Menstruar cada 15 dias: Menstruación cada 15 días y otros desajustes -canalSALUD

Menstruar cada 15 dias: Menstruación cada 15 días y otros desajustes -canalSALUD

Menstruación cada 15 días y otros desajustes -canalSALUD

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Los trastornos menstruales son más comunes en los dos extremos de la vida fértil, antes de los 20 años o después de los 40 años. A partir de los 35-40 años los ovarios pueden empezar a fallar y a no producir las hormonas tal y como lo hacían hasta entonces

Resumen del contenido

  • Ataxia menstrual: menstruación cada 15 días a los 40
  • Amenorrea
  • Dismenorrea
  • Hipermenorrea
    • Síndrome premenstrual: síntomas

Los trastornos menstruales son más comunes en los dos extremos de la vida fértil, antes de los 20 años o después de los 40 años. Las causas más comunes de alteraciones de la menstruación son los ciclos no ovulatorios, los pólipos endometriales, los engrosamientos patológicos del endometrio (hiperplasias), cáncer genital, miomas uterinos, alteraciones hormonales, lesiones del cuello uterino.

La menstruación normal se considera que aparece en intervalos de entre 25 y 35 días y es de una duración entre 2 y 7 días. Estas menstruaciones pueden alterarse en la cantidad de flujo o bien en la duración de los ciclos. Los sangrados entre menstruaciones, coincidentes con las relaciones sexuales o después de la menopausia deben ser consultados. Puede aparecer además un dolor abdominal con las menstruaciones que imposibilite la vida normal.

Ataxia menstrual: menstruación cada 15 días a los 40

A partir de los 35-40 años los ovarios pueden empezar a fallar y a no producir las hormonas tal y como lo hacían hasta entonces. Ello conlleva que puedan alternar ciclos largos, de más de 35 días, con ciclos cortos de entre 15-25 días. Estas irregularidades en los ciclos se denominan ataxia menstrual. Los sangrados en mujeres más mayores suelen tener otras motivaciones.

Amenorrea

Es la falta de regla, puede ser primaria o secundaria.

  • La amenorrea primaria se refiere a la falta de períodos en una mujer que ha llegado a los 16 años y que ha presentado los cambios normales de la pubertad.
  • La amenorrea secundaria es la que ocurre en una mujer que ha tenido reglas anteriormente y por alguna causa deja de menstruar. Hay varias causas de amenorrea, la primera a descartar es el embarazo. Las anomalías en la ovulación, algunos defectos congénitos, los trastornos de la alimentación, la administración de la píldora del día después y el exceso de ejercicio son algunas de las causas más frecuentes.

Dismenorrea

La dismenorrea es el dolor menstrual. Se divide en primaria, si ocurre desde el comienzo de las reglas, o secundaria, que después de un periodo de reglas no dolorosas empiezan a serlo. Una de las causas más frecuentes de dismenorrea intensa es la endometriosis. La dismenorrea esencial es la que no se acompaña de patología orgánica y suele desaparecer después de un parto.

Hipermenorrea

Las reglas pueden presentarse más abundantes (hipermenorrea) por lo que debe descartarse la aparición de anemia. Las hipermenorreas son más frecuentes también en portadoras de DIU.

Síndrome premenstrual: síntomas

Se llama así a las molestias que experimentan algunas mujeres durante el ciclo menstrual. El tipo de molestia y la intensidad varía según cada mujer y suele desaparecer al empezar la menstruación. Estas molestias son muy variables:

  • Retención de líquidos
  • Inflamación
  • Dolor mamario
  • Problemas cutáneos de acné
  • Problemas gastrointestinales con náuseas y vómitos
  • Pesadez en la pelvis
  • Cefalea
  • Síntomas psicológicos con irritabilidad, nerviosismo o depresión

La causa del síndrome premenstrual son las fluctuaciones de los niveles hormonales durante el ciclo. El tratamiento depende de cada mujer y debe ser individualizado por el especialista.

¿Tienes dudas? Regístrate en Savia, la plataforma de servicios de salud digital de MAPFRE que te permite hablar gratis por chat con un ginecólogo para que te oriente sobre trastornos menstruales. Además, podrás comprar una consulta presencial con un ginecólogo al mejor precio y con los mejores especialistas.

