Irregular Periods Treatment

Overview

The menstruation or period is a part of the menstrual cycle when the woman bleeds from her vagina for a few days. A woman is said to be experiencing irregular menstruation periods if it occurs before 21 days or it occurs after 35 days.

This bleeding occurs between 3-8 days. For most women, it occurs every 28 days or so, but it is common for women to experience more or less frequent than this starting from 21 days to 40 days menstrual cycle.

If the period appears once in 60-90 days or missing 2-3 periods in a row, it can be the sign of irregular periods.  Excess bleeding or very light bleeding shows the problems.

The bleeding in between the normal periods or bleeding after menopause is also indicative of abnormal menses.

Causes of Irregular Periods

• Oligomenorrhea
• Dysmenorrhoea
• Amenorrhea
• Abnormal or Dysfunctional Uterine Bleeding
• Use of Contraceptive Pill
• Uterine Fibroids and Polyps
• Polycystic Ovary Syndrome (PCOS)
• Endometriosis
• Pelvic Inflammatory Disease (PID)
• Stress, obesity & Unhealthy Lifestyle

Diagnosis

Diagnosis of irregular menstrual periods may start with a pelvic exam. The doctor will ask for the patient’s medical history. The patient will have to talk about all the medications and supplements you are taking. As per the patient’s specific symptoms, the following diagnostic tests may include:

• PAP test: This test verifies if there is the presence of infections or cancer cells on the cervix.
• Blood test: Blood tests are conducted to detect anemia, thyroid function, and blood clotting problems.
• Pelvic ultrasound: Pelvic ultrasound will show the interior of the uterus, ovaries, and pelvis.
• Endometrial biopsy: If the doctor wants to evaluate potential problems in your uterus, he/she may recommend an endometrial biopsy. As part of this procedure, a sample of uterine tissue is taken for analysis.
• Sonohysterogram: A sonohysterogram is an ultrasound where the fluid is injected into the uterus to get the image of the uterine cavity. Then, the doctor can look for polyps or fibroids.
• Pregnancy test: The doctor may recommend a pregnancy test.

Treatment

Treatment depends on the following things:  

• The woman’s your overall health
• Cause of irregular menstrual periods
• The medical history of the patient and plans
• Treatment for any underlying medical conditions such as thyroid dysfunction.

The treatments may include both surgical and non-surgical procedures:

1. Nonsteroidal anti-inflammatory medications (NSAIDs) – ibuprofen or naproxen to minimize mild blood loss.
2. Iron supplements are used to treat anemia.
3. Hormone replacement injections are used to treat hormonal imbalances.
4. Oral contraceptives help in regulating the cycle and shorten periods.
5. Dilation and curettage (D&C,) is a procedure where the doctor dilates the cervix and scrapes the tissue from the uterus lining to reduce menstrual bleeding.
6. Surgery is the common treatment for cancerous tumors and fibroids.
7. Polyps removal is treated by hysteroscopy.
8. Endometrial ablation is a procedure performed to control heavy bleeding and related symptoms when the medications fail.
9. Endometrial resection involves the removal of the lining of the uterus to reduce the chances of future pregnancy.
10. Hysterectomy is a surgical procedure to eliminate the penis and cervix or removal of ovaries.

Consult Dr. INTHU M, the best female gynecologist in Chennai for irregular periods treatment at 𝐌𝐚𝐚𝐲𝐚 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐭𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬.