Menstrual Disorder

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Menstrual Disorder & Infertility

The overall prevalence of different menstrual problems was 60.61%, with dysmenorrhea (50.64%) being most common problem.

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Female Infertility Causes

Menstrual Disorder Causes

When the menstrual cycle span abruptly deviates from the normal range (25-35 days), it is known as an irregular period. It is crucial that women are aware of the wide range of cycle length variations and how cycle duration alters with ageing. The traditional 28-day cycle is the most often observed cycle length, but variations from this duration can still be consistent with ovulation and good health. The length of menstruation might vary greatly as well.An irregular menstrual cycle is a defining feature of irregular periods (either missed, delayed, or intermittent).Amenorrhea is the temporary or permanent absence of menstruation. If it occurs before puberty, during pregnancy, when breastfeeding, or during menopause, it might be seen as normal.The absence of menstruation by the age of 16 in the presence of typical secondary sexual characteristics is known as primary amenorrhoea.Secondary amenorrhoea is the cessation of menstruation in a woman a period of six months who had previously experienced regular periods.The term used in medicine to describe painful periods is dysmenorrhoea.Menorrhagia: Increased discharge of the menstrual fluidIntermenstrual bleeding: Unusually heavy bleeding between periods (periods)

    Some of the potential causes of irregular periods include the following:

  • Polycystic Ovary Syndrome (PCOS): The most prevalent endocrine disorder affecting women.
  • Hyperprolactinemia: Women who have high blood levels of prolactin may experience anovulation and irregular menstrual cycles.
  • Hypothyroidism and hyperthyroidism are two thyroid disorders.
  • Diabetes with poor control: Uncontrolled sugar levels may cause irregular periods.
  • Eating disorders: Bulimia or Anorexia may cause missed or irregular menstrual cycles.
  • Stress can cause physical deterioration, such as weight loss and menstruation irregularities.
  • Exercise-related amenorrhea: Athletes who train hard frequently experience menstrual irregularities.
  • Primary ovarian insufficiency: a blood test for serum gonadotrophins, including FSH, LH, and oestrogen levels should be part of a baseline evaluation for all women with irregular

  • Menstrual cycles should be noted in order to specify the precise cycle lengths.
  • A thorough medical history should be obtained, followed by a physical examination.
  • Tests of the blood to determine the hormonal state:
    • Serum follicle-stimulating hormone (FSH)
    • Luteinizing hormone (LH)
    • Estrogen levels
    • Serum Prolactin
    • Thyroid-stimulating hormone (TSH)
  • A blood test should be performed to rule out pregnancy in women who have menstrual cycle cessation while having previously experienced regular periods (serum BhCG).
  • Pelvic ultrasound to rule out pathology in the pelvis, such as an ovarian cyst.
  • Hysteroscopy may be necessary to rule out abnormalities of the uterine cavity, such as adhesions (scar tissue).

  • The necessary course of action will be determined by the findings of the tests and the diagnosis.The main goal for women who want to get pregnant is to get their menstrual periods and ovulation cycles back to normal.
  • Altering one's lifestyle through exercise and a healthy, balanced diet. Having a normal body mass index (BMI) is the goal.
  • The management of any underlying illnesses.
  • Gonadotrophins, clomid, and letrozole are all used to induce ovulation.
  • IVF and ICSIIf you are experiencing irregular menstrual cycles or changes to your cycle, it is crucial to visit your healthcare professional. Your healthcare professional will start the necessary inquiries and create a management strategy unique to your needs.
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