Menstruation problems

Menstruation problems

Abnormal menstruation

The frequency, duration and intensity of menstruation varies a lot among women. Abnormal menstruation does not always have to be examined, i.e. as long as the woman experiences no adverse effects. If your period lasts long or is very intense, or if the cycle is longer than 42 days and you have a desire to have children, you should consult a doctor.

Absence of menstrual period (amenorrhoea)

Some girls have not yet had a period at the age of sixteen. This is called primary amenorrhoea. This may be caused by an improperly developed uterus, a closed hymen or because they do not ovulate (anovulation)

If a woman has previously had periods, but not in the last six months, we speak of secondary amenorrhea. The most common cause is that there is no ovulation.

Very heavy bleeding during menstruation (menorrhagia)

The amount of blood loss during menstruation differs per woman. When the amount of blood loss is large, or when menstruation lasts a long time, this is called menorrhagia.

Heavy periods can be caused by abnormalities of the uterine lining. This can be too thick, or there may be polyps present. Another common cause of menorrhagia is myoma (fibroids).

Bleeding between periods and irregular menstruation (metrorrhagia)

Blood loss between periods is called intermenstrual bleeding. This may occur in the cycle at fixed or varying intervals, and the amount of blood loss can vary. Very irregular bleeding where there is no cycle recognizable is called metrorrhagia.

There are various causes of all intermenstrual and irregular bleeding. The cause may be harmless, such as irregular ovulation, a polyp or infection. But the complaint could also indicate another condition of the cervix or uterus.

In many cases, it is not clear what causes the severe blood loss. If heavy blood loss impedes daily life, or leads to anaemia, treatment may be considered. At the Wetering Medical Centre we aim to determine the cause of heavy periods in one visit, so that, if necessary, a treatment can be agreed.

Frequently Asked Questions about Menstrual Problems

What are considered menstrual problems?

Menstrual problems include complaints related to the menstrual cycle, such as heavy periods, an irregular cycle, bleeding between periods, or the absence of menstruation. The severity and impact of these symptoms can vary widely from one woman to another.

What can cause an irregular menstrual cycle?

An irregular cycle may be caused by hormonal fluctuations, the absence of ovulation, stress, lifestyle changes, or underlying gynaecological conditions. In some cases, an irregular cycle is temporary, but persistent symptoms may require further evaluation.

When is a period considered heavy?

A period is considered heavy when menstrual bleeding is excessive, lasts longer than usual, or interferes with daily activities. Heavy periods can sometimes be associated with conditions such as fibroids, polyps, or changes in the uterine lining.

What is bleeding between periods and should I be concerned?

Bleeding between periods refers to vaginal bleeding that occurs outside the regular menstrual cycle. This can happen at fixed or irregular times and may have various causes, including hormonal changes or benign conditions. In some situations, medical assessment is recommended.

What menstrual problems treatment options are available?

Menstrual problems treatment depends on the type of complaint and the underlying cause. In some cases, reassurance or monitoring is sufficient, while in others medication or additional treatment options may be considered. A consultation helps determine the most appropriate approach.

When should I seek medical advice for menstrual complaints?

It is advisable to seek medical advice if menstrual problems persist, worsen, interfere with daily life, or if there is a wish to become pregnant. Early evaluation can help clarify the cause and guide suitable treatment.