Dra. Inés Bombí

Nº Colegiado 080832102 | Especialista en Ginecología y Obstetricia

at

canalSALUD

CanalSALUD es un blog referente en el mundo de la medicina gracias a que todos sus contenidos están escritos por médicos especializados.
Los años de experiencia de MAPFRE en el sector nos avalan como fuente de información veraz y práctica, ayudándote en tus cuestiones sobre la salud del cuerpo y la mente.

Publicado por Dra. Inés Bombí

— 25 Nov, 2021








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Dos períodos en un mes: ¿Debería preocuparme?

Es normal que una mujer adulta tenga un ciclo menstrual que oscila de 24 a 38 días, y para las adolescentes es normal que tengan un ciclo que dura 38 días o más. Sin embargo, cada mujer es diferente y el ciclo de cada persona puede variar de mes a mes.

Durante algunos meses, tu ciclo puede durar más o menos días que el mes anterior, o puede empezar más temprano o más tarde que otras veces. Algunas veces, incluso puedes tener dos períodos en un solo mes.

Si tus ciclos suelen ser cortos, podrías tener tu período al principio y al final del mes sin tener motivos para preocuparte.

Sin embargo, si experimentas sangrado fuera de tu ciclo menstrual normal y sospechas que tienes un segundo período, lo primero que deberías hacer es determinar si estás manchando o tienes sangrado menstrual:

  • Si tienes sangrado menstrual, también conocido como tu período, estarás cambiando tu toalla sanitaria o tampón cada pocas horas. La sangre puede ser de color rojo oscuro, rojo, café o rosado.
  • Si solo estás manchando, no tendrás suficiente sangrado para llenar una toalla sanitaria o tampón. La sangre del manchado usualmente es rojo oscuro o café.

Después de haber determinado si tienes manchado o sangrado menstrual, puedes empezar a explorar lo que puede causar el incremento de tu sangrado.

El incremento de tu sangrado lo puede ocasionar un ciclo menstrual más corto o un problema médico que ocasiona sangrado vaginal.

Causas de un ciclo más corto

Si tu ciclo se hace más corto repentinamente, podría deberse a cualquiera de los siguientes:

  • anovulación (falta de ovulación)
  • hipertiroidismo
  • hipotiroidismo
  • inicio de la menopausia
  • pubertad
  • fibromas o quistes uterinos
  • estrés
  • pérdida o incremento excesivo de peso
  • anticonceptivo
  • enfermedad

Trastornos que causan sangrado adicional

Si usualmente tienes un ciclo regular, un cambio en tu ciclo —como tener repentinamente dos períodos en un mes — podría indicar un trastorno médico. Algunas condiciones médicas causan sangrado que puede confundirse con un período:

  • El embarazo puede ocasionar manchado. El manchado durante el embarazo puede ser normal, pero deberías indicarle a tu médico sobre cualquier sangrado durante el embarazo.
  • Las infecciones de transmisión sexual pueden causar flujo y sangrado.
  • El aborto espontáneo puede causar fuerte sangrado. Si sospechas que estás embarazada y empiezas a tener un sangrado similar a un período, llama a tu médico.

Si tienes historial familiar de fibromas, quistes o inicio temprano de la menopausia, estás en mayor riesgo de tener dos períodos en un mes.

Deberías hacer una cita con tu médico si:

  • experimentas dolor en tu abdomen bajo que no desaparece después de un par de días
  • tienes períodos fuertes
  • manchas o sangras entre períodos, lo cual muchas veces se confunde con tener dos períodos en un mes
  • experimentas dolor durante las relaciones sexuales
  • tienes más cólicos menstruales de lo normal
  • observas coágulos oscuros durante tus períodos

Una consecuencia de tener sangrado más frecuente es la anemia, la cual aparece debido a la falta de hierro en tu sangre. Tu médico puede verificar tus niveles de hierro mientras que realizan otras pruebas para determinar la causa de tu sangrado anormal.

Los síntomas de la anemia pueden incluir:

  • fatiga
  • dolor de cabeza
  • debilidad
  • mareos
  • dificultad para respirar
  • ritmo cardíaco irregular

Tu tratamiento dependerá de la causa subyacente de tu sangrado frecuente. Si naturalmente tienes ciclos más cortos o si recientemente empezaste a menstruar, no necesitarás tratamiento. Si tienes anemia, tu médico puede recomendarte suplementos de hierro.

