Common Specialities
Common Issues
Common Treatments

Irregular Periods - Symptom, Treatment And Causes

Irregular periods might be a problem and may exist if:

  • The duration between the periods starts changing.
  • There is decreased or increased loss of blood during a period.
  • The duration of a period is much longer than usual.

Here are the different kinds of irregularities in periods:

  • Irregular Menstrual-Bleeding: Bleeding that lasts over 20 days in an individual cycle and extends for more than a year.
  • Absent Menstrual-Bleeding: Absence of bleeding for over 90 days.
  • Heavy Menstrual-Bleeding: An excess of blood loss that can hamper a woman’s emotional, material, physical and social quality of living and can be independent or may occur along with other symptoms.
  • Prolonged and Heavy Menstrual-Bleeding: It is uncommon.
  • Light Menstrual-Bleeding- It is dependent on the patient’s complaint.

Irregular periods need to be looked into depending upon the desire of having children later on. Many diverse things can cause irregular periods. Changes in the hormonal levels of progesterone and estrogen might disrupt the usual period patterns. That is the reason young pubescent girls and older women nearing menopause usually are affected by irregular periods.

Some other reasons for having irregular periods are:


Generally, treatment isn’t required for menopause or puberty induced irregular periods, until the time they become bothersome or excessive. Periods also normally stop during pregnancy.

  • Correcting or treating underlying disease
  • Changing your type of birth control
  • Lifestyle changes, including weight loss
  • Hormone therapy
  • Surgery

Call your doctor if you have had regular, monthly periods and the pattern changes. Your doctor may perform a physical exam and order tests to rule out pregnancy or a health problem.

Treatable by medical professional Usually self diagnosable Lab test sometimes required Chronic: can last for years or be lifelong
Dysfunctional Uterine Bleeding Heavy, Prolonged, or Irregular Menstrual Periods. Obesity

Popular Health Tips

Poor Endometrium - Can It Be Treated?

MS - Obstetrics and Gynaecology, DNB OBGYN, ART Diploma
IVF Specialist, Mumbai
Poor Endometrium - Can It Be Treated?

What is Endometrium?

The uterus is where the fetus grows and develops. It has three linings- the outermost lining, the middle layer and the innermost lining. The innermost layer is called Endometrium. The endometrium is made of mucosal tissues.

How the endometrium changes and what is its function?

Before ovulation, when an egg is released, the functional layer of the endometrium undergoes a change. Vascularization takes place i.e. a buildup of blood vessels and tissues that thickens the endometrium in anticipation of implantation of a fertilized egg. If conception does not take place, the tissues and cells are shed from the endometrium lining. This is when a woman gets her period.

When conception does take place, the fertilized egg attaches itself to the endometrium. The endometrium also supports the placenta, which provides the fetus with oxygen and nutrition.

What is the ideal thickness of the endometrium?

In pre-menopausal women, the thickness of the endometrium should be-

• Between 2-4 millimetres during menstruation,
• 5-7 millimetres at the onset of the early proliferative phase
• Around 11 millimetres during the late proliferative phase
• 16 millimetres during the secretory phase

What is a poor/thin endometrium?

If the endometrium lining does not meet standard thickness and is not conducive to implantation, it is called a poor endometrium.

Causes behind thin endometrium

There could be many reasons that can lead to a poor endometrial layer-

• Inadequate secretion of estrogen
• Insufficient blood flow
• Prolonged use of birth control pills
• Substandard quality of endometrial tissues
• Presence of fibroids (small uterine tumours)
Amenorrhea (unnatural periods/ excess bleeding or too little bleeding)
• Intrauterine adhesions (scar tissues form between the layers of the uterus and glue them together)
• Pelvic inflammatory disease
• Use of clomiphene

What are the symptoms of poor endometrium?

