In what situations can menstrual irregularity occur?
Menstrual irregularity is a very common condition for women. We accept the period of 21-35 days at normal levels. If the period between two menstrual bleedings is more than 21 days, this is frequent menstruation. If menstruation occurs for more than 35 days, this is also infrequent menstruation. Menstrual irregularities can sometimes be physical, that is, some irregularities may occur during periods of incomplete maturation, which can be considered normal. Sometimes, while approaching menopause, menstruation may become sparse and irregularity may occur.
What does it mean if it's 21 or 35 days?
It is related to the hormonal structure of the person. The time of ovulation can affect this. Of course, if there is such a situation, analyzes can be made and a conclusion can be reached. It's not something that will cause much of a problem. We usually look for an underlying pathology in women with menstrual irregularity. This is an abnormal situation. For example, there may be an ovarian cyst that triggers hormonal irregularity, there may be a polyp related to bleeding, there may be a fibroid in the uterus. These conditions trigger menstrual irregularity.
In which age ranges is menstrual irregularity common?
It usually begins to appear in the period after puberty. There is insufficient maturation, that is, the hormonal balance cannot be fully achieved. All hormones secreted from the brain to the ovaries trigger menstrual irregularity. It can be seen more frequently between the ages of 15-25 and over the age of 40. But it can occur at any age in a woman.
What is the normal period of menstruation?
We consider 21-35 as normal. Of course, the duration of the period is also important. In order to be called normal, the bleeding time should not exceed 7 days. In fact, this is not enough to say normal, the amount of bleeding is also important. If the bleeding is between 30 cc and 80 cc, it can be considered normal.
What is the normal of menstrual bleeding? Do you mind if it bleeds too much?
It is not possible to say that it is normal or excessive by looking at the menstrual bleeding through the pad. Some may think it is normal, but if this bleeding is excessive, they may encounter problems such as anemia, tachycardia, and weakness in the future. The biggest reason for this is that the normal is not known.
Which types of cysts cause menstrual irregularity?
Cysts are actually formed as a result of the growth of the egg. Sometimes the cysts can grow up to 3-4 cm and then they can be discarded with menstrual bleeding. This is a physiological event. If the cyst disappears after the menstrual period, it is a situation that should not be feared. Chocolate cysts, dermoids, or tumoral cysts can cause irregular menstruation. For this, we perform tests such as ultrasonography and blood tests. We can even apply to methods such as MRI. Accordingly, we decide whether or not to operate on the patient.
Is menstrual irregularity the biggest symptom of cysts?
Menstrual irregularity is due to many factors. For example, even if you experience a stress, your bleeding may come immediately or come late, we may experience irregularity. Cysts may cause hormonal irregularity, cause menstrual irregularity or cause pain, and sometimes may not show any symptoms. However, it was only in our patients who came with the complaint of menstrual irregularity and saw cysts. It is possible to say something clearer by doing some tests and scans.
Does every woman need to see a gynecologist?
Definitely. A routine needs to be under control. It is always useful to have a check-up. It is better to detect early.
How many pads is it normal for a woman to use during her period?
Bleeding may be a bit excessive for the first 3 days. It is normal if a lady uses 2-3 pads a day. This can be considered normal if the first days do not exceed 5 pads. But the pad is not an objective measurement tool. After all, women may be changing their pads too often. The use of pads depends on the person in terms of hygiene. From a medical point of view, it should not be over 80 cc.
At what age does the mother begin to menstruate, does the girl begin to menstruate at that age?
It is possible for this event to occur due to genetic ties between mother and daughter. We see such events. We always question the family history, especially for early menopause. If the mother or grandmother has entered the early menopause, this is a risk for the girl. In such people, a decision can be made by looking at their ovarian reserves and doing blood tests. If necessary, we recommend freezing the ovaries. Even if you are not married, we can freeze the ovaries in certain situations. This is legal in Turkey.
For how many years can the ovaries be frozen?
According to the current law, it can be frozen for 5 years. A re-evaluation can be made after 5 years.
