POLYMENORRHEA

POLYMENORRHEA:

The uterus is likely to be normal and the error is in the Ovary. If affecting the luteal phase, it is due to poor function of the corpus luteum” i.e. the premenstrual endometrial biopsy shows lagging secretory endometrium.  Frequent periods or menstrual cycle that is shorter than 21 days. For some, shorter cycles can be normal but for some menstruators, it can be caused by certain medical conditions. Poly menorrhea can cause anemia due to frequent and heavy bleeding. It can also create problems with fertility and the quality of life.

Causes Of Poly menorrhea:

Mostly caused by hormonal imbalance due to:

1. Perimenopause.
2. PCOS.
3. Luteal phase defect.
4. Birth control pills.
5. Excessive exercise.
6. Eating disorders.
7. Thyroid disorders.

Diagnosis:

1.History.

2.A full general examination.

3.Pelvic Exam.

4.Papanicolaou smear test.

5.US exam (endometrium, ovaries).

6.A diagnostic curettage.

7.Hystero-salpingography.

8.Hysteroscopy.

9.Hematologic studies.

Tests:

1.Hemoglobin.

2.Hematocrit.

3.Urinary (or serum) b-human chorionic gonadotropin levels.

4.Coagulation profile.

5.Serum assay for progesterone.

6.Anovulatory patients.

• TSH assay
• Serum prolactin
• Serum free testosterone.

Treatment:

1.Lifestyle adjustments.

2.Diet Exercise.

3.Stress relief.

4.Alternative medicine Phytoestrogenic supplements.

5.Hormone-regulating supplements.

6.Conventional medicine.

7.Medications.

8.Psychotherapy.

Some women with poly menorrhea will develop anemia due to frequent and heavy bleeding. This is a condition where your blood lacks enough healthy red blood cells. The symptoms of anemia are fatigue, difficulty with memory and concentration, low energy levels, light-headedness, pale skin, and temporary shortness of breath with exertion. You need to see your doctor if you suspect you may be anemic, as the condition will usually require medical treatment.

Some women experience bloating and fluid retention around the time of their periods. Since Poly menorrhea means women experience periods more frequently, some complain of enduring weight gain.