Un posible tratamiento para los períodos que ocurren con mucha frecuencia es el anticonceptivo hormonal. Este tipo de anticonceptivo puede ayudar a regular tus períodos y ayudar a resolver los problemas de la anemia ocasionados por un fuerte sangrado.

A continuación, encontrarás tratamientos para otras causas posibles de sangrado frecuente.

Hipotiroidismo

Si tienes hipotiroidismo, significa que tienes una glándula tiroides poco activa. Tu cuerpo no puede producir suficiente hormona tiroidea. Tu médico te recetará una terapia de reemplazo de la hormona tiroidea que puedas tomar oralmente.

Hipertiroidismo

Si tienes hipertiroidismo, significa que tienes una glándula tiroides muy activa. Tu cuerpo produce demasiada hormona tiroidea. Para esta condición se encuentran disponibles varios tratamientos. Tu médico sugerirá la que considere que sea mejor para ti.

Menopausia

Si estás empezando la menopausia, tu médico puede recetarte terapia hormonal y terapia de reemplazo de estrógenos. Estos tratamientos pueden ayudar a regular tus períodos hasta que desaparezcan lentamente a medida que progresa la menopausia.

Fibromas y quistes

Tu médico puede recomendarte unas cuantas opciones diferentes de tratamiento si tienes fibromas o quistes uterinos. Estos pueden incluir:

  • Dispositivo intrauterino (DIU). Un DIU es un tipo de anticonceptivo y puede ayudar a aliviar períodos fuertes. Sin embargo, no reducirá los fibromas.
  • Cirugía por ultrasonido guiada por RMI. Este procedimiento se realiza mientras estás dentro de un escáner de RMI. Se considera no invasiva y los médicos pueden usarla para extirpar fibromas o quistes. Este procedimiento solo se realiza en clínicas especializadas.
  • Embolización arterial uterina. Este es un procedimiento mínimamente invasivo que bloquea el suministro de sangre al útero. Esto hace que los fibromas se deterioren y contraigan.
  • Miomectomía. Existen diferentes tipos de miomectomía, que es un procedimiento quirúrgico para extirpar los fibromas. En una miomectomía histeroscópica, se extirpa el fibroma a través del cuello uterino. No se requieren incisiones. En una miomectomía laparoscópica, se realizan pequeñas incisiones en tu abdomen para extirpar los fibromas. Una miomectomía abdominal es un procedimiento quirúrgico abdominal abierto.
  • Histerectomía. Una histerectomía es un procedimiento quirúrgico para extirpar el útero.
  • Agonistas liberadores de la hormona gonadotropina. Estos son medicamentos que pueden ayudar a tratar los fibromas. Estos bloquean el estrógeno y la progesterona, y te ponen en un estado postmenopáusico temporal. Esto evita que los fibromas crezcan y puede hacer que se contraigan. Tu médico puede usar este tratamiento para ayudar a prepararte para la cirugía.

Estrés

Los cambios en el estilo de vida pueden impactar significativamente tu nivel de estrés, lo que a su vez puede afectar tu ciclo menstrual. Para ayudarte a aliviar el estrés, prueba hacer ejercicio frecuentemente, practica la meditación o participa en una terapia de conversación.

Si te sientes estresado porque tienes demasiados compromisos, pide ayuda. Encontrar el momento para relajarte es importante para tu salud, así que no te sientas mal por decir que no a proyectos o responsabilidades adicionales.

Pérdida o incremento excesivo de peso

Habla con tu médico sobre las posibles razones por las que tuviste un cambio tan dramático en tu peso. Él te ayudará a controlar tu peso.

Reacción al control de natalidad

El anticonceptivo hormonal introduce hormonas en tu cuerpo. Esto puede afectar tu ciclo menstrual. Es posible que necesites probar unos cuantos tipos diferentes de anticonceptivo para encontrar el que funcione para ti. También se necesitan algunos meses para que tu cuerpo se ajuste a un nuevo anticonceptivo.

