2-3% of women found a rare disease in which there is a violation of menstruation, which is observed less often than once in forty days (in healthy women the frequency of menstruation 28-30 days). This condition is called
and is found in both young women and elderly in menopausal period. There are two forms of the disease primary, which appears at the beginning of the menstrual cycle, and secondary oligomenorrhea that appears when the already established cycle. The disease involves the disruption of the menstrual cycle, sometimes it is combined with hypomenorrhea (poor selection) or preceded by a complete absence of menstruation – amenorrhea.
Causes of primary oligomenoree are congenital abnormalities of the reproductive system girls that are developing. in the embryonic period.
Causes of secondary oligomenorrhea can be inflammatory processes of female genital mutilation, the consequences
or surgery on the uterus, ovarian dysfunction, endocrine disorders of the thyroid gland, pancreas and adrenal glands, physical and psychological soreni, hormonal disorders, injuries, reproductive organs, the formation of tumors, functional disorders in the uterus and ovaries after the transfer of chronic infections, hormonal changes during menopause or puberty. Among the main reasons provoke secondary oligomenoree factors such as dramatic climate change, exhaustion, a strict diet, frequent
, discontinuation of the contraceptive drugs, the negative impact of the environment and others.
The main symptoms of this disease are rare menstruation, disorder of lipid metabolism resulting in the appearance of acne on the face, chest and back, obesity, and hirsutism (females growing hair on the face, abdomen, chest), body type women is similar to the body type men like the structure of the skeleton and pronounced muscular.
Some patients have reduced sexual desire and problems with conceiving a child. Often it is this reason becomes the reason for the visit to the hospital. At the first sign of illness you must consult a doctor because it may be a harbinger of some serious diseases, including cancer of the uterus.
Very rare monthly and other symptoms of oligomenoree require examination by a gynecologist-endocrinologist, neurologist, geneticist and oncologist who will be able to make the correct diagnosis. In the process of survey you will need to do biochemical and General blood tests as well as analysis on elevated levels of hormones testosterone, cortisol, thyroxin, estradiol, progesterone, human chorionic gonadotropin, prolactin, follicle stimulating and luteinizing hormones. You need to do urinalysis, ultrasonography of the thyroid and parathyroid glands, breast, uterus and appendages. In some cases, you may need magnetic resonance imaging of the pelvic organs.
Oligomenorrhea, treatment depends on the patient’s age and the causes will be deemed cured if the patient’s normal cycle, and during the year will be shorter than 40 days. Do not rush to drug treatment, if the patient is still teenager, not yet can be normalized with the cycle for some time, and if these symptoms are addressed the older woman as rare periods is a normal physiological state for women in premenopausal period.
There are times when for the treatment of oligomenoree enough proper nutrition and moderate physical activity, but in most cases without drugs can not do. In addition to hormonal preparations (which are usually taken for ten or twelve days each month or every three months) and multivitamins that doctors prescribe pelvic massage, physiotherapy, exercise therapy and acupuncture.
In some cases, surgical intervention is necessary in the form of radiowave coagulation and point diathermocoagulation.
The treatment of this disease deals with the gynecologist-endocrinologist, which in addition to the prescription of medications, pays attention and restorative therapy, which include normalization, immunostimulation and vitamins.
To prevent the recurrence of the disease after treatment must adhere to some recommendations to use prescribed methods of contraception to avoid stressful situations, engage in moderate exercise, eat right and watch my weight.