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What causes Menstrual Disorders?

Dr Manika Khanna
While most of the women get past their periods every month without any trouble, with their periods beginning and ending at the same time every month, some experience a few physical and emotional symptoms either before or during menstruation. These abnormalities or troubles in the monthly blood flow of a woman are known as menstrual disorders. The symptoms of these menstrual disorders could range from mood swings to heavy bleeding and may require medical assistance. There are two main abnormalities in case of menstrual disorders, being anovulatory bleeding and ovulatory bleeding. While anovulatory bleeding is the absence of menstruation, ovulatory bleeding results in excessive and heavy bleeding. Some of the menstrual disorders include abnormal uterine bleeding, dysmenorrhea, premenstrual syndrome and premenstrual dysphonic disorder. In most of the cases, these disorders arise from a hormonal imbalance. 

1.   Medications: Several medications like aspirin, coumadin and estrogens are known to cause menstrual disorders in women.

2. Stress and Hormonal Causes: Stress is very likely to cause menstrual disorders in women as it can reduce or increase the flow of blood. Other than affecting the blood flow, cortisol hormones are produced by adrenaline, while one is undergoing stress, which affects the sex hormones that in turn affect the ovulation and menstruation. There are several other pituitary, thyroid and adrenal gland abnormalities and problems which can also be classified into one of the major causes of menstrual disorders.

3. Clotting Abnormalities: Clotting abnormalities may also cause menstrual disorders in some of the women. Mostly, these are platelet dysfunction abnormalities and clotting factor abnormalities that result in menstrual disorders.

4. Diseases: Several sexually transmitted diseases as well as other diseases like cervical cancer, uterine infections, ovarian tumors, obesity etc often result in menstrual disorders causing abnormal uterine bleeding.

5. Fibroids and Polyps: Fibroids are growth from the muscular portion of the uterus which cause abnormal uterine bleeding and infertility, whereas polyps are growth from the inner lining tissue of the uterus. Despite the facts that polyps are not as common as fibroids, both of them are known to be major causes of menstrual disorders in women.

Apart from the aforementioned causes of menstrual disorders, there are several other factors responsible for the same, namely weight loss, eating disorders, pregnancy, etc. Nonetheless, considering the cause of the disorder, there is a variety of infertility treatments in Delhi available to treat the menstrual disorder ranging from mild medications and ablation to surgical options like hysterectomy which involves removal of uterus and cervix.


Dr. Manika Khanna is renowned IVF Specialist of India, She is Soul Peron of Gaudium IVF



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