Menstruation, menstrual cycle, abnormal uterine bleeding. The problem may be not menstruate at all to severe and prolonged menstruation. Pdf classification of menstrual bleeding disorders researchgate. The duration and severity of menstrual bleeding varies. Perceptions of menstrual flow vary, because all women have different experience and ideas. Dysfunctional uterine bleeding dub is defined as abnormal uterine bleeding in the absence of organic disease.
Pattern of menstrual irregularities amongst women presenting to. This is not considered to be cancer because, although it can spread, it does not usually invade other organs. In some cases, bleeding may be so severe that daily activities are disrupted. Abnormal uterine bleeding disorder is of three types heavy menstrual bleeding, no menstrual bleeding amenorrhea and bleeding between the two periods metrorrhagia. Premature or delayed menarche should be investigated ie before 8 years or after 15 years. Women can have various problems with periods menstruation them. Menstruation is the technical term for getting your period. The menstrual cycle is a highly regulated, physiological process that makes conception and pregnancy possible. Description typically, a woman of childbearing age should menstruate every 28 days or so unless she is pregnant or moving. There are a number of different menstrual disorders. The absence of a period for 90 days or more is considered abnormal unless a woman is pregnant, breastfeeding, or going through menopause which generally occurs for women between ages 45 and 55.
The relationships of different types of symptoms and signs of abnormal uterine bleeding using. This collection features afp content on menstrual conditions and related issues, including abnormal uterine bleeding, amenorrhea, dysmenorrhea, endometrial ablation, endometriosis, heavy menstrual. Cycles are abnormal if they are longer than 8 to 10 days in duration or if more than 80 ml of blood loss occurs, particularly after the first 2 years from the onset of menarche. If there is an abnormal variation in the length of the menstrual. Amenorrhea is a condition in which a womans periods have stopped completely. See the separate puberty and abnormal puberty, delayed puberty and precocious puberty articles for more information.
Prevalence and pattern of menstrual disorders among. Pdf menstrual disorders in adolescents researchgate. Many women suffer from various menstrual disorders. Their periods come like clockwork, starting and stopping at nearly the same time every. In our study the results showed that a high percentage of student nurses suffered from different kind of menstrual disorders. As a result, in ovulatory dysfunctional uterine bleeding, treatment with prostaglandin synthetase inhibitors are more effective than hormonal treatment. If you have a heavy, prolonged, or irregular menstrual period, its known as menorrhagia. Menorrhagia is the most common type of abnormal uterine bleeding and is characterized by heavy and prolonged menstrual bleeding. Your menstrual period as well as your menstrual cycle begins on the first day you see bright red blood. Menstrual disorders definition of menstrual disorders by. Introduction to menstrual abnormalities gynecology and obstetrics.
Menstruation continued most of the fluid is lost during the first and second day. The only subtle difference is for type 3 myomas, where contact with the endometrium is a feature shared by other submucous leiomyomas types 0, 1, and 2, whereas intramural location, without focal distortion of the endometrial cavity, is a characteristic of types 4 and higher. Primary amenorrhoea occurs when menstruation is still absent at a age when a girl should be menstruating. As mentioned above, the average amount of bleeding loss is 30 ml and more than 80 ml is considered abnormal. Prevalence of menstrual problems and their association with. Guru nanak openly chides those who attribute pollution to women because of menstruation and asserts that pollution lies in the heart and mind of the person and not in the cosmic process of birth 9. The average duration of menstruation is 46 days, but the normal range can be 2 8 days. Menstrual disorders american academy of pediatrics. In adolescents, disorders of menstruation may present as abnormal uterine bleeding aub. Types of menstrual disorders if one or more of the symptoms you experience before or during your period causes a problem, you may have a menstrual cycle disorder.
Objectives understand hormonal changes in menstrual cycle understand ovarian changes in menstrual cycle understand endometrial changes in menstrual cycle identify, diagnose and treat some abnormalities of menstruation. Encounter for examination of eyes and vision following failed vision screening with abnormal findings. Pdf there exists a spectrum of potential causes of abnormal uterine. It usually presents as heavy menstrual bleeding menorrhagia. This happens because the lining of the uterus has prepared itself for a possible pregnancy by becoming thicker and richer in blood vessels.
Menstrual disorders are a disruptive physical andor emotional symptoms just before and during menstruation, including heavy bleeding, missed periods and unmanageable mood swings. Abnormal periods heavy or prolonged bleeding irregular menstrual cycle more than 3 months between periods under 35 and trying for more than 1 year to get pregnant age 35 to 39 and trying for 6 months or longer to get pregnant age 40 or older and trying for 3 months to get pregnant if you are trying to conceive, consult with a fertility specialist. The menstrual cycle and menstrual cycle abnormalities. Even the smallest changes in hormone levels can result in menstrual cycle abnormalities. Broadly understood, this term includes absence of bleeding, irregular bleeding, abnormally heavy bleeding, and bleeding in between periods. Your doctor will go over your blood test results with you to diagnose the problem. Types of menstrual disorders causes of different types. The diagnosis of dub can only be made once all other causes of abnormal or heavy uterine bleeding have been excluded. If a young girls peers are all menstruating and she is not, she should be examined. Abnormal menstruation periods prevention cleveland clinic. Irregular or absent menses and nonmenstrual vaginal bleeding have many causes, but in women of reproductive age, pregnancy should always be suspected.
