Unusual menstruation

Also known as menstruation without ovulation or vaginal bleeding in addition to normal menstrual cycles controlled by hormones. This happens in alternating or severe episodes that are alternating, sometimes only in underwear or cycles that show longer or shorter.

(Photo: pbs)

The monthly menstrual cycle is usually produced from the endometrial layer that peels off with monthly uterine growth blood to prepare for pregnancy (if any).

If ovulation does not occur, the menstrual cycle is more and more late, making this endothelium thicker and that is why the lateness of the menstrual period often has a bit of blood.

Milder menstrual bleeding is sometimes just a common mid-cycle stigma that may be due to an inability of the endothelium, peeling off, and also because the amount of hormones is not enough to support or because the layer is too thick. .

Other factors that can alter this bleeding pattern include:

- Some endocrine abnormalities.

- Due to the influence of some pharmaceuticals.

- Excessive exercise or weight loss.

- Stress or illness.

- Began menstruation at a young age.

- Menopause: Unusual bleeding in the last months of menstruation.

Diagnosis symptoms

This uneven blood test occurs from time to time, progressing from month to month, lasting for a long time or even for people. Less or more blood with a blood clot. Many tests can be done to eliminate some of the causes of abnormal blood.

Pregnancy: Urine and blood tests.

Thyroid hormone or prolactine: Blood test.

Menopause is seen in women in their 40s or 50s: Blood tests to determine a drop in estrogen levels.

Abnormalities in the uterus, ovaries: With vaginal ultrasound, the endometrial thickness can be measured.

It is possible that cancer in women over 35 or people with breast, ovarian, large intestine cancer or in families with many cancers of these types or people who have no menstruation for more than 6 months.

Endometrial biopsy can also be performed in the clinic using a speculum to look at the cervical condition.

Most women have irregular periods at any time or the blood output at some time during the regular menstrual cycle is most likely because the cycle does not ovulate.

Some women will have their menstrual cycles return to the method of birth control.

If this irregular cycle is a sign of menopause age: This usually does not last for only a few months.

Treatments

If this cause of bleeding is due to another medical factor, treating that condition will return the menstrual cycle.

Contraceptives are usually a combination of two hormones estrogen and progesterone that can regulate and reduce bleeding. It is recommended that long-term use of tablets containing progesterone alone.

More serious bleeding can still be stopped by high doses of hormones that may be estrogen or progesterone. If the bleeding is worse, hospitalization is required.

If hormone therapy is still not effective, cervical dilatation and uterine curettage must be used.

If a biopsy finds endometrial proliferation requiring treatment, especially for older or postmenopausal women while taking alternative hormones, endogenous growth will increase the risk of endometrial cancer. .

When to handle, emergency

When there is fever, dizziness or fainting of abdominal pain or heavy bleeding.

The irregular menstrual cycle is prolonged, but is mild but it is also necessary to inform the doctor.

There are many effective treatments to keep the menstrual cycle in check or control the signs of abnormal bleeding. If you feel that menstrual irregularity makes it difficult for you to conceive, treatment will help to get pregnant again by stimulating ovulation. This irregular period does not necessarily mean that you will be infertile, so you still have to prevent pregnancy if your sex life is still good.