Symptoms of irregular menstruation

Women may have many diseases due to physiological reasons, and irregular menstruation is a common one. Some women don't care about it, which is a wrong approach. Because menstruation is a physiological phenomenon unique to women, if it is abnormal, it must be a disease. This situation is very harmful, which can be reflected in the symptoms of irregular menstruation.

Symptoms of irregular menstruation

1. Early menstruation Early menstruation refers to a shortened menstrual cycle that is shorter than 21 days and occurs for more than two consecutive cycles. It is a biphasic basal body temperature of ovulatory functional uterine bleeding, a short follicular phase of only 7 to 8 days, or a luteal phase of less than 10 days, or a temperature rise of less than 0.5°C.

2. Delayed menstruation: Menstruation is delayed for more than 7 days, or even 40 to 50 days, and occurs for more than two consecutive menstrual cycles. For those who ovulate, the basal body temperature is biphasic, but the follicular phase is long and the high temperature phase is low; for those who do not ovulate, the basal body temperature is monophasic.

3. Prolonged menstruation: The menstrual cycle is normal, but the menstruation is prolonged, exceeding 7 days or even 2 weeks. Those with inflammation usually have lower abdominal pain, which is aggravated during menstruation. Usually, the amount of leucorrhea is heavy, yellow or yellow-white, thick and smelly. Those with incomplete corpus luteum atrophy also have heavy menstrual flow; those with prolonged endometrial repair still have a small amount of continuous vaginal bleeding after the normal menstrual period.

4. Menstrual disorders include irregular menstruation, early or delayed menstruation, and a cycle that is shorter than 21 days or longer than 35 days.

Clinical manifestations

Menstrual irregularities are characterized by irregularities in the menstrual cycle or amount of bleeding, which may occur in the following situations:

① Irregular uterine bleeding. Including: excessive menstruation or prolonged duration. Common in uterine fibroids, endometrial polyps, endometrial hyperplasia, endometriosis, etc.; scanty menstruation, less menstrual volume and less menstrual period; frequent menstruation, i.e. menstrual interval less than 25 days; prolonged menstrual cycle, i.e. menstrual interval longer than 35 days; irregular bleeding, which can be caused by various reasons, with no regularity at all. The above situations can be caused by local reasons, endocrine reasons or systemic diseases.

② Functional uterine bleeding. It refers to abnormal uterine bleeding caused by endocrine regulation system disorders without obvious organic lesions in the internal and external genitalia. It is the most common type of menstrual disorder and is common in adolescence and menopause. It is divided into two categories: ovulatory and anovulatory. About 85% of cases are anovulatory functional uterine bleeding.

③ Postmenopausal vaginal bleeding. Refers to bleeding 6 months after menstruation stops, often caused by malignant tumors, inflammation, etc.

④ Amenorrhea. It refers to the absence of menstruation or the cessation of menstrual cycle for more than 3 cycles after the menstrual cycle has been established. The former is primary amenorrhea and the latter is secondary amenorrhea.

Adverse conditions caused by irregular menstruation

Abnormal menstruation or other symptoms may include:

① Dysmenorrhea. Severe pain in the lower abdomen during menstruation affects work and daily life. It can be divided into primary and secondary types.

② Premenstrual syndrome. A small number of women experience a series of abnormal symptoms before menstruation, such as mental tension, emotional instability, lack of concentration, irritability, depression, insomnia, headache, breast pain, etc. It is mostly caused by sex hormone metabolism disorders and mental factors. The treatment is mainly based on proper rest. Sedatives and diuretics can be used when necessary, and anti-estrogen therapy such as progesterone, androgen, bromocriptine, etc. can also be used.

③ Polycystic ovary syndrome. The cause is unknown. It manifests as infrequent menstruation or amenorrhea, infertility, hirsutism, obesity and other symptoms. Both ovaries are polycystic and enlarged. Hormone surgery can be used for treatment.

④ Menopausal syndrome: refers to a series of physical and psychological symptoms caused by fluctuations or reductions in sex hormones in some women before and after menopause, which can be divided into natural menopause and artificial menopause, such as sexual dysfunction and paroxysmal bleeding.

Common menstrual irregularities

1. Those with excessive menstrual flow can use long-acting contraceptives, because contraceptives contain certain hormones that can reduce menstrual flow.

2. For women with heavy menstruation who want to use an intrauterine device for contraception, they should choose an active intrauterine device containing progesterone and other drugs when inserting the contraceptive ring to reduce bleeding.

3. Those with scanty menstruation or frequent amenorrhea should not use contraceptive pills to treat amenorrhea, otherwise it will lead to long-term amenorrhea. Intrauterine contraceptive devices can be placed. Regardless of the type of menstrual abnormality, condoms or vaginal diaphragms can be used.

