Menstrual Disorders(including Painful Periods)
Most women have four to seven-day menstrual cycles. A woman's menstruation generally comes every 28 days, although regular menstrual cycles can last anywhere from 21 to 35 days.
Menstrual issues might include the following:
- Periods fewer than 21 days apart or more than 35 days away
- Missing more than three periods in a row
- Much heavier or lighter menstrual flow than normal
- Longer-than-seven-day periods
- Periods marked by soreness, stiffness, and queasy feeling
- Straining or bleeding that occurs between cycles, after menopause, or after intercourse
The following are some examples of irregular menstruation:
- Amenorrhea is a condition in which a woman's menstrual cycles have halted. Unless a woman is pregnant, nursing, or going through menopause, missing her period for 90 days or more is considered odd (unless for women between ages 45 and 55). Amenorrhea affects young women who haven't begun menstruation by the age of 15 or 16, or within three years of their breasts formation.
- Oligomenorrhea refers to irregular menstrual cycles.
- Dysmenorrhea is a condition that causes painful periods and severe menstrual cramps. Most women experience some discomfort during their period.
- Abnormal uterine bleeding can refer to several abnormalities. It includes a heavier menstrual flow; a period that lasts more than seven days; or bleeding or spotting between cycles, after intercourse, or after menopause.
Abnormal periods can be caused by a variety of factors, ranging from stress to more serious medical conditions:
- Lifestyle Factors – Dieting, changes in exercise habits, travel, sickness, or other interruptions in a woman's daily routine can affect her menstrual cycle.
- Contraception Pills – Most birth control tablets include a mix of the hormones estrogen and progestin (some contain progestin alone). The drugs prevent pregnancy by preventing the release of eggs from the ovaries. Menstruation can be affected by these tablets. For up to six months after childbirth, some women experience irregular or missing periods.
- Fibroids or uterine polyps – Small, noncancerous growths in the uterine lining are known as uterine polyps. Uterine fibroids are tumors that grow on the uterine wall. Although these tumors are typically harmless, they can cause excessive bleeding and discomfort during periods. Large fibroids may exert strain on the bladder or rectum, producing inflammation.
- Endometriosis – Endometriosis is a condition in which endometrial tissue grows outside of the uterus.
- Pelvic inflammatory disease (PID) – It is a bacterial illness that damages the female reproductive system.
- Polycystic ovarian syndrome (PCOS) – It is a hormonal imbalance that disrupts normal reproductive processes in women.
- Ovarian insufficiency – This disease affects women under the age of 40 whose ovaries aren't functioning correctly. Similar to menopause, the menstrual cycle comes to an end.
Our experts will inquire about your menstrual cycle as well as your medical history. He will do a physical examination, including a pelvic exam and, in some instances, a Pap test. Specific tests, such as the ones listed below, can also be ordered by our doctors:
- Blood test to rule out anemia and other medical conditions
- Vaginal cultures to search for infections
- A pelvic ultrasound exam to detect uterine fibroids, polyps, or an ovarian cyst
- Endometrial biopsy by taking a sample of tissue from the uterine lining to detect endometriosis, hormonal disequilibrium, or cancer cells