What is menstrual irregularity, what are the causes?14 April 2016
Every woman is born with an ovular reserve and they ovulate once a month between puberty and menopause. This regular process is an indication of women’s capability to reproduce. When a woman’s ovulation time approaches, uterus wall is thickened because of hormones and gets ready for pregnancy in case of impregnation. If there is impregnation, embryo holds onto this wall and feeds off of it. If there is no impregnation, this tissue scales off and there is bleeding through the now open veins. Getting rid of the wall tissue with blood is called menstrual bleeding. All women between puberty and menopause ovulates once a month and if there is no pregnancy, they have menstrual bleedings. It is normal that there is 21 to 35 days between two menstrual bleedings and this bleeding is experienced for four to seven days. However, if time period between two menstrual bleedings are less than 21 days and more than 35 days, and the bleeding is experienced less than four days or more than seven days, menstrual irregularity is thought of.
Why does a person live menstrual irregularity?
If a woman in a reproductive age is not pregnant and breast-feeding period, not having menstrual bleedings more than two months or not having a regular menstrual cycle is absolutely an indication of a health problem. Ever emotional, psychological, physiological element that affects a woman negatively can cause hormonal imbalances. For example, a stressed work or home life, sudden traumas, depression, birth control medications, any anomaly in reproductive organs, sudden weight gain or weight loss cause menstrual irregularity. With that, thyroid, diabetes, liver problems, uterine cancer and ovarian cancer, uterus inflammation and infection are also reasons for menstrual irregularity.
Emotional problems and imbalanced died cause change on hormonal balances and menstrual irregularity
Because negative changes in a woman’s emotional state also change the balances of hormones which are released in their natural state, menstrual cycle also goes out of balance. Having said that, insufficient and imbalanced diet also cause sudden weight loss, naturally lead to hormonal problems.
Birth control pills is also one of the often reasons of menstrual irregularity
Because birth control pills contain estrogen and progestine hormones, there is no ovulation in the ovaries with the people who use these pills. This is why pregnancy doesn’t take place. Because menstrual cycle is related to ovulation, as long as these pills are used it is normal to have menstrual irregularity. Three to five months after stopping the birth control pills, menstrual irregularity continue and menstrual bleedings become regular approximately after six months.
Polyps and myomaes in utero can also cause menstrual irregularity
Benign small formations in utero layer and tumours on the uterus walls disturb the natural process inside of the uterus. When these out of normal formations grow may cause bleeding, pain and menstrual irregularity..
Endometriosis is also one of the reasons of menstrual irregularity
Every month the uterus forms a tissue for a possible pregnancy and when this tissue forms outside of the uterus and bleeds like it is in the uterus, this condition is called endometriosis. Endometriosis cause pain, cramps, bleeding and menstrual irregularities.
Polycystic ovary syndrome (PCOS) also causes menstrual irregularity
Forming many benign cysts in ovaries is called polycystic ovary syndrome and it causes releasing more than regular androgen hormone from the ovaries. Also in this case, eggs are not matured enough so ovulation and menstrual bleedings cannot take place.
When can the menstrual irregularity be seen as normal?
Menstrual bleedings by reaching puberty can be irregular for a few years. Within this period, estrogen hormones levels need few years to be balanced and getting into a cycle. At the same, when the menopause period is close, menstrual bleedings can be irregular during these years. In this period of time, unlike in puberty, reproductive hormone levels are lessened and slowly end. This is why, menstrual irregularities during reaching puberty and going through the menopause are normal and it is not suspect for any health issue.