Infertility (inability to conceive)
Irregular menstruation
Painful periods
• Inadequate bleeding during menstruation

Treatment for poor endometrium

• Since the most common cause of poor endometrium is insufficient estrogen, doctors prescribe estrogen pills that can raise estrogen levels.
• If poor endometrium is the result of poor blood flow, an Ultrasonography Test will reveal that. Then doctors prescribe Vitamin E pills and L-arginine amino acid pills to thicken the endometrium layer.
• Regular exercising increases blood flow to the uterus
• Acupuncture is a very effective stress buster. Chronic stress could lead to a shrunk uterine wall. Acupuncture can allay the stress and promote the health of the uterus.
• Intrauterine adhesions can be extracted through surgery.
• Natural remedy (through natural therapy) includes asparagus, royal jelly, cover and they help in thickening the endometrium layer.
Granulocyte Colony Stimulating Factor if injected into the body raises endometrial thickness and combats infertility.

Only an endometrium of normal thickness can support a pregnancy. If the lining is not thick enough medical intervention may be necessary.

2688 people found this helpful

A Complete Guide To Managing Irregular Periods!

MBBS, MS - Obstetrics and Gynaecology, MRCOG
Gynaecologist, Kolkata
A Complete Guide To Managing Irregular Periods!

With the advent of the 21st century and the accompanying sedentary lifestyle, women’s period cycles have increasingly started becoming irregular. If you think you are included in the list, this is the place to get a few facts cleared up.

Periods are deemed ‘irregular’ when the cycle stretches to more than 35 days instead of the normal 28, or bleeding occurs before 28 days. The scientific name of irregular periods is ‘Oligomenorrhea’. Read on to find out causes, symptoms and cures.

Periods become irregular due to a lot of factors, like:

  1. Changes in contraceptive methods: A switch in contraception, like say using a combination of progestin and estrogen pills in place of progestin pills alone.
  2. Hormonal imbalances: During or slightly after/before menopause, the levels of estrogen and progesterone decline in the female body leading to irregular periods.
  3. Endurance exercises aka aerobics: These exercises, built to increase your heart rate, can put pressure on lower-body parts like the stomach and uterus and lead to irregular periods.

Following are the symptoms which will help you detect if you have irregular periods:

  1. Appearance of clots more than 2.5 cm in diameter.
  2. Change in rates of blood flow, with flow being heavy or fast some days and slow and light other days of the cycle.
  3. Less than 11 or more than 13 periods per year.

Irregular periods are treated in any of the many ways listed below:

  1. Weight loss: Weight loss, either by gymming or surgically, cures irregular periods by reducing the amount of testosterone the body needs to produce, facilitating ovulation.
  2. Thyroid treatment: Radioactive iodine therapy, surgery and/or medication are used to treat thyroid disorders that sometimes are underlying causes of irregular periods.
  3. Psychological counseling: Periods often become irregular due to stress, emotional trauma and depression. Counseling treats these, and helps treat irregular periods in the process.

Periods become irregular due to whole gamut of both lifestyle as well as physical and emotional reasons, and help is always at hand. Check out the symptoms you have and their meaning, and quickly book an appointment with your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

2422 people found this helpful

5 Important Things You Should Know About Orthopaedic Stem Cell Treatment

M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
5 Important Things You Should Know About Orthopaedic Stem Cell Treatment

Orthopaedic stem cell treatment is an advanced branch of medicine, which can only be performed by a handful of physicians across the planet. If you are considering the surgery and the treatment, you should first know the important factors that can have an impact on the same. 

Outlined below are 5 things you should know about the treatment before you schedule the surgery. 