4. If the menstrual cycle is irregular, short-acting oral contraceptives can make the menstrual cycle regular.

5. Oligomenorrhea: Menstruation occurs more than 40 days apart and the menstrual flow is too little.

6. Frequent menstruation: Menstruation occurs less than 21 days and the menstrual flow is excessive.

7. Irregular menstruation: refers to irregular menstrual cycles and light menstrual flow.

8. Intermenstrual bleeding: refers to a small amount of uterine bleeding between two normal menstrual periods, often accompanied by ovulation and ovulation pain.

4 indicators to measure whether menstruation is normal

cycle

Every woman's cycle is different, ranging from 21 to 35 days is considered normal, the key is whether it is on time. Regular sex (such as once a week) can help you sort out your hormones and greatly help with the regularity of your menstruation.

Health

The amount of blood a woman loses during her menstrual period should be less than 85 grams, which lasts for 3 to 7 days. The heaviest bleeding occurs in the first 3 days (accounting for 90% of the total blood loss).

Blood clots

What are the blood clots during menstruation? The doctor's explanation is: if the menstrual blood is blocked in the same area and not discharged in time, it will form blood clots after 5 to 10 minutes of accumulation. Blood clots usually occur in the morning when you just get up or sit for a long time.

Menstruation no longer comes

If you don't have your period, you should first rule out the possibility of pregnancy. If you are not pregnant, you should review your lifestyle: travel, stress, strenuous exercise, excessive weight loss, and climate change can affect your menstrual cycle. Hormonal and thyroid imbalances can also cause a prolonged menstrual cycle. In addition, having polycystic ovarian cysts or taking progesterone oral contraceptives for a long time can also prolong your menstrual cycle.

Changes in the menstrual cycle of women of different ages

The changes in the menstrual cycle of women aged 20, 30, and 40 are as follows:

20 years old: If dysmenorrhea during adolescence becomes more and more severe with age, it is likely that you have endometritis.

30 years old: Menstruation at this age is the most regular stage in a woman's life. Compared with the dysmenorrhea problem at the age of 20, if in addition to dysmenorrhea, there is also pain during sexual intercourse, it should be noted that women in their 30s are more likely to be troubled by PMS (premenstrual syndrome). They have to spend a few days before each menstruation. Dysmenorrhea and heavy menstrual flow in women in their 30s may be symptoms of endometritis or uterine fibroids.

40 years old: The length of the menstrual cycle begins to change. It is normal to change from a 21-day cycle to a 35-day cycle and then to a 27-day cycle. In addition, the menstrual flow may increase. Irregular bleeding at the age of 40 may be a symptom of uterine polyps. Although the ovaries are no longer as regular as before, and the frequency of ovulation has also decreased, the issue of contraception cannot be ignored. The rate of unplanned pregnancy for women in their 40s is as high as that of teenagers.

Complications of irregular menstruation

There are many causes of irregular menstruation, but the main ones are the six external evils, the seven internal emotions, and changes in diet, daily life, and environment. Its mechanism is related to the dysfunction of the liver, spleen, kidney, Chong and Ren organs, the imbalance of qi, blood, yin and yang, and the physiological characteristics of women with "less blood and more qi". The cause of pigmentation is mainly endocrine disorders, which cause pigmentation to accumulate on the skin. The cause of acne is excessive endocrine secretion, excessive sebum secretion, clogged pores or bacterial infection.

Irregular menstruation causes spots and acne mainly due to the following reasons:

1. Stagnation of liver qi. Any worry and depression will cause liver dysfunction and stagnation of liver qi. The stagnation will turn into heat over time and burn the yin blood, causing disharmony of qi and blood in the face and leading to illness.

2. Deficiency of spleen and dampness of yin. Improper diet, overwork, preference for spicy and greasy food will cause the spleen to lose its healthy function, insufficient source of transformation, and inability of qi and blood to moisten the face. Therefore, the complexion becomes like dust and dirt, withered and dull, and the disease occurs.

3. Kidney deficiency. Excessive sexual intercourse damages kidney essence, kidney yin deficiency, virtual fire inflammation, resulting in skin loss of nourishment, or kidney yang deficiency, yin qi diffusion, and kidney color spreading on the face.

Many women are extremely anxious about their damaged appearance after having spots and acne on their faces. Instead of going to experienced doctors for treatment, they go to beauty salons and stores to buy cosmetics. Some women also think that if they have spots and acne on their faces, they can solve the problem by applying some chemically synthesized cosmetics. This idea is completely wrong. In fact, these spots and acne cannot be solved by those cosmetics because they are the reflection of body diseases, especially the external manifestations of irregular menstruation and some cancers, cirrhosis and other diseases. If not diagnosed and treated early, it will not only affect beauty, but also physical health.