Dr. Shalini Kapoor Kad
Feb. 2, 2011
A homoeopathic paediatrician, a counselling expert and a freelance writer are a few words to describe my profession. My sole aim is to put forth practical piece of information that guides every one right in the direction, blending the medicos to a layman with a simple gesture to make the medical things a little less convoluted and comprehendible.
Menstrual disorders are a common problem with many women. The reason for its occurrence can be different and varies from women to women, but every girl has to face this disorder one time or the other in her life. Menstruation in girls start very early at the age of 12 to 13 years in warm tropical countries while it starts at the age of 14 or 15 in colder regions. This difference in occurrence due to age factor is owing to the climatic conditions. Similarly many times menstrual disorders too can be differentiated based on weather changes. Genetics also play an important role in this problem.
The normal menstruation ends around 51 years and the symptoms of menopause starts in the early forties. The cycle is usually from 4 to 8 days depending upon the health of the woman. Ideally, menstruation should come anytime after 28 days and before 35 days from the last cycle. Disorders arise when either this cycle gets extended or comes too early or takes more days to complete. The problem is accompanied by pain in abdomen, back, hips, waist and thighs and lower limbs. General pain is a common symptom of menstruation. But if it exceeds normal bearing limit then treatment is certainly needed.
Some of the regular menstrual disorders are:
- Dysmenorrhea is a regular menstrual disorder. It causes painful cramps in legs during menstruation. This is called primary dysmenorrhea. If the pain still persists after menstruation then it can be secondary dysmenorrhea which is caused by endometriosis or uterine fibroids.
- Heavy or excessive bleeding is a very serious menstrual disorder which often weakens the immunity in women.
- Primary and secondary amenorrheas are two menstrual disorders related to absence of menstruation. In the primary amenorrhea, the menstruation in a girl does not start even after she crosses 16 years of age while in the secondary amenorrhea, the cycle stops in between after continuously going on for years together.
- Infrequent or very slight menstruation is also a form of menstrual disorder. Usually it is considered more serious if the cycle does not come even after 3 months.
Common treatments for menstrual problems
- Ibuprofen or naproxen which is anti- inflammatory or Nonsteroidal is generally prescribed for cramps in legs during menstruation. Acetaminophen is also used for treatment in such conditions.
- LNG-IUS (Mirena), a progesterone intrauterine device is used for the treatment of heavy bleeding condition. Oral contraceptives too have been found to be useful in the treatment of such excessive bleeding menstrual disorder.
- Even after using Mirena, if heavy bleeding still persists then Gonadotropin-releasing hormone (GnRH) agonists are used to check the flow.
- When the problem can’t be treated with mere medicine surgery is advised. Endometrial ablation is a general surgery advised when menstrual disorders are simply incurable. Hysterectomy too is an option used in many cases.
So there are various types of menstrual disorders and treatments for curing it. But in any case, proper hygiene and cleanliness should always be maintained. Moreover, in the wake of increase in the amount of uterus cancer it’s always better to take precautions and treat the disorder at early stage.