You must know eight common problems with women’s menstruation

　　What should I do if I don’t have my period? What to do if you have menstrual disorders? Is it normal to have light menstrual flow? What's wrong with heavy menstrual flow? ……Various menstrual problems female , come and see if your answer is here.

　　Question 1: At what age is it considered normal to have menarche?

　　Question: I am 18 years old this year, but I have never had my period. Please tell me, at what age should a girl get her period? Is this normal for me?

　　Answer: The time of women’s menarche continues to change with the progress of the times. In the 1940s, menstruation around the age of 18 was considered normal.

　　But modern people are better nourished, and menarche gradually comes earlier. Nowadays, most girls have their first period around the age of 12. If a girl over 16 years old does not menstruate and her breasts, pubic hair, armpit hair and other secondary sexual characteristics do not develop, she should have a menstrual period as soon as possible. Hospital examine. If you are over 14 years old and have developed secondary sexual characteristics but have not had menstruation, you should also see a doctor.

　　Question 2: Why don’t I have my period after losing weight?

　　Question: Some time ago, I successfully lost 20 pounds, but my period stopped coming. why is that?

　　Answer: Being too fat or too thin will lead to Menstrual disorders . Women who are too fat may suffer from polycystic ovaries syndrome; simple obesity can also cause endocrine disorders, resulting in Irregular menstruation ;Women who are too thin, especially those who lose more than 10 pounds in a month, are very susceptible to malnutrition, nerve Sexual anorexia, eventually leading to amenorrhea . Even if the latter regains weight, it will still take about a year for menstruation to slowly resume. Therefore, people who are not fat themselves have no need to lose weight at all, and must not lose weight blindly.

　　Question 3: What should I do if I have menstrual disorders during adolescence?

　　Question: I’ve had my period for two years, but it’s never been accurate. Will this last?

　　Answer: In the first year after menarche, most girls have irregular menstruation. Even by the third year, half were still irregular. Most people don't form their own cycles until 2-3 years after menstruation. If an adolescent girl has irregular menstruation and only comes once every two or three months, it may be "adolescent anovulatory functional disorder". Uterus "Bleeding", you should go to the hospital for examination in time, and use progesterone and other progestins to induce ovulation under the guidance of a doctor.

　　Hormone drugs such as progesterone are classic drugs for treating irregular menstruation. They are safe and effective, and there is no need to worry.

　　Question 4: Is it normal to have very light menstrual flow?

　　Question: My menstrual flow is very light, only one or two days at a time. A pack of ten sanitary napkins can last me three months. Is this normal?

　　Answer: Low menstrual flow is generally not a big problem, so don’t worry. If you have already given birth to a child or have no desire to have children, you don’t need to worry about it after tuberculosis is ruled out. If you want to have children and cannot get pregnant, you should go to the hospital to check whether you have endometrial lesions. The causes include tuberculosis and recurrent flow of people Endometrial damage caused by uterine bleeding, dilation and curettage, etc.

　　Question 5: What’s wrong with heavy menstrual flow?

　　Question: My menstruation lasts for eight or nine days each time and is very heavy. Will it have any impact on my body? Will it be in advance? menopause？

　　Answer: The most direct consequence of heavy menstrual flow and long bleeding time is anemia, but it will not lead to premature menopause. There are two main reasons for menorrhagia: first, organic lesions such as uterine fibroids and adenomyosis. Second, functional lesions, the problem is endocrine disorders, which may be hyperactivity of the local fibrinolytic system in the uterus, that is, poor hemostatic mechanism. The former situation should be treated according to the cause. For the latter, you can take birth control pills, antifibrinolytic drugs or a progestogen-releasing contraceptive ring under the guidance of a doctor.

　　Question 6: Is frequent menstruation considered a disease?

　　Question: Since menarche, my period has been early every time, sometimes two or three days, sometimes a week. It has been almost 5 years. Others have their period twelve or three times a year, but I can’t wait to have my period seventeen or eighteen times a year. Is it necessary to treat a situation like mine?

　　Answer: According to the consensus of clinicians, the menstrual cycle is considered normal between 24 and 35 days, so for this woman, there is no problem if it occurs two or three days early each time. If the menstrual cycle is only about 20 days, you should go to the hospital for examination to rule out pathological factors.

　　Question 7: Why is menstruation always delayed?

　　Question: My menstruation is delayed every time, usually every two to three months. I wonder if such a menstrual cycle will affect pregnancy?

　　Answer: This situation has a great impact on fertility. One menstruation means one ovulation, and the cycle lasts for two to three months. The ovulation cycle is longer than others. Even if there is no ovulation, the difficulty of conception will increase. People with long menstrual cycles may suffer from polycystic ovary syndrome, hyperprolactinemia, pituitary hypothalamic hypofunction, etc., and should seek medical treatment in time.

　　Question 8: Will menstruation be irregular if I am about to go through menopause?

　　Question: I heard that women who are about to reach menopause either don’t have menstruation, or they have very heavy menstruation every month. How long does this stage last?

　　Answer: The menopausal transition lasts on average three and a half years. Treatment should be based on women's different needs. If you only have menstrual disorders but no symptoms such as menopausal irritability or hot flashes, you can periodically supplement progesterone; if you have menopausal symptoms, you need to add estrogen; if you still need contraception, you can also use a new generation of contraceptive pills. It should be reminded that women over 40 years old and smokers should use birth control pills with caution. If menstruation is irregular for a long time, you should go to the hospital for regular examinations to rule out endometrial lesions.