Irregular cycles, irregular periods, irregular menses, oligomenorrhoea
Irregular menstruation or irregular periods occur mainly due to imbalance of hormones in the body. Hormone fluctuation in the body occurs due to stress, hectic lifestyle disrupting estrogen production, unhealthy diet, sudden loss or gain in weight, malnourishment, contraception, medication, hormonal birth controls using pills or injection, puberty or menarche or menopause and excessive workout. Irregular menstruation may require women to consider treatments. Before reaching out to medication or surgery women usually try to resolve the issue with lifestyle changes and with home remedies and natural or herbal supplements. Apart from irregular menses women also suffer from severe pain due to spasms during the periods. When the natural remedies and lifestyle changes do not seem to work, women resort to medication and surgery. Some women may also have irregular periods due to polycystic ovary syndrome. So treating PCOS can also help in treating irregular menses. Treating thyroid disorders also helps in treating irregular menstruation. The medical treatment type actually depends upon the underlying cause of the periods becoming irregular. Women can in fact resort to combination of approaches to treat the irregularity of your periods.
Menstrual irregularities can be due to several underlying causes. Irregular menstruation due to anovulatory bleeding, that is, infrequent menses or no menses or irregular menses can be rectified using treatments with oral contraceptives, nutritional therapy for eating disorder and counselling and with the help of cyclic progestin. Irregular menstruation can also be due to ovulatory bleeding where the woman suffers from heavy and prolonged menstrual bleeding. Such condition can be treated by inserting a hormone releasing intrauterine device and medications containing tranexamic acid or progestin or other nonsteroidal anti-inflammatory medications. Irregular periods due to ineffective medical management or any other structural reason can be treated by removing uterine fibroids or polyps surgically, hysterectomy, endometrial ablation or by cauterizing blood vessel in the uterus’ endometrial lining or also by uterine artery embolization which blocks the flow of blood to the uterus. Painful menstruation or dysmenorrhoea can be treated with the help of oral contraceptives or hormone therapy. There are other medications that help regulate menstruation are hormonal implants, IUD containing progesterone, vaginal contraceptive rings. Doctors may also prescribe an insulin-lowering drug called metformin to ensure ovulation and regular menstruation. Taking progesterone for 10-14 days every month also helps regulate menstruation. Irregular menstruation can also be fixed by treating an underactive or an overactive thyroid because due to the production of abnormal levels of thyroid hormones also, your periods become irregular.
Women who have attained puberty and do not get regular menstruation cycles every month are eligible for the treatment. Also, if the irregular periods are coupled with cramps, abnormal bleeding, thyroid disorders causing irregularity in the periods, women detected with polycystic ovary syndrome are also eligible for the treatment.
Women whose irregular menstruation is due to underlying causes like ovarian cancer, heart diseases, diabetes, obesity or those who are in the menopause or menarche phase cannot directly resort to treatment for irregular menstruation. The aforementioned diseases first need to be treated and only then their irregular menstruation can be treated.
The side effects are based mainly on the irregular levels of the sex hormones estrogen and progesterone. The side effects due to oral contraception are irregular bleeding, bloating, mood changes, sudden gain or loss in weight, tenderness of breasts. There could also be potential risks due to oral contraceptive if the person is already suffering from high blood pressure or a deep vein thrombosis, or even a smoker. This is because hormonal contraception has been reported to cause insulin resistance, increase cholesterol levels and also cause abnormal glucose tolerance. Metformin is the drug that has shown very less side effects and also very minor ones like gastrointestinal problems like abdominal bloating, vomiting and nausea and loss of appetite.
After you have started receiving treatment to cure the problem of irregular periods, it is always suggested to adopt some lifestyle changes like quit smoking and drinking alcohol, or using drugs, also getting rid of stress from life. If the irregular menstruation is due to some other underlying cause like obesity, heart disease or diabetes or PCOS, it is recommended to exercise regularly, cut on too much sugar intake and alike. It is important to intake appropriate amount of nutritional supplements like iron and vitamins with recommendation from the general physician. General hygiene must be taken care of post treatment or surgery. If the patient is also under some other medication, must discuss with their general physician if such medication should be continued after irregular menses treatment or not.
It depends on the underlying cause of irregular periods and there is no fixed duration after which the problem will be completely fixed. For instance, if the condition is due to obesity, the periods would get regulated when the body weight has reduced to considerable level, if it is due to diabetes, then it will be regulated when the blood sugar level is under control and so on.
The cost of treatment for irregular menstruation can again vary depending upon the underlying cause. Even then we can say that the cost can range from Rs. 300 to Rs, 2000.