  1. Source of the stem cell: The source from which the stem cells have been extracted play a huge part in determining how successful the surgery would be. In case of orthopaedic stem cell treatment, the best place to extract the cells from is the bone marrow. However, in some cases, these cells may be taken from fatty regions of the body and not the bone marrow. This will eventually have an impact on the outcome of the surgery. Bone marrow cells are much more proficient at repairing damages of the bones than stem cells from any other source. 
  2. The technique for extracting stem cells: A procedure called the bone marrow aspiration or BMA is used to harvest the stem cells from the bone marrow. However, there is a correct way of doing it and a not so correct way of doing it. For instance, the stem cells need to be harvested using special needles and from several high density spots inside the bone. 
  3. Placing the stem cells in the right spot: Just extracting the stem cell properly is not enough. It also needs to be injected at the right place through the correct procedure. The surgeon will use advanced machineries to conduct the surgery, which are essential for the success of the treatment. These could include the use of c-arm fluoroscope, other one is called the ultrasound or may be even an arthroscope. 
  4. The correct dosage: This is a gray area, as knowledge needs to be further refined about the precise dosage required for the treatment. Specialised instruments and digital centrifugation systems help in  acquiring and concentrating the necessary amounts of stem cells for the procedure. 
  5. Understanding that the treatment works: Since stem cell treatment of any kind is a fairly new concept, most people feel that it may not work as advertised. However, if you go to a reliable facility where such surgeries are performed, you will get to know that not only does the treatment work but there have been several patients whose quality of life has improved greatly. Joint preservation surgery is the field which specialises in management of various conditions by these procedures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4404 people found this helpful

Irregular Periods - When To See A Gynaecologist?

Gynaecologist, Gurgaon
Irregular Periods - When To See A Gynaecologist?

Missing out on your periods or irregular periods once in a while is common. However, the problem arises when irregular periods become every month’s story. The irregularity can be an amalgamation of a host of factors. Ignoring the same for long will only complicate things further. For women of reproductive age, the problem can give rise to deleterious consequences, including difficulties in conceiving. In this article, we will discuss some of the common triggers that result in irregular periods and when to seek medical help.

What causes Irregular Periods?
The hormonal balance plays a significant role in the proper functioning of the vital organs of the body. More than often, irregular periods are found to be a manifestation of hormonal imbalance. Some of the conditions that trigger the hormonal imbalance include

  • PCO is a common medical condition that affects women of reproductive age. PCOS is characterized by the formation of cysts in the ovary (one or both) that affects the ovulation process. In PCOS, there is an increased production of Androgen, especially Testosterone that can cause irregular periods, hair fall, facial hair, weight gain etc.

  • Time and again doctors and health professionals emphasize the importance of leading a stress-free life. Research suggests stress and anxiety often interfere with the functioning of the Hypothalamus. As a result, the pituitary glands that control and regulate the activities of the ovaries, adrenal glands, and thyroid glands may be affected. These can also trigger a hormonal imbalance giving rise to menstrual problems such as Irregular periods. In case of extreme stress, there may be a short-term cessation of periods (Secondary Amenorrhea).

  • The hormonal imbalance and irregular periods can also be an outcome of other medical conditions such as endometriosis, a cancer affecting the reproductive organs, fibroids, obesity, diabetes, hyperprolactinemia (characterized by elevated level of prolactin) or even thyroid disorders.

  • Women who indulge in strict dieting can also suffer from irregular periods. Strict dieting (especially the ones that are without a proper nutritional guidance) can rob the body of the essential nutrients disrupting the hormonal balance.

  • Irregular periods are normal in women who are nearing their menopause.

When to seek medical assistance?
Irregular periods can be indicative of a severe health problem. Consult a gynecologist

  • If your regular cycles get delayed by more than 7 days.

  • There is spotting or bleeding in between the periods.

  • Your periods last for more than ten days or less than two days.

In case you have a concern or query you can always consult an expert & get answers to your questions!

  • There is excruciating pain during periods.

  • The gap between two successive menstrual cycles is more than 35 days or less than 21 days.

  • Your periods are heavy and unmanageable, affecting your daily routine.

4226 people found this helpful

Bleeding Problems - Know The Common Types!

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
Bleeding Problems - Know The Common Types!

