Menstruation is the time of month when the womb (uterus) sheds its lining and vaginal bleeding occurs. This is known as a menstrual period.
Periods
vary widely from woman to woman. Some periods are punctual, some are
unpredictable. On average, a woman gets her period every 21 to 35 days. A
period usually lasts about three to five days. Irregular periods may require treatment.
What Are Irregular Periods?
- The time between each period starts to change.
- You are losing more or less blood during a period than usual.
- The number of days that your period lasts varies.
There are different names for different types of irregular periods:
- Oligomenorrhea refers to infrequent periods. The time between periods is typically 35 days or more. Women with oligomenorrhea have fewer than six to eight periods a year.
- Metrorrhagia refers to irregular but frequent periods.
- Menometrorrhagia refers to longer or heavier periods that are irregular but frequent.
- Amenorrhea refers to an absence of periods for three to six months or longer
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Do Irregular Periods Need Treatment?
Treatment of irregular periods depends on the cause and your desire to have children in the future. Irregular periods can be caused by many different things. Changes in your body's level of the hormones estrogen and progesterone can disrupt the normal pattern of your period. That's why young girls going through puberty and women approaching menopause commonly have irregular periods.Other common causes of irregular periods include: - Having an intrauterine device (IUD)
- Changing birth control pills or using certain medications
- Excessive exercise
- Polycystic ovary disease (PCOS)
- Pregnancy or breastfeeding
- Severe scarring (adhesions) of the lining of the uterus, a condition known as Asherman syndrome
- Stress
- Overactive thyroid or hyperthyroidism
- Thickening of or polyps on the uterine lining
- Uterine fibroids
How Are Irregular Periods Treated?
Usually, no treatment is needed for irregular periods caused by puberty and menopause unless they are excessive or bothersome. It is also normal for your period to stop when you are pregnant.
Treatments for irregular periods due to other causes may include:
- Correcting or treating underlying disease
- Changing your type of birth control
- Lifestyle changes, including weight loss
- Hormone therapy
- Surgery
Menstrual irregularities can be caused by a variety of conditions, including pregnancy, hormonal imbalances, infections, malignancies, diseases, trauma, and certain medications.
Common causes of anovulatory bleeding (absent, infrequent periods, and irregular periods) include:
- Adolescence
- Uncontrolled diabetes
- Eating disorders
- Hyperthyroidism or hypothyroidism
- Hyperprolactinemia (an abnormally high concentration in the blood of prolactin, a protein hormone)
- Medications, such as antiepileptics or antipsychotics
- Perimenopause
- Polycystic ovary syndrome (PCOS)
- Pregnancy
- Structural problems, such as uterine fibroids or polyps
- Bleeding disorders, such as leukemia, platelet disorders, the various factor deficiencies, or von Willebrand disease
- Hypothyroidism
- Advanced liver disease
- Heavy menstrual flow
- Smoking
- Depression
- Never having given birth
- Endometriosis
- Chronic uterine infectio
- Endometriosis
- Endocrine gland-related causes
- Poorly controlled diabetes
- Polycystic ovary syndrome (PCOS)
- Cushing's syndrome
- Thyroid dysfunction
- Primary ovarian insufficiency (POI)
- Late-onset congenital adrenal hyperplasia
- Acquired conditions
- Stress-related hypothalamic dysfunction
- Medications
- Exercise-induced amenorrhea
- Eating disorders (both anorexia and bulimia)
- Tumors
- Ovarian
- Adrenal
- Prolactinomas
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