Normal menstruation is the result of a complex interaction between the hypothalamus, pituitary, ovaries and endometrium. Any interruption of this axis at any point can cause menstrual disorders. Many types of menstrual disorders in adult women who have normal sexual development. These problems are the absence of menstruation (amenorrhoea), painful menstruation (dysmenorrhea), abnormal uterine bleeding (anovulatory bleeding), excessive blood loss during each menstrual cycle (menorrhagia) and irregular bleeding (bleeding).
In addition, many women suffer from premenstrual syndrome, a group of physical and emotional symptoms that occur before the start of each cycle. Moreover, some women temporary discomfort at the time of ovulation because of slight bleeding from the follicle may in the abdominal cavity, oral contraceptives improve the situation by the suppression of ovulation, or complaints will be treated with painkillers such as ibuprofen or naproxen.
Amenorrhea (absence of menstruation)
Amenorrhea is the mirror image of a breakdown in the feedback loop between fully neuroendocrine hypothalamus, pituitary, ovaries and uterus that the combined control of the menstrual cycle. However, amenorrhea, is not a disease.
There are two categories of primary and secondary amenorrhea amenorrhea. Primary amenorrhea is the delay or omission of a young woman after the age of 16 years to menstruate. The course of puberty and menarche are so different that there is no worry, until the girl reached the age of 16, assuming there are other signs of early changes in puberty (growth spurt, armpit or pubic hair, breast development ). Treatment of primary amenorrhoea are usually carried out only at the age of 18.
Secondary amenorrhea refers to the cessation of menstruation that had women, menstruation occurs, but then holds for at least three cycles of menstruation. It is much more common than primary amenorrhea. However, unless symptoms are extreme, or is there a more fundamental problem of how to understand the failure, there is no urgent need of treatment.
The causes of primary amenorrhea can chromosome abnormalities such as Turner syndrome (a genetic disorder, sexual maturation prevents girls), the hypothalamic-pituitary disease and a moderate or excessive exercise, deficiency symptoms due to disorders such as anorexia and obesity, extreme physical or psychological stress or a combination of both effects and the effects of a variety of medications, including some tranquilizers and progesterone. Common causes of secondary amenorrhea, many of which the primary amenorrhea, and pregnancy and ovarian cysts or tumors, extreme weight loss and / or intense physical activity, radiation therapy or abnormally adherent placenta in pregnant women before, and damage to the pituitary gland.
» Read more: Causes and Treatment of Menstrual Disorders