Vaginal bleeding is a common phenomenon in women. Sometimes it is due to cyclical changes in the cycle, while other times, it may be indicative of something unnatural and perhaps severe. Abnormal vaginal bleeding includes:

  1. Heavy periods: This is a very common phenomenon. Bleeding during periods cannot be measured with optimum accuracy but periods can be considered heavy if it lasts over 7 days, if you need double protection, or if you seem to pass too much clots. It is recommended to consult your doctor if it starts to affect your lifestyle and causes hindrance in your day to day activities. The cause of heavy bleeding during menses is often unclear, but it may be indicative of uterine fibroids or cysts.
  2. Post coital bleeding: Post coital bleeding happens when you bleed after sex. The most likely reason for this to happen is if there is inflammation in the neck of the cervical opening or it is sore. The common cause of this can probably be sexually transmitted diseases such as Chlamydia.
  3. Inter menstraul bleeding: Bleeding between your periods is also a possibility. There can be several causes for this. It can be broadly indicative of uterine polyps or infections. Polyps are fleshy masses of cells which are basically an abnormal growth in the uterus or cervix.
  4. Break through bleed: These bleeds happen very suddenly and spontaneously in the middle of the cycles or close to the menstrual cycles. These can happen when you start contraceptive pills and usually settle down in a matter of few months.
  5. Post menopausal bleeding: Bleeding or spotting post menopause can be indicative of something more serious. The common causes can be uterine or cervical cancer. Often, it may also happen that the uterus starts to degrade, and small fibrous bleeding or spotting may be visible. In case you have a concern or query you can always consult an expert & get answers to your questions!
2000 people found this helpful

Popular Questions & Answers

I'm 32 years married since 5 years. I have pcos from childhood so i'm unable to conceive because I had hormonal imbalance and irregular periods but now my hormones had come to normal only have tiny multiple cysts. So someone suggested me for a d&c so can I do a d&c so there are chances to get pregnant faster. I tried allopathy for long so had a break and now in homeopathy.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
D & c for getting pregnancy- no any couple desirous of pregnancy and not getting same naturally must meet gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for a long time.

Im using the ovasafe pills to help me prepared my self to get pregnant. Im having irregular periods since 7 years. And im trying for a baby would I get pregnant after using the ovasafe pills for one month?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
It is adjuvant therapy given in some cases who are planning pregnancy but it is not a specific treatment. Any couple desirous of pregnancy and not getting same naturally must meet gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for a long time.

I have got irregular period every month. On january I have got my period on25th and on feb I got it on 27th feb. Can you plzz tell me what is my ovulation time.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
This is not irregular. Those who have regular 28 days cycle get ovulation around 14th day counting from the first day of the period (bleeding) means sexual intercourse around 11 to 16th day helps for pregnancy. Those who get cycles differently calculations have to be made differently as ovulation occurs 14 days prior to the next period.
1 person found this helpful

Hi. I have irregular periods. I took meprate 10 mg 2 times for 5 days but after 8 days no period. And also weight gain problem. What should I do?

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Do your urine pregnancy test and thyroid levels. If urine pregnancy test is negative then wait for 7 more days ,if still do not get your periods then take tab ovral-g twice daily for 5 days.
2 people found this helpful

Table of Content

Irregular periods might be a problem and may exist if:
Here are the different kinds of irregularities in periods:
Some other reasons for having irregular periods are:
Play video
PCOS (Polycystic Ovarian Syndrome)
Hello, everyone. I am glad that you are watching this video. I am consultant gynecologist at Max Superspeciality Hospital, Shalimar Bagh, Max Hospital in Pitampura and at my own clinic in Pitampura. Today I would like to talk about PCOS or Polycystic Ovarian Syndrome.

It is a very common in female endocrine disorder which is increasing tremendously. The prevalence of it now is 2.2 to 26% which itself is very high. NOw, what is it about? So, this problem is about women's hormones, they get out of balance. Then it makes the problems in periods, difficult for the women to conceive or to get pregnant. If left untreated, it can lead to long term problems such as Diabetes Mellitus, Heart disease, and endocrinal cancer.

What happens in PCOS?

