Problems in Menstrual Period
Menstrual irregularity The menstrual cycle lasts an average of 28 days. If this period is prolonged or shortened or bleeding occurs between two periods, menstrual irregularity is in question. Or, if the menstrual period skips 2 or 3 periods, it means that there is menstrual irregularity in the same way. In some cases, menstruation ends, except for reasons such as pregnancy or menopause. This is called amenorrhea. Menstrual irregularity, stress, hormonal disorders, birth control pills, uterine myoma, presence of polyps, polycystic ovary syndrome, etc. causes inconvenience. For its treatment, lifestyle changes (diet and regular exercise), hormones such as estrogen or progestin, and painkillers are used. If there is a situation that causes menstrual irregularity (polyp, fibroids, etc.), their treatment is performed separately and menstrual regulation is ensured.
Premenstrual tension syndrome (PMS) is a syndrome with somatic and psychological symptoms seen in the luteal phase of the menstrual period. It is the situation in which a feeling of tension occurs in the individual starting from seven days before the menstrual period begins. While the quality of life is highly affected by severe problems in some women, it varies in moderate to mild severity in some women. Physical symptoms include headache, abdominal pain, back pain, weight gain, chest bloating. Psychological symptoms are sensory changes such as irritability, tension, depression, and depression. This situation negatively affects the quality of life of individuals. Cognitive-Behavioral Therapy for premenstrual tension syndrome (PMS) treatment methods is carried out as a combination of lifestyle changes and regulation, pharmacotherapy and non-pharmacological treatment methods. Dysmenorrhea (Painful Menstruation) Contraction occurs as a result of chemicals called prostaglandins affecting the uterine muscles. Contractions affect blood flow and the connection of oxygen with the uterus. These contractions cause pain during the menstrual period. During the menstrual period, throbbing or cramping pain is seen in the lower abdomen. This situation starts about 1-3 days before the menstrual period and continues for 3-4 days after the menstrual period.
In some women, it starts from the first appearance of menstruation, while in some women it may occur in the following years. It can be serious and painful, similar to labor pains. In addition to pharmacological treatment methods such as non-steroidal anti-inflammatory drugs and birth control pills, non-pharmacological treatment methods are also used for the treatment of painful menstruation. Menopause occurs with the decrease of female hormones such as progesterone and estrogen together with the decrease in ovulation, which is mostly associated with age in women. As late menopause can occur, early menopause can occur if it occurs earlier than expected. It is possible to say that the average age range for menopause is 46-48 years. While a woman's menopause before the age of 40 is defined as early menopause, in our country, menopause around the age of 52 can be considered as late menopause. Symptoms of menopause include menstrual irregularity, hot flashes, headache, irritable mood, and anxiety disorder. The diagnosis is made by looking at the LH and FSH values in the blood tests performed by the doctor. Childhood and adolescence gynecological problems (Pediatric and adolescent gynecology) For women, gynecological problems can begin between the ages of 0-14.
Physicians specialized in pediatric and adolescent gynecology provide support for gynecological diseases of this age group. It is a specialty that deals with the health problems of children and adolescents in childhood and adolescence, in the uterus, ovaries, vulva and pelvic region. Menstruation in women can occur between the ages of 10-15. In adolescence, a woman may experience excessive menstruation, menstrual irregularity, ovarian cysts, painful menstruation, dysfunctional menstruation, etc. Adolescent gynecology (adolescent gynecology) is treated by an obstetrician who has a specialty for the problems.Excessive hair growth and problems with breast development are also in the expertise of this field. In some cases, this gynecology area examination is also required for gynecological problems that may be congenital or inherited, developmental in adolescents or childhood.
A child and adolescent gynecologist is needed for many areas such as menstrual problems, deformities in the structure of the vagina (congenital or developmental some skin boils, etc.), anomalies and pains, ovarian problems. Obstetricians recommend that the first gynecology examination be between the ages of 13 and 15. It is important to follow the examination and developmental follow-up with the onset of menstruation in adolescents.