Patient's question:
Your friend has irregular menstruation.Doctor's answer:
HelloMenstrual disorder is not amenorrhea.
Menstrual disorder, also known as menstrual irregularity, is a common gynecological condition. It is characterized by abnormalities in the menstrual cycle or bleeding volume, or by abdominal pain and systemic symptoms during the menstrual period or before menstruation. The causes may be organic lesions or functional disorders. Many systemic diseases, such as blood disorders, hypertension, liver disease, endocrine disorders, miscarriage, ectopic pregnancy, molar pregnancy, reproductive tract infections, tumors (such as ovarian tumors, uterine fibroids), and others, can cause menstrual disorders.
What are the symptoms of menstrual disorder?
The manifestations of menstrual cycle or bleeding volume disorders include the following situations: ① Irregular uterine bleeding. This includes: excessive menstrual bleeding or prolonged duration. Common in conditions such as uterine fibroids, endometrial polyps, endometrial hyperplasia, and endometriosis; decreased menstrual bleeding, with both reduced volume and shorter duration; frequent menstruation, with menstrual intervals shorter than 25 days; prolonged menstrual cycles, with intervals longer than 35 days; irregular bleeding, which can be caused by various reasons and has no regularity. The above conditions can be caused by local factors, endocrine disorders, or systemic diseases. ② Functional uterine bleeding. This refers to abnormal uterine bleeding caused by endocrine regulatory system disorders without obvious organic lesions in the internal or external genitalia. It is the most common type of menstrual disorder and is more common in adolescents and perimenopausal women. It is divided into ovulatory and anovulatory types, with about 85% of cases being anovulatory functional uterine bleeding. ③ Postmenopausal vaginal bleeding. This refers to bleeding occurring 6 months after the cessation of menstruation and is often caused by malignant tumors or inflammation. ④ Amenorrhea. This refers to the absence of menstruation or the cessation of a previously established menstrual cycle for more than 3 cycles. The former is primary amenorrhea, and the latter is secondary amenorrhea.
The following are manifestations of menstrual abnormalities or associated symptoms: ① Dysmenorrhea. Severe lower abdominal pain during menstruation that affects work and daily life. It is divided into primary and secondary types. ② Premenstrual syndrome. Some women experience a series of abnormal symptoms before menstruation, such as tension, emotional instability, difficulty concentrating, irritability, depression, insomnia, headaches, and breast tenderness. This is often caused by sexual hormone metabolic disorders and psychological factors. Treatment primarily involves adequate rest, with sedatives and diuretics used when necessary. Hormonal, androgen, or bromocriptine (an anti-estrogen therapy) may also be used. ③ Polycystic ovary syndrome. The cause is unknown. It is characterized by infrequent menstruation or amenorrhea, infertility, hirsutism, and obesity. The ovaries are enlarged with multiple cysts and can be treated with hormones or surgery. ④ Menopausal syndrome. Some women experience a series of vegetative nervous system disorders before or after menopause, such as reduced sexual function and episodic