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General Practice 2023

10 causes of menstruationç&irregular activity and what to do

10 causes of menstruationç&irregular activity and what to do
10 causes of menstruationç&irregular activity and what to do

Irregular menstruation is characterized by menstrual cycles that do not follow a similar rhythm every month, making it difficult to identify the fertile period and the best time to get pregnant. Irregular menstruation is more common at the beginning or end of reproductive life due to the hormonal changes common during these periods.

In addition, irregular menstruation can also occur as a result of eating disorders, stress, excessive physical activity, gynecological diseases or changes in hormone production.

So, if changes are noticed in the menstrual cycle, what you should do is make an appointment with the gynecologist for an evaluation and exams to help identify the cause of irregular menstruation and, thus, possible to initiate the most appropriate treatment.Know the main exams recommended by the gynecologist.

Some of the main causes of irregular menstruation are:

1. Beginning or end of reproductive life

Both at the beginning and at the end of the reproductive life, it is possible that menstruation becomes more irregular, because in these periods the hormonal variations are greater, directly interfering with the menstrual cycle and flow.

What to do: In both situations it is important that the gynecologist is consulted, however when irregular menstruation occurs at the beginning of the reproductive life it is normally only recommended that the adolescent observe the flow and period during which the cycle takes place in order to assess whether there is regularization over time, indicating to the gynecologist any changes that may have occurred.

On the other hand, at the end of reproductive life, which corresponds to the pre-menopause and menopause period, the gynecologist may indicate the performance of hormone replacement therapy, as it is common for other symptoms related to hormonal variation.Here's what to do to relieve menopausal symptoms.

2. Changes in the contraceptive pill

The use of the contraceptive pill is a practical way to make menstruation regular, as it leaves hormone levels stable and according to the use of the pills. When changing the type of contraceptive, the dose or when using it irregularly, there can be variations in hormone levels, which interfere with the descent of menstruation. Understand how it works and how to take the pill correctly.

In addition, when you stop using the contraceptive pill, menstruation is regulated by the production of hormones in the ovaries, which can vary from woman to woman, and the cycle may not be exactly as it was when using the pill.

What to do: As this is a normal situation, it is not necessary to carry out any treatment, it is only advisable to wait for the body to adapt to the new contraceptive. However, if other symptoms appear after changing the contraceptive, it is important to consult the gynecologist so that its use can be reassessed.

3. Use of hormonal contraceptives

The use of hormonal contraceptives, such as the contraceptive pill or IUD, for example, can make menstruation irregular, especially in the first few months after starting use, because the body needs time to adapt to hormonal variations caused by these contraceptives.

What to do: Irregular menstruation due to the use of hormonal contraceptives is considered normal, however if other symptoms such as absence of menstruation or intense cramps, for example, it is It is important to consult the gynecologist so that the contraceptive method can be reassessed, and measures to relieve symptoms are indicated.

4. Pregnancy and breastfeeding

Pregnancy is one of the main causes of change in menstruation, explained by hormonal changes that are intense in this period, with the aim of generating the baby. After childbirth, during breastfeeding, the irregularity of menstruation persists, as hormones are also produced, such as prolactin, which inhibits the functioning of the ovaries and hinders the woman's fertility.

What to do: As this is a normal situation, it is not necessary to start any type of treatment, however if other signs and symptoms appear it is important to inform the gynecologist to to be evaluated.

5. Stress

Stress and anxiety, for example, can increase the production of hormones such as adrenaline and cortisol, which can interfere with the regularity of the menstrual cycle.

What to do: It is important to practice activities that promote relaxation, as it is possible to regulate hormone levels and make the menstrual cycle regular again. Thus, it can be interesting to practice physical activity outdoors, drink teas with calming and relaxing properties and have a diet rich in tryptophan, which is an amino acid precursor of serotonin, which is a neurotransmitter responsible for the feeling of well-being. See more tips on what to do to increase serotonin levels and relieve stress.

6. Excessive physical exercise

Excessive physical exercise, common in athletes, can cause changes or even suspension of the menstrual cycle. This happens because intense physical activities lead to the production of hormones, such as endorphins or ACTH, for example, which interfere with the rhythm of menstruation.

What to do: To regulate the menstrual cycle, it may be necessary to reduce the intensity or frequency with which physical activity is practiced, and it is also important that the gynecologist is consulted to assess hormone levels and whether there are any other consequences for the body related to irregular menstruation.

7. Hormonal disorders

Some hormonal diseases such as polycystic ovary syndrome, hypothyroidism and hyperprolactinemia, for example, can directly interfere with estrogen and progesterone levels, making menstruation more irregular.

In addition to irregular menstruation, it is common for other symptoms to appear depending on the disease, such as weight gain and difficulty losing weight, acne, difficulty getting pregnant and excessive tiredness.

What to do: It is important to consult the gynecologist so that symptoms are evaluated and blood and imaging tests are performed to help identify the cause of symptoms and menstruation irregular, and, thus, the most appropriate treatment is indicated, which may involve the use of hormone replacement drugs and to regulate the menstrual cycle.

8. Eating Disorders

Some eating disorders such as anorexia or bulimia can also cause changes in the menstrual cycle due to malnutrition, so there is a change in the production of ovarian hormones in the body's attempt to adapt to the lack of energy.

What to do: In these cases it is important that the person consults a psychologist and a nutritionist so that the relationship with their own image and with food can be progressively improved, in addition to being possible to indicate a food plan according to the person's needs.

9. Gynecological diseases

Gynecological diseases such as endometriosis, uterine myoma, tumors or Asherman's syndrome, in which fibrosis forms in the uterus, for example, are diseases that cause abnormalities in the tissue of the uterus and can cause bleeding out of season or even absence of menstruation.

What to do: It is important that the gynecologist is consulted so that tests can be performed that help identify the disease related to irregular menstruation so that treatment can be started most appropriate. Thus, depending on the cause, the doctor may indicate the use of hormonal drugs to regulate the menstrual cycle or surgery to remove fibrosis, for example.

10. Side effect of medications

Some medications, such as antidepressants and antipsychotics, for example, can interfere with the levels of estrogen and progesterone circulating in the blood, resulting in irregular menstruation.

What to do: It is important that the doctor who prescribed the medication is informed about irregular menstruation, so that it is possible to reassess the need to use this medication and the dose, changing or suspending the use of the medication may also be indicated, especially when other side effects are reported.

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