The results, that is, regular periods will again depend upon how much the underlying cause is kept under control. Regular menses will also depend on healthy lifestyle like no smoking, shortened levels of alcohol intake and so on.
Rs. 300 to Rs. 2,000
Each woman has her own menstrual cycle pattern. Some women have almost same menstrual cycles that begin and end almost in a synchronized manner with little problem, but some women face various difficulties in menstruation period due to major fluctuations. Although minor fluctuations usually occur but there is a medical condition called menstrual disorder which is characterized by some peculiar signs and symptoms.
The menstrual disorder is actually diagnosed when a woman is facing a problem of irregular periods along with profoundly painful cramps, premenstrual syndrome, abnormally high bleeding and missing their menstrual cycles very often.
There can be different causes due to which menstrual disorder occur which are listed as following:
Menstrual disorder is not only about heavy bleeding but in certain condition, there could be be no bleeding at all. This condition is called as amenorrhea. It is usually diagnosed when a girl does not get her periods even after 16 years of age. It can occur due to hyperthyroidism, cysts in ovaries, not controlling birth frequencies, pregnancy, recurrent pregnancy loss, eating disorders etc.
Hence, to diagnose this medical condition, the affected female should immediately contact the gynecologist. The doctor can speculate the symptoms and for how long they are persisting. The gynecologist may conduct a pelvic exam in order to ensure if there is any inflammation in the vagina or cervix region. The blood tests can also determine the hormonal imbalances. The possibility of cancer in cervical region can be checked by conducting Pap smear test. In order to diagnose the additional menstrual disorder, the gynecologist or the respective medical healthcare provider may conduct additional tests such as endometrial biopsy, hysteroscopy and ultrasound.
Once the diagnosis is performed, the treatment can be given maybe in terms of medicines or other alternatives to treat this problem effectively. Make sure that certain irregularities in periods are completely normal, but as soon as you may see the menstrual cycle patterns going abnormally for persistently more extended periods of time, then you should immediately contact your healthcare practitioner. In case you have a concern or query you can always consult an expert & get answers to your questions!
It’s a general concept even in layman that for pregnancy one needs to have regular and timely menstrual periods.But in certain patients periods may not come regularly ever since menarche.Besides they may have history of weight gain,acne, excessive hairs on skin of face, may need to go for threading more often than required and may have cousins, sisters or evn mother having same issues.Such symptoms and signs point towards –
These patients generally have high body mass Index(BMI)but some fall into category of lean with periods regular.
What all these lead to is a situation called-Chronic anovulation- a common cause of infertility.
Most of such PCOS patients have normal FSH but high LH levels.Its a multifactorial condition with life long implications
What we can do about it ?
Yes we can do major part especially if weight is more then Lifestyle modifications alone will help to keep things on track but it needs constant action in a well planned manner.So tips to keep a check on PCOS-
Dear readers all these need to be followed as part of life and not till you have pregnancy as PCOS has more of chronic affects also later on due to tendency to gain weight due to hormonal disturbances
Polycystic ovary syndrome (PCOS) is diagnosed in
approximately 60–70%of women with such features.
How to plan pregnancy in PCOS?
Singleton live birth rates of up to 71% in 2 years can be
achieved in such patients with –
1) Induction of ovulation- it can be by clomiphene citrate as first line of treatment and Injectables gonadotropins as second-line
treatment with success rate varies from 2 to 3%
2)IUI- combined induction with IUI increases success rate from 8 -13% to 15-20%
3) IVF- not used as first-line therapy in these
patients, except for subgroups with a poor prognosis like-
Outcome of IVF In PCOS-
The outcome of IVF in women with PCOS shows variable outcome as-
Response to Medicines is the main issue- erratic(resistant to hyper) which is generally unpredictable
PCOS patients show reduced fertilization rates, presumably due to endogenous hormonal imbalance
Menstruation is a healthy experience of a woman’s life, and it must come habitually every 28 days, for a period of 3-4 days without coagulating, and the blood loss should correspond to about a quarter of a cup. For a woman, menstrual cycle is a virtuous indicator of her overall wellbeing. Some women get irregular periods that appear at longer intervals, an unpredictable discrepancy in the duration of the cycle and the normal twenty-eight day cycle is missing. Some women have very insignificant problems with menstrual cycles, while others experience a monthly torture.
Irregular menses is typical in early puberty and not generally perturbing. Women should be alarmed when periods are spaced out for more than two months, as this may suggest hormonal imbalance and ovulation problems. A woman’s customary hormonal cycle is contingent upon a subtle equilibrium between different hormones. Several potential triggers can stimulate hormonal imbalance leading to irregular menses. If a woman fails to ovulate, her ovaries will not receive a signal to produce a hormone called progesterone. Progesterone is essential in regulating the Uterine lining called endometrium, which is discarded during menstruation. Without progesterone, the endometrium persistently grows until it starts to break down and is disposed off as a very heavy uterine bleeding. The endometrium may also shed partially and intermittently, and bleeding becomes irregular or prolonged.
