Irregular periods? Gynaecologist shares warning signs beyond hormonal changes

Have you ever experienced an unexpected change in your menstrual cycle? you are not alone! According to the International Journal of Clinical Obstetrics and Gynecology, approximately 50 women of all ages, between the ages of 15 and 55, visit the Gynecology Outpatient Department (OPDS) each week to share stories of irregular bleeding. It is important to resolve the causes behind these disorders for treatment and to protect reproductive health. Various age groups affected by menstrual irregularities have warning signs that may indicate problems that increase beyond simple hormonal fluctuations.

What is irregular bleeding?

“Irregular bleeding refers to variations in the menstrual cycle, including changes in timing, flow, or duration of periods. Some variations are normal, especially during the adolescent or menopause approach, but persistent irregularities ensure investigation.” Gynecologist doctor Mansi Medical of Liravati Hospital. As reported in the journal, the causes and meaning of irregular bleeding vary widely across different age groups. Cure people.

1. Irregular bleeding in adolescents (ages 12-18)
   For many girls, menstruation begins around the age of 11 or 12. However, hormone levels and reproductive structures usually develop completely at only 15 or 16.

Important considerations for this age group include:

• Normal variations: Irregular menstrual cycles leading to bright flows are common until age 16. If these irregularities involve surprising symptoms such as weight gain, fatigue, and excessive pain, further investigation may not be necessary.
• Lifestyle Factors: Maintaining a healthy lifestyle, including a balanced diet, adequate sleep and regular physical activity is important to supporting a healthy reproductive system. Journal of Nepal Medical Association.
• Doctor’s consultation: If irregular periods persist or other symptoms develop, your gynecologist may perform a hormonal or ultrasound for a more detailed diagnosis.

2. Irregular bleeding in the reproductive age group (ages 18-45)

During the year of reproduction, irregular menstrual cycles are common and can be caused by a variety of factors. Dr. Mansi Medhekar shares the common causes of irregular periods.

• Hormonal problems: Conditions such as polycystic ovarian syndrome (PCOS), thyroid disorders, and irregular use of oral contraceptives can disrupt the hormonal balance.
• Ovarian Cyst: Conditions such as cutaneous cysts and bladder tumors can cause irregularities and may require surgical intervention.
• Changes after pregnancy: Irregularity can occur, whether due to birth from an abortion, three to six months after pregnancy. Usually, if no retained products are present, these are self-limiting. Journal of Clinical Obstetrics and Gynecology.
• obesity: Poor lifestyle choices can lead to weight gain, which can lead to overlooked or causing heavy bleeding. We recommend lifestyle modifications and structured diets. Sometimes, people who struggle to lose weight may also need medicine. National Institute of Diabetes and Gastrointestinal and Kidney Diseases.
• Uterine fibroids and polyps: Benign growth of the uterus can lead to severe or painful bleeding. These can often be diagnosed via ultrasound.
• Cervical Erosion: This condition can cause sporadic bleeding and outpatient treatment such as uterisation may be required.
• Lifestyle Impact: Night shifts, women with poor sleep patterns, or women who drink excessively can also experience irregularities. Frontiers of human neuroscience.

3. Irregular bleeding during the perimenopausal period (ages 45-55)

The stages of menopause that occur between 45 and 55 years are Mature journal:

• Hormonal imbalance: This age group also experiences hormonal fluctuations, resulting in an irregular cycle similar to that observed in adolescents.
• Health considerations: “Women in this category can also face local causes of irregular menstruation, such as fibroids and polyps. Conditions like uncontrolled diabetes, thyroid problems, or hypertension can exacerbate these symptoms,” says Dr. Medhekar.
• management: Lifestyle changes remain important, along with the potential needs of micronutrients and multivitamins. World Health Organization. Although it can often be managed with short-term medications, surgical intervention may be required.

Warning signs to monitor for irregular periods

Irregular periods can be a sign of more serious health problems. Dr. Mansi Medhekar shares warning signs to consider.

• Severe bleeding: Soaking pads or tampons every few hours for an hour may require immediate caution.
• Persistent pain: Severe abdominal or pelvic pain associated with irregular bleeding can indicate underlying conditions.
• Changes in the cycle after age 40: If the cycle suddenly becomes irregular after years of regularity, it may be a sign that an assessment is necessary.
• Changes in weight of unknown cause: Significant weight gain or loss can affect your menstrual cycle and should not be overlooked.
• Other symptoms: If symptoms such as excessive fatigue, mood swings, or hair growth of unknown cause, we recommend consulting with your doctor.

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