Therapeutic target Normalization of the cycle interval when polymenorrhea is perceived as a burden, leads to anemia (anemia), contraceptive desire (desire to use birth control), chronic anovulation (failure to ovulate), or desire to have children. Therapy recommendations Contraceptive desire (estrogen-progestin combinations: e.g., birth control pills). Chronic anovulation and desire to normalize the cycle interval (progestogen … Polymenorrhea: Drug Therapy
Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to evaluate the genital organs. Abdominal sonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries). Optional medical device diagnostics -depending on the results of the history, physicalexamination, laboratory diagnostics … Polymenorrhea: Diagnostic Tests
A deficiency symptom may indicate that there is an insufficient supply of vital substances (micronutrients). The complaint bleeding indicates a deficiency of vital nutrients for Vitamin C A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency. The complaint bleeding indicates a vital substance deficiency for. … Polymenorrhea: Micronutrient Therapy
1st order Abrasio – scraping of the mucosa of the uterus so that it can then be examined histologically. Surgical removal of fibroids (benign tumors) or polyps (mucosal outpouchings of the endometrium). Gold net method (endometrial ablation) – gentle and low-complication removal of the endometrium for the treatment of excessive menstrual bleeding(s) with completed family … Polymenorrhea: Surgical Therapy
The following symptoms and complaints may indicate polymenorrhea: Leading symptom Polymenorrhea – the interval between bleeding is less than 25 days, so bleeding occurs too often
Endocrine, nutritional, and metabolic diseases (E00-E90). Disorders of the endocrine system (hypothalamic-pituitary-ovarian), unspecified. Note!However, polymenorrhea may also occur physiologically as a norm variant.
The following are the most important diseases or complications that may be contributed to by polymenorrhea: Blood, blood-forming organs – Immune system (D50-D90). Anemia (anemia)
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Polymenorrhea: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count (hemoglobin (Hb), hematocrit (Hct)). Ferritin – if iron deficiency anemia is suspected. HCG determination (human chorionic gonadotropin) 17-beta estradiol Progesterone Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Inflammatory parameters – CRP … Polymenorrhea: Test and Diagnosis
Medical history (history of illness) represents an important component in the diagnosis of polymenorrhea. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When was your last menstrual period? What is the cycle length* (from the first day … Polymenorrhea: Medical History
Pathogenesis (development of disease) The interval between bleeding in polymenorrhea is less than 25 days, so bleeding occurs too often. This is often caused by follicular maturation disorders, sometimes with corpus luteum insufficiency. In biphasic cycles, follicular maturation is shortened. In monophasic-hypothermic cycles, aborted bleeding occurs. Etiology (causes) Biographic causes Hormonal factors Shortly after menarche … Polymenorrhea: Causes
Regular check-ups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits). Once … Polymenorrhea: Therapy