Habla con tu médico sobre qué deberías esperar cuando empieces un nuevo método de control de natalidad.

Los cambios a tu ciclo menstrual pueden indicar un problema de salud, así que siempre es importante discutir el sangrado anormal con tu médico. Es muy probable que tu médico te haga muchas preguntas sobre tus síntomas.

Al prepararte para tu cita, puedes ayudar a tu médico a encontrar el tratamiento correcto lo más pronto posible. Aquí hay algunas preguntas que te puede hacer tu médico:

  • ¿Cuán prolongados son tus ciclos? ¿Es normal para ti?
  • Si un ciclo más corto no es normal para ti, ¿cuándo empezaron los cambios en tu sangrado?
  • ¿Cuánto tiempo dura el sangrado?
  • ¿De qué color es la sangre?
  • ¿Cuán fuerte es el sangrado? ¿Cuán rápido debes cambiar una toalla sanitaria?
  • ¿Contiene coágulos? Si es así, ¿de qué tamaño son?
  • ¿Tienes algún otro síntoma?

Para calcular la longitud de tu ciclo, empieza contando desde el primer día tu sangrado. Este será el día uno. Tu ciclo terminará el primer día en que empieces nuevamente el sangrado. Muchas aplicaciones están disponibles en los teléfonos inteligentes para ayudarte a dar seguimiento a tu ciclo.

Si tienes historial de sangrado irregular, dar seguimiento a tus ciclos con una aplicación puede ayudarte a identificar un problema con más rapidez. También puede ser más fácil que compartas la información de tu ciclo con tu médico.

Si consideras que tienes dos períodos cada mes, habla con tu médico. Él puede ayudarte a balancear tus niveles de hormonas y regular tu sangrado.

Es posible que necesites probar unas cuantas opciones diferentes, pero con tratamiento, puedes incrementar el tiempo de tu ciclo menstrual. Esto puede ayudarte a que vuelvas a tener un período al mes.

Lee el artículo en Inglés.

Eight Causes of Menstrual Failure :: Clinician

18
03.2018

  • Danger of delayed or irregular menstruation

  • What is the menstrual cycle. Natural ways to protect the body from irregular periods

  • Most common causes of delayed or irregular periods

  1. Increased stress level
  2. Malnutrition
  3. Excessive weight loss and low weight
  4. Increased physical activity
  5. Thyroid disorders
  6. Cessation of oral hormones
  7. Chronic hormonal imbalance and other hormonal disorders
  8. Food allergy and food sensitivity

According to a 2017 study on missing periods published in the Journal of Clinical Endocrinology and Metabolism, long-term missed periods are relatively common in 5% of women of childbearing age and will experience them at some point in their lives. An even greater number of women experience a malfunction in the menstrual cycle from time to time. nine0003

The hypothalamus and brain, pituitary, ovarian, adrenal and thyroid glands help regulate the menstrual cycle and normalize hormone levels naturally, so it’s important to watch your bad habits that can negatively affect your hormone levels.

Danger of delayed or irregular menstrual cycles

Women with regular menstrual cycles ovulate every 25-28 days. Although the interval between periods is individual for each woman and may differ, especially during puberty and premenopause, but in any case, menstruation occurs once a month if the woman is healthy. nine0003

If a woman stops menstruating, which is called “amenorrhea”, then this is a clear sign that you have some kind of health problem. Primary amenorrhea is the absence of menstruation in girls when they have never had a period, which will begin when they reach the age of puberty. Secondary amenorrhea is when a woman has already had periods, but suddenly stopped and has been absent for three or more months.

The presence of regular moderately painful or painless menstruation every month is a sure sign that the hormonal background is normal and the reproductive system is in order. The opposite picture is observed if irregular menstruation, delayed menstruation, or very painful and intense periods are recorded. They indicate that the level of one or more hormones is too high, or one or another hormone is absent altogether. If you have any health problems, chronic stress, poor nutrition, heavy physical exertion, frequent delays in menstruation, then such problems should never be left to chance (if you are sure that you are not pregnant). nine0003

Unfortunately, according to recent data, many women prefer not to talk to their doctor about frequent delays or irregular periods, which is quite a risk, since hormonal imbalance and amenorrhea are associated with a number of serious diseases, and also increase risks of developing osteoporosis, heart disease, infertility and other hormonal complications.

According to the Mayo Clinic Department of Endocrinology, “Amenorrhoea can indicate a wide range of anatomical and endocrine disorders. Amenorrhea can lead to a weakening of the ability to reproduce. When estrogen levels are low, amenorrhea is often accompanied by an imbalance of minerals, blood glucose, and impaired fat metabolism. These metabolic changes affect bones and the cardiovascular system, including an increased risk of osteoporosis and coronary heart disease later in life.” nine0003

What is the menstrual cycle. Natural ways to protect the body from irregular periods

Anovulation is a violation of the ovulation cycle, as a result of which the egg (or «ovium») does not mature and does not leave the follicle. Usually, the disease is recognized if this phenomenon continues for a certain period of time, usually more than three months in a row. One of the main signs of anovulation is a delay or irregular periods. For a non-pregnant woman of reproductive age (between 15-40 years), anovulation is abnormal and is considered the main cause of infertility in about 30% of patients of childbearing age. Oligomenorrhea is another name for irregular, but completely incessant periods. It is characterized by a long interval between periods, which is more than 36 days, or when menstruation occurs less than eight times a year. nine0003

This predictable pattern of the ovulation and menstrual cycle is caused by a specific set of changes in a number of sex hormones, especially estrogen. There is a fairly large variety of estrogen in a woman’s body, the three main of which are estradiol, estriol and estrone.

Estradiol is produced in the ovaries and adrenal glands. It is considered the most active of the three main estrogens and is closely related to the menstrual cycle, while the other types of estrogen are more responsible for pregnancy. Upon reaching the age of 50, the ovaries begin to produce less estrogen, and the main burden for their production, or the biochemical substance of their precursor used for the synthesis of estrogen, is assigned to the adrenal gland. For this reason, women naturally stop menstruating when they reach menopause. nine0003

For many women of reproductive age, low estrogen levels can cause delayed or irregular periods. Thus, amenorrhea in young women is one of the surest clinical signs of estrogen deficiency. With today’s sources of abnormal estrogen dominance, such as toxins and unhealthy diets, it’s hard to imagine that anyone could be deficient, but such women do occur.

It is believed that low estrogen levels can be caused not only by an inability to produce enough sex hormones due to hereditary hormonal problems, but in many cases due to the effect on the body of increased levels of the stress hormone. If you have frequent irregular periods, then you should try to avoid stress, because. sex hormones are negatively affected by metabolic, physical and psychological stress factors. nine0003

Stress hormones can dominate due to many factors, with malnutrition and chronic emotional stress being the main causes. We need a surge of stress hormones in life-threatening situations to get out of them, but modern women experience constant tension that is considered low-level stress, and for this reason it is often overlooked, although in reality such stress is strong enough to affect our health. nine0003

The most common causes of delayed or irregular periods

Unlike pregnancy and menopause, which naturally stop menstruation, the following causes of amenorrhea and irregular periods are highly undesirable and negatively affect our health, but they can be tried eliminate.

1. Increased stress level

If a woman experiences severe stress for a long time, her body begins to conserve energy without ovulating. If a woman experiences a sudden traumatic event, it can cause increased stress on the adrenal glands, leading to a halt in the production of estrogens and other reproductive hormones (a condition called hypothalamic amenorrhea). When a woman has an insufficient amount of estrogens, then her uterine mucosa cannot be maintained in a normal state, as a result, menstruation is delayed. nine0003

Why is this happening? Your body reacts to emergency situations. Comfort is very good, and fertility is very important, but still, in terms of survival, they are secondary. We all have an innate natural survival mechanism that involves the constant production of vital stress hormones, otherwise known as the “fight or flight” response, such as cortisol and adrenaline. Adrenaline and cortisol are the two main hormones responsible for the body’s response to stress, helping us to escape from threats (whether real sudden or imaginary threats). These hormones are vital and sometimes very helpful in helping us run, climb, increase strength, make us sweat, and regulate our heart rate, but too much of them can lead to health problems. nine0003

