Normally, women menstruate at intervals of 22-35 days (a menstrual
period is calculated from the beginning of one menstrual period to the beginning of the next menstrual period) and
It lasts for 3-7 days. Bleeding, which is usually heavy in the first days, gradually decreases and stops around the 7th day. The amount of menstrual blood is approximately 50-60ml
. In some women, on the days that fall between the two menstrual periods. There may be bleeding in the form of spotting
and this bleeding may recur every menstrual period. It is known that this bleeding occurs during the ovulation period.
It is known that this bleeding occurs during the ovulation period.
It is known that this bleeding occurs during the ovulation period. Every menstrual period is an irregular menstrual period and every irregular
menstrual period has its own causes and treatment. For this reason, patients need to give a very good history. Most of the patients who apply to gynecologists are menstrual
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It occurs due to irregularity or abnormal bleeding.
The causes of menstrual irregularity vary greatly according to age
:
Newborn period; These are vaginal bleedings that occur as a result of the rapid decrease in the hormones passed from the mother after birth.
Play age period; During this period, vaginal bleeding may occur in girls, usually as a result of a foreign object being placed in the vagina.
Late childhood period; A condition called early puberty
occurs, which may occur due to a tumor, hormone disorder, or foreign body in the vagina
Juvenile bleeding (adolescence). ) ; This bleeding usually occurs as a result of
lack of ovulation from the ovaries and irregular hormone
(progesterone) production. Sometimes bleeding can last from a few days
to a few weeks and the missing hormone It is treated by replacement
. However, it is necessary to be careful
when applying hormone therapy during this period. Because hormones may inhibit growth
in girls who are in the growth period.
Productive period; The first thing that comes to mind when it comes to bleeding during this period should be pregnancy
. Of course, there is no bleeding during pregnancy, but vaginal bleeding may occur in cases of "risk of miscarriage" or "external
pregnancy". Again, in late pregnancy
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Bleeding may also occur during periods as a result of "early separation of the child's partner" or "partner settling down"
ir. Another bleeding cause during this period is ovulation disorders. Generally, bleeding occurs due to thickening (hyperplasia) in the inner membrane of the uterus (endometrium) as a result of ovulation disorders.
occurs. Of course, the most important cause of bleeding is "cancers". Some externally
drugs and especially low-dose birth control pills can also cause bleeding. Monthly and quarterly birth control injections can also cause bleeding.
Can.
Genital organ diseases; Vaginal tumors, wounds (erosions) on the cervix, polyps or myomas hanging from the cervix, cervical cancers, and tumors of the uterus called myomas also cause irregular bleeding
can.
Period of the end of the productive age; It is bleeding that occurs as a result of lack of ovulation
and irregular hormone release from the ovaries. Thickenings called hyperplasia in the uterus usually occur in this period, and these lesions with a high risk of cancer are definitely Diagnosis should be made by taking a biopsy (taking a piece
).
Menopause and post-menopause period; It may occur as a result of decrease in hormone levels (atrophy)
It may also be caused by genital cancer. It may also be possible. Since the risk of genital
cancer increases during this period, it requires serious examination.
Of course, the role of the brain is very important in maintaining menstrual regularity. Stressler, Psychological disorders, climatic and socioeconomic disorders
disorders also cause irregular menstrual bleeding.
In case of menstrual irregularities or non-menstrual bleeding, examination should be performed, ultrasound, hormone tests, Smear and endometrial biopsy (removing a piece from the uterus) should be performed and the cause of bleeding should be revealed.
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