Menstrual cycle abnormalities

• What is a normal menstrual cycle?
  There are several variations which are considered normal when we define menstrual cycle.
  
  • Days of flow- 2-7 days
  • Amount of flow- 5 – 80ml in one menstrual cycle
  • Cycle length- 21-35days
• What is the cause of irregular menstrual cycles?
  
  • Adolescents in the initial 2 years of menstruation
  • Perimenopausal age group
  • Thyroid and prolactin hormone abnormality
  • PCOS/PCOD
  • Pituitary hormone abnormalities
• What are the causes of increased flow during periods?
  This is called menorrhagia. The common causes include:
  
  • Thyroid or prolactin hormone abnormality
  • Anovulation- PCOS , close to menopause
  • Infection of the genital tract
  • Fibroid uterus
  • Endometriosis
  • Adenomyosis in the uterus
  • Endometrial polyp
  • Problems with blood clotting
  • Cancerous conditions in the uterus
  • Pregnancy compliactions must be ruled out
• What are the causes for severe pain during periods?
  This is called dysmenorrhea. The common causes include:
  
  • Infection of the genital tract
  • Fibroid uterus
  • Endometriosis
  • Adenomysosis
  • Pregnancy complications must be ruled out
  It is important to remember that this not an exhaustive list. Always consult your doctor for any abnormalities in your menstrual cycle.
• Which doctor is best for menstrual cycle abnormalities?
  Dr Sneha J is a Gynaecologist and best fertility specialist. She has completed MD OBG from the top university AIIMS , Delhi and University fellowship in Fertility/ Reproductive medicine. She later trained as a visiting fellow at Madrid , Spain and FCI, Chicago. A gynaecologist experienced in the treatment of these conditions is best for menstrual cycle abnormality treatment.