The body has always given priority to the production of stress hormones that help to survive critical situations, considering sex hormones as secondary during periods that it considers difficult. With chronic stress, there is a lack of nutrients, such as amino acids that contribute to the normal functioning of neurotransmitters, and they are not enough to produce enough hormones, so the body has to choose between stress hormones and sex hormones, and preference is always given to the first. Under conditions of high stress, such as dieting, strenuous physical activity, or emotionally intense events, all such situations can provoke amenorrhea with or without weight loss. nine0003

2. Improper diet

Foods that are low in nutrients, antioxidants and probiotics, but high in stimulants, can put stress on the thyroid and adrenal glands. For example, cortisol levels may rise if the following factors are present:

  • high intake of sugar, hydrogenated fats, and artificial additives or pesticides;
  • nine0005 thyroid problems;

  • adrenaline fatigue.

Elevated cortisol levels interfere with optimal production of many other important hormones, including sex hormones. If the elevated level of cortisol lasts for a long time, then this can lead to problems with the skin, damage to bone and muscle, as well as brain tissue. This high cortisol cycle can lead to protein deficiencies, resulting in muscle loss and osteoporosis. nine0003

If you have problems with your period, check your diet. You should choose foods that are high in antioxidants and nutrients, especially those high in fat (even saturated fat, which is good for your situation) and protein. You can also use high-calorie food supplements if you are underweight, lack adipose tissue, you are actively involved in sports.

3. Excessive weight loss and low weight

When the body mass index (BMI) drops below 18-19, menstruation may be delayed due to too little adipose tissue. Body fat is important for the production of sufficient amounts of estrogens, for this reason women who are too thin or who have a serious disease, such as anorexia and bulimia, may suffer from the absence or delay of menstruation. Increased physical activity and therefore high nutrient requirements due to intense exercise can sometimes lead to weight loss and put you at risk of developing hormonal imbalances. nine0003

Low-calorie, low-fat foods can also cause nutritional deficiencies and fat loss and contribute to irregular periods and bone loss. According to some data, very thin vegans, including those who eat exclusively raw food without heat treatment, and vegetarians who do not eat only meat, are also at risk, most likely because they are more likely to be underweight and lack vital useful substances. nine0003

4. Increased physical activity

Although moderate exercise is very important for heart health, mood control, sleep and maintaining a stable body weight, increased physical activity puts more stress on the adrenal, thyroid, and pituitary glands. Therefore, women who abruptly begin intense physical training, for example, preparing for a marathon or similar important event that requires high physical excretion, may suddenly stop menstruating. nine0003

Like other stress hormones, cortisol spikes in response to any real or perceived stress. The latter can be physical (including sports) or emotional. Such stressors include overwork and physical exhaustion from increased physical exertion, which can be accompanied by lack of sleep, constant haste, infectious diseases and emotional exhaustion. In today’s time with the constant desire to be slim and keep fit, some women believe that they need to exercise intensively, they think that profuse sweating is good, and so they exhaust themselves constantly. nine0003

This kind of physical overload can increase stress and rob the body of energy needed to regulate sex hormones. So, in one of the reports of the University of Michigan it is reported that running and ballet are among the physical activities where the largest number of women suffering from amenorrhea is found. Nearly 66% of women involved in long-distance running or ballet dancing experience amenorrhea at some point in their lives. Things are even worse for women involved in bodybuilding. Almost 81% of them suffer from amenorrhea from time to time, while they eat a diet low in nutrients. nine0088

«Exercise-induced amenorrhea» may indicate a general exhaustion of the body, a decrease in vitality and is more characteristic of young girls. Thus, the number of women involved in athletics in childhood and adolescence has increased by 800% over the past 30 years, at the same time, the number of those suffering from hormonal imbalances has increased. Other problems that often accompany amenorrhea include decreased bone density and eating disorders. Therefore, physicians are concerned about the susceptibility of this category of patients to heart complications, bone problems and nutritional deficiencies. nine0003

5. Thyroid disorders

You may not even suspect that the thyroid gland can be the cause of hormonal disorders.

According to recent studies, thyroid problems are one of the main causes of delayed menstruation, almost 15% of patients with amenorrhea suffer from thyroid abnormalities.

The thyroid gland, considered the main regulating mechanism of the endocrine system, is responsible for metabolism and influences many sex hormones.

