Menstrual Disorders
Menstrual disorders are
problems that affect a woman's normal menstrual cycle. They include painful
cramps during menstruation, abnormally heavy bleeding, or not having any
bleeding.
Menstruation occurs
during the years between puberty and menopause. Menstruation, also called
"menses" or a "period," is the monthly flow of blood from
the uterus through the cervix and out through the vagina.
Menstrual disorders are
common in adolescent girls. Periods can be irregular, heavy and/or painful,
especially in the first few years following menarche. Serious pathology is
rare; however, menstrual dysfunction can have a significant effect on daily
activities and result in school absence. There are many treatment options which
are safe to use in adolescents, although the evidence for their use is
extrapolated from adult data. Many women suffer from menstrual disorders at
some point in their lives. The average woman has between 11 and 13 periods a
year, and during this time, she may experience bloating, cramps, and heavy
bleeding. Although period disorders can be painful and uncomfortable, there are
ways to relieve some of the symptoms.
The onset of
menstruation is governed by a girl's general health condition, genetic,
socioeconomic and nutritional factors, and is coordinated by the actions of the
hypothalamic-pituitary ovarian axis.
Types
of Menstrual Disorders
The various menstrual
cycle disorders that can occur throughout a woman's reproductive life include:
Menorrhagia
Menorrhagia, or heavy
periods, affects one in five women. Bleeding is considered heavy if it
interferes with your day-to-day-life. In general, a total blood loss during a
monthly menses should not surmount about five tablespoons (73 mL or 2.5 oz.).
Anything above 80 mL (2.7 oz.) is considered menorrhagia.
Amenorrhea
Amenorrhea, or absence
of periods, is separated into primary and secondary. Primary amenorrhea is when
a woman has not menstruated by the age of 16 due to an underlying health
condition; whereas, secondary menorrhea is diagnosed when periods have stopped
for three months or longer.
Irregular
menstrual bleeding
Irregular menstrual
bleeding varies from woman to woman. Generally, it is characterized as bleeding
between periods. This includes spotting. Women should keep in mind that outside
of their menses, it is usually not considered normal to have a full-blown
period bleed.
Dysmenorrhea
This is the scientific
name for painful periods due to intense cramps. Although almost all women have
suffered from a painful period at some point, dysmenorrhea can be severe enough
to hinder normal activities. Diarrhea and dizziness are symptomatic of this
menstrual disorder.
Premenstrual
syndrome (PMS)
PMS includes a variety
of physical and psychological symptoms, which begin about a week before your
expected period and end soon after the start of menses. Common symptoms include
depressive states, bloating, headaches, breast tenderness, and fatigue.
Premenstrual
dysphoric disorder (PMDD)
PMDD is more severe
than PMS. While it is true that symptoms between the both menstrual disorders
overlap, those who suffer from PMDD claim it significantly interferes with
their lives. Most common PMDD symptoms include extreme anxiety, mood swings,
and irritability.
Preventions:
1. Try
to maintain a healthy lifestyle by exercising moderately and eating nutritious
food. If you need to lose weight, do so gradually rather than using diets that
drastically limit your calorie and food intake.
2. Make
sure you get enough rest.
3. Practice
relaxation and stress reduction techniques.
4. If
you are an athlete, you need to cut back on long or strenuous exercise
routines. Excessive physical activity can result in irregular periods.
5. Use
birth control pills or other contraceptives as directed.
6. Change
your tampons or sanitary napkin approximately every four to six hours to
prevent.
7. Toxic
shock syndrome and infections.
8. See
a doctor for regular checkups.
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