Today, instead of the usual word "monthly" alloften we hear more fashionable and modern "critical days". But should these days be really critical? A gynecologist - a firm "no"! These days should be as comfortable and easy as everyone else.
What is meant by the concept of "normalmenstrual cycle". This is the period from the beginning (instead of the end, as many erroneously believe) regular bleeding prior to the following, which, depending on the individual characteristics, normally is 21-35 days. Sami periods should not last more than 7 days, to be moderate in terms of lost blood and painless.
Any deviation from these rules (irregular,too heavy, clotted or lean, long, painful menstruation, intermenstrual or "contact" (after sexual intercourse) spotting), regardless of age require a visit to a gynecologist. Properly evaluate your menstrual cycles and to notice any variation in it will help you a menstrual calendar, in which it is desirable not only to celebrate the start date of the next "month", and their abundance, length and soreness. Ideally, the management of such a calendar should be mandatory for any woman.
Irregular rare "monthly" or lack thereofIt may be a reflection of various endocrine pathologies, as the regularity of the cycle not only affects the work of ovarian and other endocrine glands (thyroid, adrenal, pituitary, hypothalamus).
Scarce brief "periods" can alsobe a reflection of endocrine pathology, however, it may be the result of uterine trauma after an abortion or curettage of the uterus.
Frequent, profuse, clotted, or longintermenstrual bleeding may be a manifestation of inflammation, and endometrial pathology. The latter is very diverse: it is and polyps of the uterus, and endometrial hyperplasia (excessive growth of the endometrium), and uterine fibroids, particularly if the myoma node is located in such a way that causes deformation of the uterus, and is dishormonal disease, such as endometriosis (about it we say below). We should not forget about this terrible disease as cancer of the endometrium. Rarely, but the above-mentioned violations of the cycle may be due to problems with blood clotting.
Contacts haemorrhage may occur against a background of inflammation in the erosion or cervical polyps, as well as its cancerous lesion.
Painful "monthly" or dysmenorrhea, mayoccur due to incorrect position of the uterus; at a young age, when observed an imbalance in the production of prostaglandins - substances that affect the occurrence of pain and right uterine muscles during menstruation; in endometriosis.
Endometriosis - a disease in whichnormal endometrium can be located anywhere (in the muscle tissue of the uterus is thicker on the ovaries, tubes, peritoneum, sometimes even in the bladder, lung, rectum). This mucosa is exposed to exactly the same hormonal effects of ovarian and just "menstruating", but in places, is absolutely not suited to that, in addition to heavy, prolonged, painful menstruation, may lead to the development of adhesions, infertility, ovarian cyst formation.
If a girl 15 years old, and she has never been"Monthly", too, is concerned as this may be a manifestation of endocrine diseases or malformations of sexual organs. If the "monthly" were regular and suddenly disappeared, is, of course, think about the pregnancy, but it may be due to endocrine disorders, or imperforate cervix after suffering an abortion or inflammation.
Do not forget that a large variety ofcycle disorders (delay, poor, came not in time, prolonged spotting or bleeding) may occur on the background of a life-threatening disease, ectopic pregnancy; it is, however, possible to interrupt the background or non-viable intrauterine pregnancy.
It also would be desirable to mention sucha common misconception as "pregnancy, which came through the month." Any bleeding from the vagina on the background of pregnancy a woman should not be that often happens at low gestational age, it is one of the signs of the threat of interruption and requires immediate treatment to the gynecologist.
I would like to appeal to all women"Middle-aged": do not rush to write off emerging you cycle disorders at menopause, they can also be a manifestation of endocrine or endometrial pathology that is often first manifests itself is in the transition to adulthood. Especially should begin to worry to women who have a background in the "menopause" in a year or more from the time the last "monthly" suddenly appear any bleeding from the genital tract.
As you can see, dear women, the biga variety of menstrual disorders hides an even greater variety of gynecological pathologies, therefore, regardless of your own assumptions, still provide the right diagnosis of a specialist gynecologist. And let your life will be more happy days!