Thyroid problems, including hypofunctioning or endemic goiter and hyperthyroidism, can cause a wide range of health problems, such as changes in estrogen and cortisol levels, and delayed periods. An increase in cortisol levels can lead to general hormonal insensitivity, including thyroid resistance. This means that the body becomes descented to estrogen and cortisol, which can cause them to be overproduced. nine0003

6. Stopping oral hormones

Some women intentionally interrupt their menstrual cycle to prevent pregnancy, but when they stop taking birth control pills, their periods do not start. While some doctors suggest that periods should resume and return to normal within a few months of stopping hormone pills, many women experience delayed or irregular periods for several years afterward. nine0003

A woman’s natural menstrual cycle consists of rising and falling levels of estrogen and progesterone, but birth control pills keep estrogen levels high enough to confuse the body into thinking you’re pregnant, so it happens. failure of the menstrual cycle. It takes many months and even years for the body to correct this situation and restore homeostasis.

Thus, in a report published in one of the American journals devoted to obstetrics and gynecology, it is reported that about 29% of women suffer from a delay in menstruation for more than three months after using contraceptives. Hence our advice: give up contraceptives if there are signs of a menstrual cycle failure.

7. Chronic hormonal imbalance and other hormonal disorders

Polycystic ovary syndrome (PCOS) is an imbalance of hormones in women that adversely affects ovulation. When a woman suffers from PCOS, it means that her hormone levels, including estrogen, progesterone and testosterone, are abnormal, which can be expressed in different ways:

  • abnormal growth of body or facial hair;
  • problems with sugar levels;
  • overweight;
  • acne;
  • irregular menstrual cycle.

A gynecologist can diagnose PCOS by checking the woman’s hormone levels, analyzing the symptoms and checking your genetic predisposition to the disease, as well as examining the ovaries to find out if the cysts are growing or not. nine0003

Also, women with PCOS often experience premature menopause before the age of 40, which can be accompanied not only by the absence of menstruation, but also by hot flashes, night sweats, vaginal dryness. Although this is the most rare cause of irregular periods.

8. Food and food allergies

Undiagnosed gluten sensitivity, or celiac disease, can also affect hormone levels. Since these problems can cause nutritional deficiencies, adversely affect digestion and contribute to increased stress on the adrenal gland, they, of course, affect the production of sex hormones. nine0003

If menses started early. Possible causes

Every woman’s cycle is different. The cycle is counted from the first day of menstrual bleeding and ends on the first day of the next menstruation. The typical cycle of an adult woman lasts 21-39 days, with an average of 28 days. The duration of menstruation for different women is also different, on average it is 2-7 days.

The duration of the cycle can vary throughout life and even from month to month, so most likely the early onset of menstruation is not a reason for excitement and panic. nine0003

Sometimes the menstrual cycle may last a couple of days longer or less than usual, start earlier or later, or be more or less heavy. It also happens that you can have two periods in a month. In women with a short cycle, the cycle may coincide with the calendar month so that menstruation will come at the beginning and at the end, and this is completely normal. Please remember that the calendar length of the month does not affect the length of the cycle.

If a short cycle is uncharacteristic for you, the first thing you need to understand is menstruation or intermenstrual bleeding. nine0003

How to distinguish between menstruation and intermenstrual bleeding?

If you have periods, they are heavy enough to soak a pad or tampon in a couple of hours. The blood is usually dark red, scarlet, brown or pink.

If you have intermenstrual bleeding, the amount of blood produced will be small: it will not be enough to soak a pad or tampon. Usually such blood is dark red or brown. nine0003

What can cause early periods?

They may not have started early

The normal cycle can be any number of days from 21 to 45, averages 28 days and does not depend on calendar dates. Usually menstruation occurs 2 weeks after ovulation and most often early menstruation is due to the fact that ovulation occurred earlier than usual. Our body is not a clock, and failures lasting up to a week are most often not caused by pathological processes. nine0003

Puberty (puberty)

Puberty usually begins in girls between the ages of 8 and 12 years and is affected by changes in the levels of reproductive hormones.

In the early years, levels of these hormones can vary greatly from cycle to cycle, which can cause inconsistent cycle length. This means that the number of days elapsed between one cycle and the next can be different.

