Everything You Need To Know About Abnormal Menstruation (Periods) Treatment

Most women have menstrual periods which last 4-7 days. The period typically occurs every 28 days, however, normal menstrual cycles may range from 21 days-35 days. Many things lead to abnormal menstrual periods like changes in hormone levels, certain health conditions, stress, medication and more. Irregular periods do not always mean a sign of a problem. Here, we will explore abnormal menstruation periods in details, such as what is abnormal menstruation periods, what are the symptoms of abnormal menstruation periods, what are the treatments for abnormal menstruation periods, what are the best hospitals for abnormal menstruation periods, etc.

Dr. Mohammad Afzal Siddiqui

Review By Dr. Mohammad Afzal Siddiqui
Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Mar 4, 2024

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Table Of Index

What is abnormal menstrual period?

What are abnormal menstrual periods?

An irregular period is a condition in which period comes late, early, or even not at all, or when the duration of menstrual cycle changes. The gap between periods starting is approx 28 days. It may be sometimes a little shorter or longer. Periods are said to be irregular when the gap between these is more than 35 days or less than 21 days. Irregular periods may affect a woman who has periods. Periods are likely to be irregular when they first begin during puberty, and when a woman is nearing menopause. After puberty, several women can have a regular menstrual cycle. But, it is normal for the period to vary by some days each time.

Types of abnormal menstrual periods

Menorrhagia and Polymenorrhea: Menorrhagia is a common type of menstrual bleeding. The condition is characterized by heavy bleeding. In certain cases, the bleeding might affect normal daily activities. While there are several causes associated with menorrhagia, the common causes include hormonal imbalance and uterine fibroids.

Dysmenorrhea: Dysmenorrhea is characterized by menstrual cramps and pain during menstruation. The conditions can be described as either secondary or primary based on the causes. For primary dysmenorrhea, a person experiences abnormal uterine contractions due to a chemical imbalance. Secondary dysmenorrhea is mainly associated with medical conditions.

Amenorrhea: Amenorrhea is characterized by absent and missed periods for over three cycles. There are two types of this condition, namely secondary amenorrhea and primary amenorrhea. In primary amenorrhea, menstruation does not start at puberty. In secondary amenorrhea, menstrual cycle becomes  irregular or absent.

Hypomenorrhea: Hypomenorrhea is a disorder in which there are light periods. The menstruation can often lasts less than 2 days, and is less than 80ml. This condition can be due to use of hormonal contraceptives such as oral contraceptives and IUDs.

Causes and Symptoms

Causes

  • Using an intrauterine device
  • Use of birth control pills or medications
  • Pregnancy, breastfeeding
  • Stress
  • Too much exercise
  • Polycystic ovary syndrome
  • Thickening of or polyps in the uterine
  • Overactive thyroid or underactive thyroid
  • Uterine fibroids
  • Premature ovarian failure
  • Eating disorders
  • Uncontrolled diabetes
  • Natural hormonal changes
  • Endometriosis, miscarriage, ectopic pregnancy
  • Uterine/ovarian cancer
  • Lifestyle factors

Symptoms

  • Heavy bleeding
  • Skipped periods
  • Spotting
  • Breast tenderness
  • Diarrhea
  • Cramps
  • Unexplained fatigue
  • Pale skin
  • Shortness of breath
  • Dizziness
  • Painful periods
  • Light bleeding
  • Fever
  • Skin irritation
  • Muscle pain

Diagnosis

To diagnose irregular periods, the doctor may order below given tests, including:

Endometrial biopsy: A tissue sample is extracted from the lining of the uterus. It can help detect hormonal imbalance, endometriosis, or precancerous cells.

Pelvic ultrasound: An ultrasound will diagnose irregular bleeding because of uterine fibroid, polyps and ovarian cyst.
Hysteroscopy: This procedure involves looking inside the uterus to detect and treat some causes of abnormal bleeding.
Blood tests: Heavy periods might lead to anemia, so the doctor will check the level of iron in the blood. They might also suggest a pregnancy test to check hormone levels.
Pelvic exam: The doctor will start a routine pelvic exam to evaluate your reproductive organs.
Vaginal cultures: Cultures are be taken to detect any infection.

Risk & Complications

Complications of abnormal menstrual period treatment

There may be some side effects of abnormal menstrual period treatment as mentioned below:

Damage to the womb: Surgery for abnormal menstrual period treatment may damage the womb and antibiotics may be required for treatment.

Feeling dizzy: Around one in 200 women who undergo hysteroscopy for abnormal menstrual period treatment under local anesthetic or without any anesthetic may feel faint.

Excessive bleeding: There can be excessive bleeding after surgery which can be treated with medication. In some rare cases, the womb might need to be removed.

Damage of the cervix: This can be repaired if it happens.

Womb infections: This can lead to odorous discharge, heavy bleeding and fever, and can be treated with antibiotics.

Preparation of Treatment

You need to prepare yourself before undergoing surgery for abnormal menstrual periods to get better results and avoid any major complications.

Stop eating and drinking: The patient needs to stop drinking and eating at midnight before the surgery. Empty stomach is necessary to carry out surgery.

Do not smoke: The patient will have to stop smoking at least twenty four hours before the surgery. Smoking may affect the procedure and the patient might not respond properly to the treatment.

Stop taking medications: You need to stop taking any medications that may put you at higher risks of bleeding. You should consult your gynecologist's instructions for continuing any medications.