Causes of Irregular Menses:
Excessive weight loss or gain.
Excessive production of Androgen (a steroid hormone such as testosterone that controls the development and maintenance of masculine characteristics).
Polycystic Ovarian Syndrome (in this condition the ovary does not make all the hormones needed for any egg to mature fully, due to which some follicles remain as cysts, ovulation does not occur and the hormone progesterone is not made. Without progesterone a woman’s menstrual cycle is irregular or absent).
Symptoms of Irregular Menses:
Inconsistency in the length of menstrual cycle.
Low energy levels.
Changes in sexual desire.
Endometrial Hyperplasia (excessive cell growth in the inner lining of the uterus due to excessive estrogen production as a result of delayed ovulation).
Homeopathic Approach to Irregular Menses:
Homeopathy offers an extensive range of options than conventional medicine. Homeopathic treatment for Irregular Menstruation is very competent, non-invasive, safe and inexpensive. Homeopathy treats the patient as a whole and looks deeper into the problem, promotes the immune function and maintains uterine health by eliminating the causative factor. Homeopathic Constitutional treatment based on the holistic approach stimulates the natural hormonal balance without administering any harmful hormone preparations. The goal of this Homeopathic approach is to enliven the body's natural healing and self-repair ability to treat the underlying condition, to prevent it and to create the highest state of health and well-being.
Constitutional Homeopathic treatment with the management of an experienced and professional Homeopath is an excellent choice for Irregular Menstruation. Some Homeopathic remedies that are commonly used to treat Menstrual Irregularities are given below. These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines in Menstrual Irregularity. It is not advisable to resort to self-medication for any disease.
Homeopathic remedies for Irregular Menses:
Self-care measures for Irregular Menses:
Relax and ease stress.
Avoid exhausting physical exercise.
Eliminate any eating disorders.
Eat a balanced diet with lots of fresh fruits and vegetables.
Reduce your intake of salt and caffeine.
Hence, appreciate a natural way to a healthy uterus, convalesce healthy living and curtail the changes that happen during your menstrual years. If you wish to discuss about any specific problem, you can consult a homeopath.
Women suffer from a range of gynaecological problems ranging from menstrual irregularities and fertility issues to menopause and STD (Sexually Transmitted Disease). In most cases, it is an imbalance of hormones that cause gynaecological problems and strong medication is not required. Homeopathy is a holistic form of alternative medication that takes into account the physical, mental and emotional symptoms of a patient and addresses the root of the problem. It has negligible side effect and hence can be prescribed for women of all ages. During a woman’s teenage years, homeopathy can help regulate hormone production and hence treat associated puberty changes and skin conditions like acne. In her later years, homeopathy can also help treat fertility issues as well as ease pregnancy-related issues. Here are a few gynaecological problems that can be treated with homeopathy.
Irregular Menstruation- Pulsatilla and sepia are excellent remedies for treating menstrual difficulties. Pulsatilla can be used to treat missed periods as well as excessive bleeding and painful periods. In most cases, the women who benefit from this remedy are emotional, timid, thirstless and averse to fats. Sepia is used to treat early or scanty menses in cases where women also complain of being tired, irritable and prefer solitude.
Fertility Issues- Problems that arise out of a weak uterus such as infertility or miscarriages in the first trimester can be treated with Caulophyllum. In such cases, the woman often complains of pain and stiffness in the joints and has erratic mood swings. A loss of libido caused by excessive alcohol, drugs or sex can be treated with Agnus castus.
Pregnancy Related Issues- Cimicifuga can be used to treat nervous mothers who worry excessively about the foetus and tend to suffer from rheumatic pains. Morning sickness is a common complaint of pregnant women and can be treated with Ipecacuanha.
Postpartum Depression- After giving birth to their baby, many women suffer from postpartum depression and feel disconnected to their baby. This can be treated with Nux Vomica and Lilium Tigrinum. The former helps treat ambitious women who may feel resentful of having had to give up their careers because of the new born baby. Lilium Tigrinum is used to treat depression that involves constant weeping and irritability.
Menopause- Menopause affects every woman in a different way. Lachesis is a homeopathic remedy that can be used to treat hot flushes, palpitations and feelings of being suffocated while asleep. Excessive menses and a tendency to haemorrhage can be treated with ustilago. This can also be used to treat uterine fibroids. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.