The teenage daughter, at the beginning of menstruation often experience irregular menstrual coming every month. It is sometimes also raises questions of the parents, it normal that? or there are women who previously regular menstruation every month, but later become irregular. For that, this time medicastore try to load an article about irregular menstruation coming or also called oligomenorrhea.
The Coming Irregular Menstruation
Medical dictionaries define oligomenorrhea as menstrual or menstrual irregularities came a little. But the doctors tried to narrow the definition, so the diagnosis of oligomenorrhea is a woman who previously menstruated regularly before experiencing menstrual problems that come irregularly. In people who have oligomenorrhea, menstrual cycles occur typically longer than 35 days, so just having periods 4-9 times a year.
In women of reproductive age who is new to an end or new age, it is very common to experience irregular menstruation. This is normal and is usually the result of a less than perfect coordination of the hypothalamus, pituitary gland & ovaries. There are also some women who without any reason having menstrual periods every two months, but for them it is normal & not because of a health problem.
Women who have PCOS (polycystic ovary syndrome) are also frequently experience oligomenorrhea. PCOS itself is a condition in which the ovaries contain cysts. Women who have PCOS have menstrual irregularities, can be either oligomenorrhea, amenorrhea or even menstruation very much. This condition is usually associated with excessive levels of androgen hormones in the body.
In addition there are also some factors that may cause menstrual irregularities in women, namely :
- Emotional stress.
- Chronic pain.
- Nutrients are lacking.
- The existence of such eating disorders in patients with anorexia nervosa.
- Excessive physical exercise.
- The presence of tumor that affects estrogen secretion.
- Use of illicit drugs anabolic steroids to boost athletic abilities.
The female professional ballet dancers, gymnasts & ice skating players, those at high risk for experiencing oligomenorrhea because they combine strenuous physical exercise with a strict diet to keep her weight does not rise.
Irregular menstrual come, now known also as one of the three health problems experienced by female athletes, so dubbed by the "female athlete triad", the other is eating disorders & osteoporosis. The third is called a health problem formally at the annual meeting of the American College of Sports Medicine in 1993, but doctors have known about the combination of health problems between the loss of bone mass, easily broken bones, an eating disorder with the participation of women in sports a few decades earlier. The coaches women begin to realize a lot about it since the early 1990's & encourage female athletes to get the health consultations on the matter.
Symptoms and Causes of Menstrual Disorders Coming (Oligomenorea)
Symptoms of oligomenorrhea include :
- Menstrual cycle period of more than 35 days.
- Menstrual Irregularities in an amount not necessarily.
- In some women who have oligomenorrhea sometimes also have difficulty conceiving.
In PCOS, oligomenorrhea can be caused by hormone levels of male & female hormone that is not appropriate. Male hormone is produced in small quantities by each woman, but in women who have PCOS, levels of male hormones (the androgens) higher than in other women. In female athletes, models, actresses, dancers, or who have anorexia nervosa, oligomenorrhea occurs because the ratio between body fat to lose weight very much.
Coming examination Menstrual Disorders (oligomenorrhea)
Examination to determine whether someone is experiencing oligomenorrhea or not, is usually done in several ways, namely :
- Physical Examination & History of Menstrual Cycle
For the diagnosis of oligomenorrhea, a doctor may ask the patient's menstrual history in detail, including what the problem is, how long it has happened, & the other patterns that may be known to the patient. To help the doctor's diagnosis, the patient can record the time of menstruation, frequency, duration & quantity of menstrual bleeding. Patients should also notify the doctor about a new disease suffered by including health conditions experienced by such as diabetes mellitus. In addition it also requires a doctor's patient information on diet, physical exercise patterns, sexual activity, contraceptive use, use of drugs or surgical procedures that ever lived.
The doctor will then perform a physical examination, among others to: evaluate the proportion of patient body weight to height, saw signs of normal sexual development, see if your heart rate & other vital signs normal, and feel the thyroid gland to see whether there is swelling.
For the case experienced by female athletes, need to also ask about diet, exercise schedule & use of drugs such as steroids & ephedrine. If necessary the doctor will give kuisinoer about whether patients at risk of developing anorexia or bulimia. - Examination in Laboratory
After knowing the patient's medical history, your doctor will perform a pelvic exam & pap tests. To determine the specific causes of oligomenorrhea, doctors can also perform a pregnancy test & blood tests to determine thyroid hormone levels. - Examination
In some cases, doctors will suggest to do other tests, such as ultrasound to examine the pelvic area & see whether there is any anatomical abnormalities, X-ray or bone scan to determine the presence or absence of fracture, even an MRI to see whether or not a tumor affect the hypothalamus or pituitary gland.
Handling for coming is irregular menstrual or oligomenorrhea depends on the cause. In teenagers & women entering menopause do not usually require any treatment, because it will disappear by itself. For female athletes, changes in eating habits & exercise routines can simply restore the menstrual cycle becomes normal again.
Most patients with oligomenorrhea treated with the Pill. For others, including those with PCOS, treated with certain hormones, depending on what's needed hormones.
When oligomenorrhea occurs akrena eating disorders, or as in "the female athlete triad", the main cause of the problem must be addressed first. Consult with a psychiatrist and Nutritionist to address the problem of eating habits. In female athletes may also need physical therapy or rehabilitation.
When oligomenorrhea occurs akrena eating disorders, or as in "the female athlete triad", the main cause of the problem must be addressed first. Consult with a psychiatrist and Nutritionist to address the problem of eating habits. In female athletes may also need physical therapy or rehabilitation.
