Reminding that menstrual irregularity is not only about the genital organs, Dr. Instructor Its member, Demet Dikmen, talks about other problems that cause disorder.
Dr. Instructor Member Demet Dikmen states that the prolongation or shortening of the period from the beginning of the menstruation to the beginning of the next menstruation, decrease or increase in the blood lost in menstruation, spotting or significant bleeding in the time between two menstruation are defined as irregularity in the menstrual cycle. The normal menstrual cycle in healthy women is 28 days from the start of the last bleeding. However, this period may decrease up to 21 days and extend up to 35 days. This situation cannot be considered as disorder.
Underlining that the irregularity may be related to the anatomical, functional or endocrine problems of the genital organs, Assoc. Instructor Dikmen also draws attention to the fact that this problem can sometimes be related to other organs or systems of our body.
Disruptions in the menstrual cycle can also be caused by the brain. Mostly benign tumors in the pituitary gland in the brain can affect the menstrual cycle. Assoc. Instructor Member Dikmen continues: “In this case, a milk-like liquid may come from the breast or the prolactin level may increase in the blood. high prolactin; It can lead to a prolongation of the period between menstruation, a shortening of the luteal phase, which is the second period in the menstrual cycle, and a complete cessation of menstruation even if this situation lasts too much and for a long time. It can also cause disruption of ovulation and cause inability to conceive.”
Under- or over-functioning of the thyroid gland can also cause problems in the menstrual cycle. These problems are usually seen in the form of increased bleeding, breakthrough bleeding or decreased bleeding. First of all, the thyroid gland should be visualized with ultrasound, other advanced imaging methods if necessary, and thyroid hormone levels should be evaluated with blood tests. He adds that in some cases, it may be necessary to take a biopsy from the thyroid gland. Assoc. Instructor Member Dikmen reminds that Hashimoto's thyroid, an autoimmune disease, can also cause relatively early menopause, that is, menstrual irregularities.
Hematological diseases are also usually manifested by increased bleeding. For example; Von Villebrand's Disease or congenital or acquired deficiencies and/or dysfunctions in platelets can cause severe bleeding from the first menstruation. Explaining that this disease can manifest itself with heavy menstrual bleeding in the following years, Assoc. Instructor “Other systemic diseases, liver diseases (cirrhosis or hepatitis), various kidney disorders, Cushing's Syndrome or Congenital Adrenal Hyperplasia, which is a disease of the adrenal gland, can also cause disruptions in the menstrual cycle,” says Dikmen.
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