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Irregular Menstrual Bleeding

A detailed anamnesis of the patient who applied to the physician with the complaint of menstrual irregularity is taken. The interval of menstrual bleeding, the duration and amount of bleeding are questioned in detail. After the family history is taken, the presence of drugs used and menopause are questioned. After the physical and gynecological examination, the uterus is observed in detail with ultrasound and, if necessary, hysteroscopy. cervical cancer in the presence of suspicion smear test and, when necessary, biopsy from the uterus is taken to rule out the suspicion of uterine cancer. With the serum progesterone test, ovulation is investigated. In the presence of suspected adenomyosis, detailed imaging is performed with MR. In addition, possible abnormalities in the hormonal level are detected with detailed laboratory tests. It is investigated whether there is a problem with coagulation. The hypothalamus, pituitary, ovary and uterus, which play a role in the formation of a healthy menstrual cycle, are checked in detail. In the light of all radiological examinations and laboratory tests, the factor causing menstrual irregularity is determined.

LET'S EVALUATE TOGETHER.

The condition of having a period earlier or later than the normal cycle of the person is called menstrual irregularity. The functioning of the hypothalamus, pituitary, ovary and uterus in full harmony plays an important role in the formation of the menstrual cycle. From the first bleeding in adolescence, menopauseThe menstrual cycle, which is regularly repeated every month until the  period, occurs every 21 to 35 days, in other words, every 28 days on average. In order to detect menstrual irregularity, the number of days between the first day of menstrual bleeding and the first bleeding seen in the next period should be noted. In the presence of bleeding occurring in the interval of less than 21 days and more than 35 days, menstrual irregularity can be mentioned. In addition, absence of bleeding in 3 or more periods, less or more bleeding than normal, and bleeding outside the menstrual period are considered menstrual irregularity. Possible hemorrhoids etc. during the control of menstrual bleeding. Attention should be paid to rectal bleeding that may develop due to formations. Disorders that affect the menstrual cycle are defined as:

  • Hypermenorrhea: More than normal amount of menstrual bleeding

  • Hypomenorrhea: less than normal amount of bleeding

  • Menometrorrhagia: excessive bleeding at irregular intervals

  • Menorrhagia: Prolongation of the menstrual period

  • Metrorhagia: Irregular menstrual bleeding

  • Oligomenorrhea: Two menstrual cycles more than 35 days. Infrequent menstruation.

  • Polymenorrhea: Two menstrual cycles less than 21 days. Frequent menstruation.

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