Dr.D.Senthil Kumar.,

Dr.D.Senthil Kumar.,
Consulting Physician & Psycologist

Menstrual Disorder: -


Menstrual Disorder: -

Oligomenorrhoea/ Menorrhagia/ Metrorrhagia/Amenorrhoea:
Irregular, excessive, absent or infrequent menses periods
Oligomenorrhoea:
  • Periods occurring infrequently, with time between periods varying from 35 days to 6 months.
  • It's common for periods to be light and widely spaced when you first start having periods.
  • Periods also become more irregular as you get older and near the menopause.

What if it isn't down to puberty or menopause?
Many women experience widely spaced periods, typically having one or two periods every six months. This may concern you, but it is very unlikely that there is a serious underlying cause.

If you are worried about the frequency of your periods, you should consult via sending mail to consult.ur.dr@gmail.com .

What else can cause irregular periods?
  • The commonest cause of infrequent periods is a condition called polycystic ovaries (PCOS).
  • Women with PCOS have a large number of very small (less than 1cm) cysts on their ovaries and a hormone imbalance. The cysts interfere with regular ovulation and so periods are infrequent.
  • PCOS is a common condition that affects as many as 10 per cent of women.

Menorrhagia:

Definition
At some time in your reproductive life, you've probably experienced heavy bleeding during your menstrual period. If you're like some women, you have heavy periods almost every cycle. Menorrhagia is the medical term for excessive or prolonged menstrual bleeding — and for periods that are both heavy and prolonged. The condition is also known as hypermenorrhea.

The menstrual cycle isn't the same for every woman. Normal menstrual flow occurs every 21 to 35 days lasts four to five days and produces a total blood loss of 30 to 40 mille litters (about 2 to 3 tablespoons). Your period may be regular or irregular, light or heavy, painful or pain-free, long or short and still be considered normal. Menorrhagia refers to losing 80 mille litters or more of blood during your menstrual cycle.

Although heavy menstrual bleeding is a common concern among pre menopausal women, few women experience blood loss severe enough to be defined as Menorrhagia. Treatments and self-care steps may help you.

Symptoms
  • The signs and symptoms of Menorrhagia may include:
  • Menstrual flow that soaks through one or more sanitary pads or tampons every hour for several consecutive hours
  • The need to use double sanitary protection to control your menstrual flow
  • The need to change sanitary protection during the night
  • Menstrual periods lasting longer than seven days
  • Menstrual flow that includes large blood clots
  • Heavy menstrual flow that interferes with your regular lifestyle
  • Constant pain in your lower abdomen during menstrual periods
  • Tiredness, fatigue or shortness of breath (symptoms of anemia)

  • Metrorrhagia: (Bleeding Between Menstrual Periods)
    Bleeding from the uterus between menstrual periods is called metrorrhagia. This is a common problem, especially for teenagers and women nearing menopause.

    Definition:
    If by the age of 16 years menses do not begin than we call it a case of Primary Amenorrhoea and a gynaecologist needs to be consulted.

    Common Causes:
  • Delayed Puberty: Some girls just take little more time to mature and get delayed onset of menses. It may be considered normal if the menses start Upto 18years. Otherwise the body changes start appearing like growth spurt, breast development and genital hair.
  • Sometime very low weight or dietary deficiencies are also responsible for such delay. Just waiting and improvement in general health status helps in starting the menstruation.

  • Amenorrhoea:
  • Amenorrhoea is the absence of a menstrual period.
  • Primary amenorrhoea is when a young woman has not yet had a period by age 16.
  • Secondary amenorrhoea describes someone who used to have a regular period but then it stopped for at least three months (this can include pregnancy).

  • What are the signs of amenorrhoea?
  • The main sign of amenorrhoea is missing a menstrual period.
  • Regular periods are a sign of overall good health. Missing a period may mean that you are pregnant or that something is going wrong. It’s important to tell your health care provider if you miss a period so he or she can begin to find out what is happening in your body.
  • Amenorrhoea itself is not a disease, but is usually a symptom of another condition. Depending on that condition, a woman might experience other symptoms, such as headache, vision changes, hair loss, or excess facial hair.

  • Treatment for amenorrhoea
    For amenorrhoea depends on the underlying cause. Sometimes lifestyle changes can help if weight, stress, or physical activity is causing the amenorrhoea. Other times medications and oral contraceptives can help the problem. For more information, send mail to consult.ur.dr@gmail.com

    In homoeopathic method of treatment we have good effective medicines for these complaint, Homoeopathic medicines have no side effects. A course of treatment is helpful to reduce these problems

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    Wednesday, May 4, 2011

    Menstrual Blood Problems: Color, flow, odor and thickness

    Menstrual blood Color
    The color of the menstrual blood depends on bleeding rate. Slow bleeding results in darker menstrual blood.
    During the first 2 days of the onset of the periods, one may see deep red color blood coming out. Whereas, the color changes to dark brown or even black near the end of the periods. This is absolutely a normal color change that happens when the blood is older and not being expelled from the body quickly. During the first 2 days, the blood comes out rapidly and therefore appears red in color. Whereas, during the 3rd ,4th and 5th day, it changes to dark brown or black color because the blood component loses its oxygenated red hue due to its long stay in the uterus. The color of menstrual blood can vary month to month.
    The amount of blood and fluid lost is usually between 5 and 12 teaspoons each cycle.

    • Narrow cervical opening may cause change in menstrual blood color
    However, if associated with severe cramping, this brown / black blood may be a sign that the cervical opening is too narrow, preventing free flow of menstrual blood. In this case, the blood stays in the uterus for a while, until contractions of the uterus push it out. This calls for a visit with your gynecologist.
    • Endometriosis may cause change in menstrual blood color
    If you are experiencing pain in your pelvis, painful periods and pain during intercourse, you could be suffering from endometriosis. The tissue lining the uterus grows outside of the uterus instead of growing  inside, causing discomfort and a darker discharge during periods.
    • Infection may cause change in menstrual blood color
    Darker menstrual blood can also be a result of an infection or a sexually transmitted disease. If you experience an unusual abdominal tenderness  and fever along with a dark blood discharge with a foul odor you are advice to see a gynecologist.

    Menstrual blood odor:
    • Menstrual blood does not smell bad and is neither dirty. However, it only tends to have an unpleasant odor after it has been in contact with air for a period of time.
    • Sometimes an infection can also cause menstrual blood to look and smell bad. If the smell is hard to be tolerable associated with severe cramping, fever, heavy flow with thicker blood clots, you need to see your gynecologist.

    Thick and heavy menstrual flow:
    • Temporary thick and heavy flow isn’t a cause for concern. However, regular heavy periods call for a trip to the doctor to check your blood counts. Over the time, the excess monthly blood loss leads to anemia, causing weakness or fatigue.
    • Heavy periods may also be due to the presence of fibroids or non-cancerous tumors of the uterus.
    • Heavy or prolonged periods are called dysfunctional uterine bleeding (DUB). DUB includes hormonally-caused bleeding abnormalities or bleeding disorders. These bleeding abnormalities require medical attention.

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