Intermittent or Irregular Menstruation (Oligomenorrhea)
Facts About Irregular Periods
Oligomenorrhea is a condition in which there are more than 35 days, but less than 3 months between periods
By oligomenorrhoea are periods are not regular
Approximately 30% of women under 35 years, over a year or more menstrual cycles, which lasts more than 35 days
Common causes are diet, strenuous exercise, stress, bulimia, anorexia, PCOS, IUS, menopause and pregnancy
Rare causes are low or high metabolism
Treatment directed to cause or infertility fertility treatment
What are irregular menstrual periods?
Oligomenorrhoea is a condition where there is a long time between menstrual bleeding. The range is more than 35 days but less than 3 months. When the state has been there since puberty, called the primary oligomenorrhoea. If women have previously had normal menstruation intervals, called the secondary oligomenorrhoea
By oligomenorrhoea are periods are not regular
Approximately 30% of women under 35 years, over a year or more menstrual cycles, which lasts more than 35 days
What can be the reason?
Common causes
Weight loss and / or hard training
By strict dieting or very hard physical training stress on the body, and cause endocrine disruption, which means that it takes a long time between periods or menstruation ceases altogether at a time
During periods of much stress or problems (eg, by moving away from home, studying for exams) may cause temporary endocrine disruption and longer stays between periods
Polycystic ovary (PCOS)
Is a state of endocrine disruption and ovaries with many immature follicles (cysts)
Many are overweight and have a tendency to male hair growth and acne (acne)
Ultrasound will show cystic ovaries and can be combined with blood tests confirm the diagnosis
hormone Spiral
Reduces the amount of bleeding
mini Player or p-syringe
Can also provide scanty and rare menstruation
menopause
In the run-up to menstruation ceases completely, it may take a long time between periods
Pregnancy?
Rare causes
Hypothyroidism
Typical symptoms are lack of initiative, cold intolerance, muscle pain, increased need for sleep, weight gain (usually moderate), constipation, scanty and rare menstruation, dizziness, tingling and numbness in the hands, hair loss, unclear voice
There may be cool and dry skin, dry and split hair, brittle and thin nails, swelling around the eyes, slow pulse, slow tendon reflexes, psychomotor sluggishness
High metabolism
Symptoms are heart palpitations, fatigue, nervousness, irritability, weight loss despite good appetite, sweating, heat intolerance
Typical findings may be bulging eyes, restlessness, moist warm skin and hands, tremors, rapid pulse (over 90 beats per minute), irregular heart beat, lively tendon reflexes
Explains a lot of weight because of extreme dieting or strenuous exercise, you should slow slightly. Menstruationsforstyrrelserne is a sign that you run your body a little too hard
Explains stress, you should assess whether you can dampen the stress level
If you have a good and natural explanation of your condition, you do not seek medical
Are you contrast unsure of the cause, you should book an appointment with the doctor
If in addition to the suspensive menstruation are other symptoms that cause discomfort
What does the doctor?
Medical history
The doctor will work with you to try to find a possible cause.
Questions the doctor may ask you:
Are you on a diet?
Have you lost much?
Are you training hard? – how many times a week?
Are you exposed to stress or mental strain?
Have you taken on? Have you got more acne or more hairs on it last?
Are you cold easily?
Are you restless, hyperactive, sweat easily, feel constant hot?
Can you be pregnant?
Do you use birth control? What type?
Medical examination
There will be a gynecological examination, but it will in most cases be normal
Polycystic ovary syndrome can be detected sometimes, but often there is a need for an ultrasound scan
Other studies
Ultrasound examination, along with a blood test to confirm whether it is about PCOS
It may also be necessary to take blood tests of metabolic hormones and sex hormones
Referral to a specialist or hospital
On the rare periods and infertility recommended reference to the fertility clinic
How is the condition?
The studies try to identify possible causes of the rare periods of then finding the right treatment
Treatment is not necessary if there can not be a reason, and there is a current desire for pregnancy
When a pregnancy desire most can be helped with medication that will trigger ovulation, and the chance of achieving pregnancy is then good
If the time between periods is longer than 3 months, you can give gestagentilskud to regulate bleeding. Progestins (progesterone) are female sex hormones. By the application of gestagens maturing uterine lining and there will be a bleed, when the medication is interrupted. The progestin is therefore given in continuous periods,
Another option is to provide the pill, which will ensure that there are regular bleeding and also ensures that the body has enough estrogen. The pill will also reduce the amount of male hormones by conditions such as PCOS
