Definition of Oligomenorrhea: Oligomenorrhea is defined as irregular and inconsistent menstrual blood flow in a woman. Some change in menstrual flow is normal at menarche, postpartum, or in the perimenopausal periods.
Causes Of Oligomenorrhea:
1.Polycystic ovarian diseases
2.Androgen secreting tumor of the ovary
3.Androgen secreting tumor of the adrenal gland
4.Cushing syndrome
5.Hyperthyroidism
6.Prolactinomas
7.Hypothalamic amenorrhea
8.Pelvic inflammatory disease.
Symptoms Of Oligomenorrhea:
1. Acne.
2. Headaches.
3. Hot flashes.
4• Abdominal pain.
5• Vaginal discharge.
6. Impaired vision.
7. Excess hair growth on your face and body.
Oligomenorrhea diagnoses:
Your provider will work with you to diagnose your oligomenorrhea and identify what’s causing it with the help of symptoms.
Medical history:
Arrive at your appointment prepared to answer detailed questions about your period irregularity, including the number of days in between periods. Track this information for at least two months. Your provider may also ask about:
What a normal period’s like for you? Your provider will want to know how many days pass between periods, how heavy your periods are, etc. Understanding what a typical period means for you helps your provider kk understand the severity of your issue.
Your Family’s Medical History: Having a family member with a condition that causes oligomenorrhea (ex. PCOS) may increase the likelihood that you’ll have it,too.
Your Habits And Lifestyle:
Your provider may ask about your diet and exercise habits to see if your routine may be causing infrequent periods. They may also ask about whether you’re having unprotected sex, to rule out whether an STI may be causing your period irregularities.
Medications you’re taking: Hormonal contraceptives, antipsychotics, antiepileptics and steroids have all been linked too.
Exams:
Examinations include:
Physical Exam:
Your provider inspects your face, neck, breasts and abdomen to check for signs of conditions that are causing oligomenorrhea.
Rectovaginal exam:
Your provider inserts one gloved finger into your vagina and another into your rectum to feel for any masses inside your body.
Vaginal speculum exam:
An instrument called a speculum widens your vagina so that your provider can check your vagina and cervix for signs of bleeding, inflammation or scar tissue that may be causing issues. Your provider may order a cervical swab to test for an infection.
Abdominal exam:
Your provider feels for masses and tender spots in your abdomen.
Imaging:
Imaging procedure include:
CT scans:
Detect masses that may be causing bleeding.
Pelvic and abdominal ultrasounds:
show signs of inflammation and PCOS.
Magnetic resonance imaging (MRI):
can confirm a prolactinoma diagnosis
Tests Done To Diagnose Oligomenorrhea:
Blood tests can help your provider check your hormone levels and blood sugar. Your provider may test your levels of:
Thyroid-stimulating hormone (TSH):Decreased levels may indicate hypothyroidism.
Follicle-stimulating hormone (FSH):Increased levels may indicate primary ovarian insufficiency.
Luteinizing hormone (LH): Increased levels of LH in relation to FSH can help your provider diagnose PCOS.
Prolactin: Increased prolactin levels may indicate prolactinoma.
17-OHP: Your levels of 17-OHP can help your provider diagnose congenital adrenal hyperplasia.
Blood sugar: A HbA1ctest can help your provider diagnose diabetes.
Preventions Of Oligomenorrhea:
Oligomenorrhea can’t be prevented, but your provider can recommend treatments once they’ve determined what’s causing your infrequent periods.
Oligomenorrhea isn’t serious.
Oligomenorrhea Treatment:
Dealing with menstrual disorders is very common for lots of women. Some feel extreme pain, some worry about their irregular periods and others try to deal with heavy bleeding. All such disorders including oligomenorrhea can be treated easily with help of herbal remedies.
OLIGOMENORRHEA TREATMENT Depends on the cause, but can include:
1.Lifestyle adjustments.
2.Herbal supplements.
3.Medications.
4.Psychotherapy.
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