Where are frozen ovaries stored?
It is stored in special nitrogen and nitrogen. There are special ice cream tanks, we keep them in them. These tanks are also located in IVF centers.
Are there different diseases that trigger menstrual irregularity other than polycystic ovary?
Of course. Sometimes it can cause menstrual irregularity in cases in the uterus. Polyps or fibroids can also cause irregular bleeding.
Is myoma seen only in women over the age of 40?
No. It can be seen not only in individuals aged 40, but also in all women and even young girls. We also have patients who are unmarried or at the age of 15 or 16 who have severe bleeding and even go into shock due to excessive bleeding. When we examine these, there are those who have fibroids in the uterus.
If a woman who realizes that she will go through menopause at a young age goes to a gynecologist, can she delay menopause as a treatment?
No. Even at a young age, menopause is not something that can be postponed. After all, we are born with an ovarian reserve, and when this reserve is depleted, women enter menopause. How much reserve is when we are born, that's how it goes. It is not possible to increase it. Because you can neither delay nor prevent menopause. In fact, it is a very wrong behavior to give a woman who has gone through menopause to have her period by giving medication.
Do drugs used to delay menstruation disrupt menstruation?
Yes. Their irregular use disrupts the menstrual cycle. Especially women who go to the sea in the summer use such drugs to delay their menstruation. Delaying menstruation with medication is a commonly used method. It depends on how often these drugs are used. If you use it too often, uterine thickening can be seen or a very heavy bleeding can be seen afterwards. If necessary, menstruation can be delayed with medication. It is not a method with many dangers, but it is still necessary to be careful.
What are your suggestions for menstrual pain?
Every woman experiences menstrual pain more or less. These pains can be relieved with simple painkillers, and they occur in our patients who apply to the emergency department with every pain. These can seriously affect daily life, comfort and professional life. There are even discussions about why we have periods on some platforms. With some treatments, there are also vision studies every 3 months or every 6 months. With this, you do not reduce fertility, you just play with the order of hormones a little. But this is one of the extreme debates.
If menstrual cramps affect a person's social life, it is a problem. I am a lady, this is my destiny, there are some who think that I have to suffer from menstrual pain, but the reason for this needs to be looked at. The underlying problem may be nothing.
Is it harmful to take painkillers during menstrual pain?
If the patient is in a lot of pain, he can take painkillers. Pain relief is also a treatment. It also reduces bleeding when used too much. We use birth control pills for people whose pain is not relieved by painkillers. Of course, to use them, you should not have any problems and all your examination should be normal. If the pain does not stop with medications, surgical intervention may be required.
Is endometriosis a dangerous disease?
After all, it's not a cancer, but they say there are some diseases that don't kill them. Endometriosis is one of them. Endometriosis does not pose a danger, but it can disrupt the patient's comfort with the discomfort it causes. As we have patients who have had repetitive surgeries, it can be a disease that goes up to bowel surgery, and urinary tract surgeries are performed. Women who have menstrual pain should not ignore it, they should see a gynecologist. Endometriosis can be seen. This needs to be treated. Because this will not only cause menstrual pain, but may also cause problems when you will have children in the future.
What types of menstrual cramps are not dangerous?
If the pains do not affect your life much, that is, if they do not harm your social life, this can be considered normal. However, some patients say that when they experience menstrual pain, they do not go to work and do not leave the house. This is an important situation. Of course, the pain threshold can also vary from person to person. But the important thing is that if these pains disturb the comfort of the patient, it is a condition that must be treated.
What is the lightest treatment method?
If this situation cannot be prevented with painkillers, we recommend birth control pills to patients. If the pains continue to disrupt daily life afterward, we recommend a surgical method.
How long does the surgical method take?
Its length depends on what is in the patient. Sometimes we can find a fibroid and sometimes a chocolate cyst. The duration of the surgical method varies according to the type of disease.
What causes male infertility?
There are many reasons for this. First of all, sperm count should be done in men and sperm quality should be checked. It would be more accurate to say a result by looking at the movements and shapes of the sperm.