In PCOS, the sex hormones get out of balance. So, the male hormones increase more than a normal range. Now, what do they do?

They stop Ovulation, they cause acne, increase the facial and the body hair.

The second factor it involves is Insulin.THe Insulin resistance is caused because of PCOS. The insulin resistance causes obesity, weight gain and then later it may cause Diabetes Mellitus. The causes of PCOS is clearly not known but they run in the family. The girls which are affected from PCOS, they get it either from the mother's family or the father's family.

So, the symptoms of PCOS are;

Extra facial and the body hair
Thinning of hair from the scalp
Infertility problems
Irregular periods
Now, coming to the diagnosis,

There are a lot of studies which are done for PCOS. PCOD is defined as any two of these three features, those are;

The periods that come after more than 45 days or periods which comes less than 8 times in a year.
Hyperandrogenism, Menstrual problems.
Ultrasound features suggested of PCOS.
So, the polycystic shows up multiple cysts, that is 10 in number, 2-8 mm in size and bulky ovaries each.

This is how we diagnose. Now coming to the treatment.

There are 3 key treatments for PCOS;

Regular exercise- Walking is a very good exercise that most people can do. Then depending on your choice, you can swim, dance, play etc.
Healthy diet- In diet, you should take green leafy vegetables, fruits, whole grains, nuts, beans, milk etc. You should avoid the intake of saturated fats like meat, cheese, fried food items, sugary food. Starchy food such as potatoes, cakes, sweet potato, maida, sooji, besan etc. You have to quit smoking if you are indulged in that too.
Weight control- In weight control, most women benefit even with 5% of weight loss that would help them regulate their hormones better.
The women's hormones come into balance, the periods come on time, it gets easier for the patient to get pregnant. All these favourable changes take place when the patient follows all these three steps.

Now there are pills that we can give to the patients to help her regulate her own hormones. Now, there are two types of pill;

One is birth control pills o0r oral contraceptive pills. These pills help to balance sex hormones.
Metformin pills are the insulin sensitizers. They tackle the INsulin resistance in the PCOS patients.
Now, all these help in balancing the hormones of PCOS patients. If a patient is suffering from depression because of PCOS, then he would advise her to do some exercises that help to elevate the mood or to consult a counsellor or a gynaecologist.

So, if you want to contact me, you can do so through Lybrate or you can come to my clinic directlywhich is in Pitampura.

Thanks for the patient hearing.

Play video
PCOS (Polycystic Ovarian Syndrome)
Hello everyone, I'm Dr. Pulkit Nandwani. I'm a gynecologist and a laparoscopic surgeon practicing in Rohini Delhi. Today I want to share some information with you about Polycystic Ovary Syndrome.

What is polycystic ovaries?

These days polycystic ovary syndrome is becoming extremely common. It is increasing in incidence. Nowadays every 2 in 10 women will be having this syndrome. Polycystic ovaries are nothing but ovaries slightly larger in size than the normal looking ovaries. The small cysts form in these ovaries which cause some hormonal disturbances. So having a diagnosis of polycystic ovaries on ultrasound does not mean that you have polycystic ovary in ovarian syndrome. Polycystic ovarian syndrome occurs only when a patient is experiencing symptoms along with an ultrasound diagnosis of polycystic ovaries.

Now what can be the symptoms that occur in polycystic ovarian syndrome?

The symptoms are usually due to the hormonal changes, means that you can either have irregular periods, heavy bleeding or their can be on period at all, then may be increase in body hair increase in facial hair specially and loss of hair on the head. Then their can be weight gain. Patient can become overweight. It can affect the fertility difficulty in conceiving as well as oily skin acne under and also because the polycystic ovarian syndrome. Then their can also be some psychological disturbances. Your patient can experience mood swings and depression. All because of the hormonal changes or polycystic ovaries.

What are the causes of polycystic ovary syndrome?

