Menstrual Irregularities and Menstrual Pains

Menstrual Irregularities and Menstrual Pains

The menstrual bleeding that every healthy woman of reproductive age experiences once a month is one of the indicators that reproductive activities are on track. Women between the periods of adolescence and menopause are expected to experience menstrual bleeding, which can last for 3-7 days, with an average interval of 21-35 days. How long the menstrual bleeding will last and how long it will be between two menstrual periods may vary according to the genetic, physical and psychological characteristics of the woman. However, bleeding is expected to last for a minimum of 3 days and a maximum of 7 days for all women. In this context, bleeding that lasts less than 3 days and longer than 7 days makes us think that there is something abnormal in the woman's metabolism.

What intensity should the menstrual bleeding be?
The amount of blood is high in the first 2 days of menstrual bleeding and gradually ends in the following days. However, since it is not possible to measure the amount of blood, it is not possible to know exactly how much is ideal. For this reason, a comment can be made about the frequency of changing the pad of the woman. For example, changing pads up to 5 times is considered normal on the days when bleeding is most intense, while changing 3 pads per day is considered normal in the following days when bleeding decreases. Since the woman's genital organs and reproductive organs are more sensitive during the menstrual period, it is more important than ever to comply with the hygiene rules during this period. For this reason, when the pad becomes dirty, it should not be left in this way for a long time, especially in the first days, the pad should be changed as often as possible.

At what intervals is menstrual bleeding seen?
The age of the start of menstrual bleeding, the intensity and frequency of menstrual bleeding are also related to the genetic characteristics of the woman, the nutritional and social life conditions and the emotional world. For this reason, the information and numerical data about the menstrual order are at general, average level. More or less one of them does not necessarily mean that there is a health problem. However, in the light of the data obtained by considering women all over the world, it is thought that the period between menstrual periods should be the shortest 21 and the longest 35 days. In this context, it is beneficial to consult a gynecologist, as there may be any health problems in case of menstrual bleeding at intervals of less than 21 days and more than 35 days. In addition, when calculating the time between menstrual periods, it is not necessary to count the period after the bleeding ends, but the time from the beginning of the bleeding to the beginning of the next one.

When are the irregularities in menstrual bleeding are not considered a problem?
A woman's menstrual delaying 1-2 times a year, bleeding more or less than usual does not constitute a problem, it does not cause concern. However, it is recommended to consult a gynecologist, as their frequent experience may indicate any problem. However, it is considered normal to experience irregularities in menstrual bleeding during the period of adolescence and the approaching years of menopause. Because during these periods, the body is in the phase of trying to adapt to the changing hormone balance.

What are the reasons of menstrual bleeding being less than normal?
In women of reproductive age, it is expected that menstrual bleeding will continue for at least 2-3 days and be in a density to change at least 2-3 pads a day. It is suspected that there is a problem with shorter and lesser menstrual bleeding. The fact that the woman's menstrual bleeding is less than normal and its short duration can be interpreted as primarily a problem with the secretion of hormones. Due to the decrease in female hormones with advancing age, menstrual bleeding decreases, especially after the age of 40. In addition, the anomalies, structural disorders and adhesions caused by the intrauterine surgery that the woman has undergone can also reduce the amount of menstrual bleeding. Here, the factor causing the problem is determined and treatment is applied to eliminate this factor.

What are the reasons of menstrual bleeding being more than normal?
The fact that bleeding lasts longer than 7 days in a menstrual period and changing more than 5 pads a day is a sign that there is a problem. Hormone secretion disorders, ovulation imbalances, fibroids, polyps, spirals used for birth control and some medications containing hormones can cause women to have longer and greater amounts of menstrual bleeding than normal. Since excessive menstrual bleeding can trigger anemia and disorders related to anemia in women, it is a problem that should definitely be consulted to a doctor and precautions should be taken. If the cause of this problem is a formation such as fibroids or polyp, it is surgically removed. If it is caused by a hormone imbalance, hormone secretions are regulated. If it is a negativity created by the spiral, the spiral is often removed. In this context, first of all, the necessary examinations are made and the reason is determined. Then, the most appropriate treatment method is applied to prevent the discomfort.

  • Op.Dr. Zeynep Taşargöl
    Obstetrics and Gynecology Specialist

    You can send me your questions and comments about Menstrual Irregularities and Menstrual Pains via this field. The answers provided are advisory. You need to be examined by your doctor for diagnosis and treatment.