What is Menstrual Irregularity? Many women ask this question at least one time in their lifes. First of all, we need to define what menstrual cycle is. Definition of menstrual cycle is the monthly cycle of changes in the ovaries and the lining of the uterus starting with the preparation of an egg for fertilization. Although the average cycle is 28 days, it is normal to have a cycle that is shorter or longer. The majority of women have their period on average 11 and 13 times in the year. All values that are close to these numbers are considered normal. However, in some cases, the proportion of women’s menstruation is changing, and even if menstruation happens, this process is decreasing or increasing.
Menstrual periods are more irregular in people who begin to have menstruation for the first time. However, after 3-4 months, cycles should be more regular. If it does not, there is a problem with menstruation. In order to have a regular cycle, hormones should be balanced and hormone levels should be normal. For this and such cases, the initial consultation before treatment is the most important part. Menstrual irregularities may occur for different reasons. If a woman, especially after the age of 40, doesn’t have menstrual period for 12 months, it means that she has reached menopause. In these kind of situations, a detailed follow-up for period dates will be important.
Causes of Irregularities
Periods can be irregular due to a wide range of problems. In order to maintain good a reproductive health, women who have menstrual irregularities should visit a gynecologist or fertility specialist. After a complete checkup, doctors will determine the reasons of irregularities and apply the best treatment.
So what are the reasons for menstrual disorder?
Stress is the biggest factor that causes many different issues and prevents menstruation. Inability to do the habits, inevitable changes in daily routines, social pressure, job change etc. These all can make women feel under pressure. Even your body can feel this pressure and you may lose or gain weight irregularly. As a result, they may lead irregular period.
There are many different methods of birth control. Birth control pills are one of these methods that include hormones such as estrogen and progestin. These pills stop ovulation and prevent pregnancy. In addition, it affects cervical mucus so sperms can’t go easily through cervix. Using these pills for a long time or stop taking them suddenly may cause irregularities in menstrual period. In some cases having a normal period again may take 5-6 months and it may be too early for any treatment. If the time take longer, it shall be a good idea to visit a fertility specialist.
Endometriosis is another reason of menstrual irregularity. In endometriosis, endometrial tissue that normally lines the inside of the womb also grows outside of it. This may cause irregularities and even worse. This condition may prevents menstrual activity, if it is not treated.
Ovarian insufficiency is another factor that causes menstrual irregularity. Ovaries can’t fulfill their duty and it’s mostly observed in women under the age of 40. The lack of ovaries, or the inability to perform their duties in an inadequate way, is another possibility that the menstruation is irregular. This ovarian deficiency, which is mostly genetic, arises after treatments such as chemotherapy in some cases. Ovarian insufficiency may also occur in processes where women exposed to radiation.
Diabetes patients may have irregular periods. People with uterine cancer are likely to have no menstruation. Frequent use of blood thinners prevents the menstrual period. The steroids which have been used for the development of muscles may affect periods negatively. The antidepressants that have been frequently used negatively affect the menstrual period during use of it. In these kind of situations, doctors should give advice to patients which medications are harmful for their body.