Premenopause

Premenopause — the period when the body prepares for the last menstruation and the further cessation of the cycle. Most often, premenopause begins around the age of 45 and lasts about 4 years.

Premenopause can also cause: insomnia, delayed menses, vaginal dryness, more or less menstrual periods than usual, irritability, hot flashes (waves of heat).

Lifestyle changes and stress

nine0002 Any change in lifestyle can cause cycle changes. Factors such as long-distance travel, frequency and level of physical activity, and night shift work can influence. Acute stress can upset your body’s hormonal balance and cause menstrual irregularities. Stress can also cause unexpected weight loss or gain, insomnia, and difficulty concentrating.

Significant weight changes and strenuous exercise

nine0002 The functioning of the reproductive system is strongly influenced by factors such as nutrition, metabolism and energy availability.

When there is a shortage of incoming calories, the body enters starvation mode and distributes energy differently, providing primarily such vital functions as breathing and heartbeat and stops producing reproductive hormones.

Oral contraceptives and other types of hormonal contraception

Oral contraceptives (OCs) are hormonal preparations used for contraception that suppress ovulation. nine0003

If you started taking OC, the start of your next period will depend on which cycle day you started the pack.

Emergency methods of contraception

Emergency hormonal contraception—hormonal drugs taken by women after unprotected penetrative sex with a man to reduce the risk of pregnancy. Emergency contraceptive pills contain hormones that interfere with the natural process of ovulation, which can lead to early or late periods. As the name suggests, these pills should only be taken in an emergency and should NOT be taken all the time. nine0003

Blood-thinning drugs (anticoagulants)

During menstruation, the body secretes anticoagulants to facilitate the flow of blood during menstruation and thin the uterine lining. Additional intake of such drugs can speed up this process and increase the intensity of bleeding.

Possible pathological causes of early menstruation:

Sexually transmitted infections (STIs)

Some of the most common STIs are chlamydia and gonorrhea. These are bacterial infections that are most often asymptomatic, but can sometimes cause spotting between periods, as well as abdominal pain, pain during sex, and during urination.

Take care of yourself and only have safe sex with a condom if you are not planning on getting pregnant. Not only will this help you avoid unwanted pregnancies, but it will also protect you from most STIs, including HIV. Remember that there is an HIV epidemic in Russia, and most of the new infections in recent years are heterosexual people who simply did not use a condom. nine0003

Polycystic ovary syndrome

Polycystic disease occurs in approximately 10% of women of reproductive age. Many women only find out they have PCOS when they have difficulty conceiving. Polycystic disease can cause the following symptoms: menstrual irregularities and delays, weight gain, acne, excess hair growth on the face and body, and voice changes.

Thyroid disorders

Thyroid disorders are very common, in about 12% of women. Such disorders lead to insufficient or excessive production of thyroid hormones by the body. These hormones keep several body systems running, including metabolism and the menstrual cycle. nine0003

The symptoms of this condition depend on whether the amount of these hormones is excessive or insufficient.

Other symptoms include: unusually heavy or scanty periods, weight gain or loss, drowsiness or insomnia.

Endometriosis

In endometriosis, the uterine epithelium begins to grow outside the uterus. This is a fairly common health condition, occurring in about 11% of women of reproductive age. In addition to unexpected bleeding, the following symptoms occur: extremely painful cramps during menstruation, pain during and after sex. nine0003

When should I see a doctor for early menstruation?

Usually early menstruation is not a sign of any serious or dangerous changes in the body, but if you experience severe discomfort, pain or just fear, you need to seek medical advice.

You need to see a doctor if:

  • Menstrual pain worse than usual

  • nine0002 Menstrual pain is so severe that it interferes with your daily life

  • If menstruation is so heavy that tampons or pads have to be changed every hour

  • If the pulling pain in the lower abdomen does not go away after a couple of days after the start of menstruation

  • You experience pain during penetrative sex

  • Pain or burning during urination

  • Spotting spotting not related to ovulation

If you suspect or are certain that you are pregnant and you are bleeding, you should contact your doctor immediately.

Be sure to keep track of cycle length, period length, and any unusual discharge between and during cycles. This can be done in a regular paper calendar or in

dedicated smartphone app. If the cycle does not become regular for 2-3 months, then you need to see a doctor.

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