home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK02341}
- $Pretitle{}
- $Title{What Are the Causes of Irregularly Menstrual Periods?}
- $Subject{monthly menstrual periods period ovulating ovulation fertilization
- cervix cervical mucous ovary releases middleschmertz hormone levels hormonal
- anorexia nervosa irregular abnormal thyroid function polycystic ovaries ovary
- tumors adrenal glands infertile infertility problems anovular vicarious
- retrograde menstruation genitourinary system uterus vagina fallopian tube
- tubes menstruate menstruating cycle fertile fertility sterile sterility}
- $Volume{J-14}
- $Log{
- Diseases of the Female Reproductive System*0009001.scf
- The Menstrual Cycle*0009101.scf}
-
- Copyright (c) 1992,1993 Tribune Media Services, Inc.
-
-
- What Are the Causes of Irregularly Menstrual Periods?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: Though most of my girl friends confide that their monthly periods
- are like clockwork, mine are never on time, never seem the same, and seem all
- wrong. I am becoming very anxious and wonder if there is anything you can
- tell me about my condition. What can be done to help me?
-
- ------------------------------------------------------------------------------
-
- ANSWER: It's hard to tell from your question exactly what the problem is. It
- sounds like you're complaining of irregularly spaced menstrual periods. If
- that's the case, you and your doctor will probably want to evaluate whether
- you are ovulating properly, since normal menstrual bleeding follows ovulation
- by two weeks if fertilization does not occur.
- There are a variety of ways to determine whether you are ovulating. Many
- women identify a change in the cervical mucous when ovulation occurs. Some
- women spot slightly and feel a pain in the lower abdomen when the ovary
- releases its monthly egg. This has been given the descriptive name
- of "middleschmertz" ( or "middle pain").
- Basal body temperature rises by about 0.5 degrees F. at ovulation, and
- remains elevated until menstrual bleeding begins. Taking your temperature
- each morning with a basal body temperature thermometer, carefully following
- its directions, will help to tell you whether you are ovulating.
- There are also several self-test kits on the market which, when used
- properly, can tell you whether you are ovulating.
- If your doctor feels your problem warrants more investigation, he may
- perform blood tests to check your hormone levels. Hormonal therapy can be
- ordered to solve the problem, but hormones should be prescribed carefully.
- If you're not ovulating, what could the problem be?
- Stress, the culprit for so many other ills, can shut down ovulation.
- Emotional stress and physical stress, such as that induced by extreme exercise
- or illness, can change your hormonal levels enough so that ovulation is often
- stopped until the problem is resolved. Women with anorexia nervosa often stop
- ovulating.
- Obese women often stop ovulating until they lose weight. Body fat can
- produce estrogen, and the excess upsets the body's hormonal balance. The
- result is no ovulation, irregular periods and an increased risk for cancer of
- the lining of the uterus.
- Women with abnormal thyroid function, especially those with a low thyroid
- production, often do not ovulate. Treatment with thyroid medication usually
- solves this problem.
- Some women who do not ovulate have polycystic ovaries. Polycystic
- ovaries are enlarged and contain many partially mature but unreleased eggs.
- Drug therapy can usually correct this problem.
- Tumors of the ovary or adrenal glands may cause ovulation problems, but
- they're rare. If no other problems are found, this possibility should be
- checked.
- Not ovulating or irregular ovulation obviously causes infertility
- problems. Ovulation problems that are causing infertility can sometimes be
- treated successfully with hormonal therapy.
- As you can see from my answer, irregular periods can be more than just a
- nuisance. If you are experiencing irregular menstruation, you should be
- thoroughly and completely evaluated, because menstrual problems may often be a
- signal that something else is wrong.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-