Cause of polycystic ovarian syndrome is as such not yet known. It is just seen to run in a hereditary fashion. If your mother or elder sister experience problems of this kind you are also likely to have polycystic ovarian syndrome. Now other than these syndrome discussed earlier, you can also experience a lot of long-term consequences on health because of polycystic ovarian syndrome. These patients are more likely for having heart diseases later on in life, very high chances diabetes and blood pressure is there and even higher chances of uterine cancers, developing cancer of the lining of the uterus.

Now how can we reduce the effects of polycystic ovarian syndrome. As such there is no cure for the polycystic ovarian syndrome. We have medical treatment but better than that is to have a healthy lifestyle. Polycystic ovaries respond a lot to just having a healthy lifestyle which includes losing weight. If a patient is overweight, the first advice that we give to the patient is to lose a weight even a minimum weight loss of 3 to 5 kgs makes a drastic decrease in the even appearance of polycystic ovaries and betterment of hormones. So having a healthy lifestyle means eating lots of fruits and vegetables, cutting down on junk food. Losing weight in the form of activity having exercised makes a difference in the treatment itself. Along with that any other medical requirement is that then we have some hormonal tablets which can be started to cure the bleeding problems as well as we start them to help the patient to try to conceive. For the long term effects, just having a healthy lifestyle and having a control on weight having regular checkups with a general practitioner. Having the regular checkups of sugar to rule out diabetes or blood pressure and then annual screening for cancer can reduce the effects of polycystic ovarian syndrome.

Thank you I hope the information was useful for you.

If you have any queries regarding that you can always contact me on lybrate.
Play video
Irregular Menstrual Bleeding
Hello, I am Dr. Pooja Sharma Dimri. I'm a gynecologist occupation and an infertility specialist. I also specialized in minimally invasive surgery, gynecology including operative laparoscopy and histroscophy copy. Now I'm going to talk about a very common complaint with women present with us, which is irregular menstrual bleeding. Irregular menstrual bleeding may be in the form of delayed or irregular periods or heavy menstrual bleeding or frequent menstrual cycles. Most of the common cause of this irregular menstrual bleeding is hormonal issues like polycystic ovarian disease or hyperthyroidism.

In other cases, the cause of heavy or irregular menstrual bleeding maybe some pathology in the uterus like fibroids, polyps, abnormalities in the uterine lining or the endometrium to diagnose the cause of the regular or the heavy menstrual bleeding.

Before we go on to treatment we may need to do certain investigations like the hormonal profile to her on hormonal issues, sonography of the uterus and the pelvis to see for any nutrient pathology but sometimes all pathology may not be detected by the imaging studies and the blood investigation and we may require a hysteroscopy or a minimally invasive surgery to diagnose and treat these pathologies. Now hysteroscopy is a minimally invasive technique in which a specialized scope or telescope is put inside the uterine cavity in which we can directly visualize any pathology like a small uterine polyp or thickened endometrium at the same thing. That pathology can be removed and the endometrial lining can be sent for a biopsy.

In cases of older patients and specially in the ferryman age group, it is very important to rule out chances of cancers of the uterus. So in case of in irregular menstrual bleeding it is better to consult your gynecologist to rule out abnormal pathology.

For more details you can contact me on

Play video
Polycystic Ovary Disease (PCOD)

I am Dr. Shiwani Agarwal, Gynaecologist. Aaj hum baat krenge PCOS ke bare me. Is bimari me hormones ke sath sath metabolism bhi gadbad ho jata hai. Ovarian me cyst hone ka reason PCOS hmesha nhi ho skta hai and vice-versa. Isme male and female hormones ka problem ho jata hai. Female body me hmesha thode male hormones and female hormones hote hain and vice versa with male. Ye bimari 12-45 ke age group me commonly pay jati hai. Iska eaxct cause nhi pta hai. But ye genetically bhi ho skta hai. Obese women me ye problem ho skti hai. Diabetics women ko bhi pCOS ho skta hai. Iske kya symptoms hain?