How to prevent abnormal menstrual periods? Maintain a healthy weight: Changes in body weight may affect your period. Losing weight may help maintain your normal periods. Being underweight and extreme weight loss can lead to irregular menstruation. So, it is crucial to have a moderate weight. Exercise regularly: Exercise has several health benefits which can help your periods. Exercise helps maintain a moderate weight and is mostly advised as part of polycystic ovary syndrome’s treatment plan. PCOS may lead to irregular menstruation. Take vitamins: A study found low levels of vitamin D to be associated with irregular periods and revealed that taking vitamin D might help control menstruation. Vitamin D is found it effective in the treatment of menstrual irregularity in individuals with PCOS. Follow proper diet: Not having essential nutrients may affect the hypothalamus, adrenal and pituitary glands. These glands help in regulating hormone balance in the body, which can eventually affect your periods.

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Best Doctors for Abnormal Menstruation (Periods) Treatment

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Dr. Veena Bhat
36+ Yrs. Exp.MBBS, MD (Obstetrics and Gynaecology), Diploma (Gynaecological Endoscopic)Chairperson Emeritus
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Dr. Renu Raina Sehgal
20+ Yrs. Exp.MBBS, DNB (Obstetrics & Gynecology)Chief & Coordinator Operations - Obs & Gynae

Best Hospitals for Abnormal Menstruation (Periods) Treatment

Kokilaben Dhirubhai Ambani Hospital, Mumbai
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Kokilaben Dhirubhai Ambani Hospital, Mumbai

Kokilaben Dhirubhai Ambani Hospital, Mumbai Rao Saheb, Achutrao Patwardhan Marg, Four Bungalows, Andheri West, Mumbai – 400053.

Treatment Option

Medications: Medications are generally the first treatment for irregular periods. In case medication does not work, the doctor may advise surgery. Some medications include tranexamic acid, pain relievers, hormone therapy and antibiotics.

Surgery: There are surgical treatments based on the patient’s condition, age and if they want to be pregnant in the future. First surgical approach for abnormal menstrual periods include endometrial ablation. This procedure uses heat, cold or various types of energy to damage the tissues lining the uterus to minimize bleeding during your period. Second surgical technique is myomectomy which involves removal of uterine fibroids. The third approach is uterine artery embolization in which the blood supply is cut to uterus to stop uterine fibroids. Another surgical treatment is hysterectomy in which excess endometrial tissues are removed that are growing in the pelvis or abdomen.

Focused ultrasound: This procedure is used to shrink fibroids by destroying fibroids using ultrasound waves as well as radiofrequency energy. It requires no incisions.

Cost of the treatment

The cost of treatment for abnormal menstrual period in India can vary depending on several factors such as age of the patient, type of treatment, reputation of the hospital, experience of the doctor, preexisting condition, etc. The cost of treatment for abnormal menstrual period in India is much affordable when compared to other countries, and starts from $500.

Recovery

The recovery period after abnormal menstrual period treatment varies depending on the type of treatment the patient undergoes. After receiving treatment for irregular periods, it is advised to follow lifestyle changes such as quit drinking, alcohol and smoking, using drugs, and avoiding stress. If the irregular menstruation is because of some other reasons such as heart diseases, obesity or diabetes or PCOS, it is suggested to regularly exercise and reduce sugar intake. It is crucial to take nutritional supplements such as iron and vitamins. General hygiene should be followed after treatment or surgery. If the patient is taking any other medication, they should discuss with their doctor if any medication should be continued.

Recovery
Dr. Mohammad Afzal Siddiqui

Written by

Dr. Mohammad Afzal Siddiqui

Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Dr. Mohammad Afzal Siddiqui is an award-winning CEO of Marlin Medical Assistance Pvt. Ltd., a professionally managed medical tourism holding company and the active Director of Alshifa Healthcare Services Pvt. Ltd., a full-service medical tourism aggregation agency servicing JCI and NABH/ NABL accredited Hospitals across the country’s 5 locations.

In addition to Marlin, Alshifa also includes Media Group, which houses Arabic Medical Tourism e-Magazine healthandtour.com. The E-magazine “مجلة الصحة والسياحة” provides a wide scope of medical tourism information to healthcare travellers to find a safe, effective and cost-saving solution for their medical and healthcare needs. In addition to running E-Magazine, Dr. Mohammad Afzal also serves as Delhi-state coordinator in Foundation of Healthcare and Wellness Promotion focused on bringing India’s Healthcare closer to the world and smoothen world’s access to Indian Healthcare.

Frequently Asked Questions About Abnormal Menstruation (Periods)

A menstrual cycle may vary from 21- 35 days, and the delay of a few days is often common and may not be a cause for concern.

Irregular periods are generally common during menopause and puberty, as hormonal changes cause fluctuations in menstrual cycle. Factors like stress, excessive exercise, weight changes, polycystic ovary syndrome, other medical conditions and thyroid disorders can also cause this.

Irregular periods are generally common during menopause and puberty, as hormonal changes cause fluctuations in menstrual cycle. Factors like stress, excessive exercise, weight changes, polycystic ovary syndrome, other medical conditions and thyroid disorders can also cause this.

Following a healthy lifestyle including regular exercise, stress management, a balanced diet, and adequate sleep help regulate the menstrual cycle. It is also crucial to maintain a healthy weight because being overweight or underweight can disrupt the menstrual cycle.

Irregular periods not always mean infertility, but these can make it difficult to get pregnant. If anyone has irregular periods, it might be difficult to tell when they are ovulating, but, medical intervention and proper treatments can help most women with irregular periods to conceive and achieve a healthy pregnancy.
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