyle changes to medical options to surgery, including:
1. Dietary changes.
Such as reducing salt, caffeine, sugar, and alcohol intake before a woman’s period to reduce cramping and other symptoms.
2. Medical treatment.
Using pain relievers for cramps and hormonal contraceptives to help reduce heavy bleeding and regulate, reduce or even eliminate disordered menstrual periods.
3. Surgical treatment methods
Hysteroscopy, a minimally invasive approach to examine and treat areas of concern inside the uterus
Laparoscopy, using a scope inserted in small incisions in the abdomen
Through traditional abdominal techniques
Surgical procedures include
Endometrial ablation, which destroys the lining of the uterus to stop the bleeding.
Hysterectomy, the surgical removal of the uterus.
Conclusion:
Menstrual disorders are truly nightmares for ladies. However, there are various treatment options available. therefore, it is advisable you consult your doctor early for proper diagnosis and treatment.
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