Ye symptoms person to person vary krta hai. Excessive oily skin, dandruff, pimples, hair fall, irregular and delayed periods, infertility ye sare iske symptoms hain. PCOD ko kaise aap prevent kia ja skta hai? Ye disease curable nhi hai. Self diagnosis na kren. Apko Dr se consult kren apni problem ke lia. Is disease ko aap control kr skte hain. Ye day to day life ko disturb krta hai. Lifestyle me apko 3 chizen smjhni hai. Diet, exercise, and stress level. junk food, alcohol, smoking, late night sleeping avoid kren. Stress lene se apka weight gain hota hai. Apne aap ko khush rkhiye taki aap PCOS control kr sken. Apko diet me 4 chizen dhyan rkhen. Maida completely avoid kren. Sweets avoid kren. Fruits khaiye quki juice me fibre nhi hota hai. Fried food avoid kren.

Play video
Briefing On Menstrual Disorders
Hello Friends!

I am Dr. Suman Nigam. I am graduated from Lucknow. Here I am practicing as a gynecologist and obstetrician and I have a special interest in infertility. I deal with the problems of women and children. I have a clinic in Vasant Kunj, Delhi. Aaj me apko menstrual disorder ke bare me btaungi. Ye ek aisa time hota hai jisme ldki me kafi chances aate hain. Physical and psychological. Jab menses me disturbance aata hai to patient kafi disturb ho jata hai. Iske kya kya disorder ho skte hai. Excessive bleeding, severe pain, bleeding hone ke baad kuch time ke lia menses ka band ho jana. Sabse pehle hume ye pta hona chaiye ki normal menstrual flow kaisa hona chaiye. As per WHO, menstrual ke 3 saal ke baad inka flow kam ho jata hai. 2-7 days ki bleeding normal hoti hai. Average blood loss 35ml hona chaiye. Agar patient ko 7 days se jyada bleeding ho rhi hai or sanitary napkin 6 se jyada use ho rhi hain or periods bhi jldi jldi aa jate hain ya fir 45 days se aage ja rha hai to patient ko gynecologist se milna chaiye.

Starting ke 2 saal egg nhi banta hai. Islia ye disturbance aa skte hain. Agar heavy bleeding hai to hume dekhna pdta hai ki hormonal chances kaise hain, thyroid ka disturbance nhi hai, excessive stress to nhi hai. Eating pattern kya hai. Patient kitna physically active hai. Jayad exercise bhi krna ka effect menses pe pdta hai. Hume dekhna pdta hai ki ye kisi bimari ki vjha se to nhi ho rha hai. Hume dekhna pdta hai ki fibroid to nhi hai ya fir koi or problem to nhi hai. Hume bleeding disorder and ovulatory disorder bhi dekhna hota hai. Iske lia different types ki investigation ki jati hai. Like blood, hormonal test and ultrasound kia jata hai. Jayad blood loss hone se patient me anemia hone ke chances bhi hote hain. Islia unki problem ke hisab se iska treatment dia jata hai. Hormonal pills dia jate hain.

So that cycle regulate ho jaye. Next problem hai dysmenorrhea (painful menstruation). Lekin kuch cases me ye painkiller dene se bhi thik ho jata hai. Ye bhi dekha jata hai ki koi infection to nhi hai. Ab ye bhi dekha jata hai ki absence of menses na ho. Agar patient ke sare body parts bhi ache se develop ho gye hain to bhi ye problem hai to usko treatment dia jata hai. Agar patient 14 years ki hai or uske sexual parts developed nhi hai to bhi ye ek concern hai jo dekha jata hai. Ab ye bhi ho skta hai ki 3-4 cycle aane ke baad bhi periods band ho gye hain to hume uska cause dekhna pta hai. Jaise PCOS bhi ho skta hai or hormonal changes. Isi way me patient ko evaluate kr k treatment dia jata hai. Apko in baaton ka dhyan rkhna hai or time pe hi gynaecologist se milna hai.

Thank You!
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