Abnormal vaginal bleeding 93 of the menstrual periods, cramping, midcycle pain, number of pads utilized on a daily basis, as well as a sexual history. A health guide for women national cancer institute. Some women usually younger women are diagnosed with a borderline ovarian tumour. Normal menstrual loss is about 35ml per day for 45 days per 2530 day cycle. Over the history of medicine, there has been a wide range of poorly defined terminology used to describe aub symptoms and etiologies. Menstrual disorders such as amenorrhea, abnormal excessive uterine bleeding, dysmenorrhea, and premenstrual syndrome are particularly common in adolescent girls. Howeve r, there are rare hormonal conditions that cause abnormal uterine bleeding in ovulatory cycles. There are various types of menstrual disorders, including dysmenorrhea. Abnormal uterine bleeding aub in nonpregnant reproductiveage women is a common gynecologic symptom. Understanding your menstrual cycle if youre trying to. Treatment for thyroid problems depend on the type of thyroid condition being treated. Polycystic ovary syndrome can cause some of the same symptoms as menstrual abnormalities. About once a month, females who have gone through puberty will experience menstrual bleeding.
Some iron is lost from the blood due to hemorrhage, menstruation, etc. The two figo systems for normal and abnormal uterine. An additional category, type 8, is reserved for leiomyomas that do not. Despite the sexual history given by young adolescents, a pregnancy test is required to rule out pregnancy. Other types of this condition, also called dysfunctional uterine bleeding, may include. An additional category, type 8, is reserved for leiomyomas that do not relate to the. The onset of the first menstruation varies in different populations but should be present in most populations at the age of sixteen. For most women, a normal menstrual cycle ranges from 21 to 35 days. Menorrhagia is the most common type of abnormal uterine bleeding and is characterized. Getting the support you need 24 breast conditions and followup care.
Abnormal bleeding abnormal vaginal bleeding excluding menses, among others. Menstrual disorders in adolescence oxford academic. Introduction to menstrual abnormalities gynecology and. Detailed menstrual history included age of menarche, type of menstrual. Thyroid blood tests are used to diagnose problems with the thyroid, for example, hypothyroidism, hyperthyroidism, graves disease, and thyroid cancer. Examples of abnormal menstruation include the following. From the start of menstruation to its cessation, monthly menstrual bleeding menses is regulated by hypothalamic and pituitary hormones. Abnormal uterine bleeding is the most common cause of abnormal bleeding in adolescents, but it is a diagnosis of exclusion, and the differential diagnosis also should include pregnancy including complications such as ectopic pregnancy and miscarriage, bleeding disorders, pelvic infection, and endocrinopathies such as pcos and thyroid disease. Some women get through their monthly periods easily with few or no concerns. Menstruation and menstrual disorders asomma kubire 2. Eunice kennedy shriver national institute of child health and human development. Prevalence of different premenstrual symptoms in 738 female students. Spanish pdf icon pdf 3 mb, 8 pages, print only external icon doctor visit preparation questions external icon this tool can be used prior to a healthcare visit to help women think of questions that may be helpful when talking to their provider about symptoms, diagnosis, and a treatment plan. Definition a menstrual disorder is a physical or emotional problem that interferes with the normal menstrual cycle, causing pain, unusually heavy or light bleeding, delayed menarche, or missed periods.
Around the ages of 45 to 55, women usually no longer have periods. Menstruation or your menstrual period is the regular shedding of the uterine lining about 14 days after ovulation if pregnancy did not happen. Considerations about acupuncture treatment during menstruation. Menstruation period, menstrual cycle is a process that a woman goes through each month.
Pelvic congestion syndrome, a common cause of chronic. The physical examination should include a complete set. Rather, menstruation is regarded as an essential and natural process 8. What is a heavy period to one woman can seem normal for another woman. The average age of menarche is years but it can be as early as 8 years and as late as 16 years and still be normal. It is equally important for clinicians to have an understanding of bleeding patterns in girls and adolescents, the ability to differentiate between normal and abnormal menstruation, and the skill to know how to evaluate young patients conditions appropriately. A period generally lasts between 4 and 5 days, but could range between 2 and 8 days. The table on the opposite page lists the three most common types.
Posted by unknown saturday, august 11, 2012 3 comments. If pregnancy does not occur, this thickened lining. A normal menstrual period for you may be different from whats normal for. A dispute about whether women are suitable to receive acupuncture treatment in the period of menstruation has existed for many years.
864 909 1075 961 1075 139 426 687 2 623 1173 5 1056 1404 364 1288 823 1227 1119 877 898 1326 280 504 783 1383 899 1429 469 1136 30 1126 517