Menstrual disorders during menopause
The menopause, also known as the climacteric, is the period of transition from the fertile phase of a woman’s life to the end of this fertility. Especially the premenopause, the period before the last menstrual period in a woman’s life, is characterized by irregularities in the cycle and menstrual problems.In this phase, the female body undergoes hormonal changes and adaptation processes, which is why irregular menstrual cycles are all too normal. In order to diagnose menstrual disorders, the doctor uses the medical history (patient survey) as the first method of examination.
Here, the doctor can determine how exactly the patient’s menstrual period was by interviewing the patient. The doctor is interested in when the first menstruation occurred, how long the cycle and the bleeding lasted approximately. In addition, the doctor asks whether known hereditary diseases or previous diseases exist.
This is followed by a physical examination. Gynecological examinations, ultrasound (sonography) and laboratory (hormone determination in the blood; androgen/LH/thyroid hormones) are used for clarification. The extent to which these examinations take place or the direction in which they are carried out usually depends on the symptoms a patient reports.
It would be good if the patient keeps a kind of diary for a certain period of time, which dates the cycle duration, bleeding duration, bleeding intensity and any inter-bleeding, in order to find out exactly which menstrual disorder is present. If the menstrual disorders cannot be named exactly, they can be diagnosed surgically (uterine endoscopy/hysteroscopy, curettage). Which therapy is used for menstrual disorders depends on the symptoms, causes and the diagnosis.
Depending on the cause and severity of the menstrual disorder, it is possible that the cycle will level out on its own. If the cause lies in the area of hormone production, treatment can be carried out by administering these missing hormones. If organ damage is the cause of the lack of hormones, an attempt can be made to surgically treat this organ damage and thus restart hormone production.
If stress or psychological problems are the cause, stress can be relieved by relaxation exercises, vacation or psychotherapy. If the contraceptive is the cause of the menstrual disorder, it may be necessary to take another preparation with different active ingredients or to do without this type of contraception. The therapy of amenorrhoea is essentially the administration of hormones.
Here, the administration of medication causes bleeding. Oligomenorrhoea and polymenorrhoea, where the cycle is shortened or lengthened, but menstrual bleeding is present, are usually not treated. Hormone therapy is induced if the patient still wishes to have children of her own.
Although the menstrual bleeding is too weak in hypomenorrhea, there is usually no therapy if there is no desire to have children. Otherwise, hormone therapy must be administered here as well. The other menstrual disorders (hypermenorrhoea, metrorrhagia, menorrhagia) must be treated.
The therapy of the menstrual disorder usually aims at treating the causes. Causes such as myomas (uterine tumors) can be surgically removed, for example. A scraping or hormone therapy can also be a further form of therapy.
In the case of very severe menstrual disorders, removal of the uterus (hysterectomy) may also have to be considered. The therapy of dysmenorrhea also aims at the causes. Here, preparations are used which specifically treat the pain or the pain-inducing cramps.
More about premenstrual syndrome with our partnerSome of the complaints and symptoms during menstruation can be alleviated with home remedies. In the following, some common household remedies that can provide relief from menstrual disorders will be presented as examples. Pain during menstruation: Pain that occurs during menstruation is not uncommon.
There are a number of effective medications available for menstrual pain, but home remedies are also a good alternative or effective supplement to relieve the pain. Warm cherry stone or spelt pillows gently relieve cramps and relax the abdomen. Various types of tea can also help to relieve the discomfort.
In general, you can drink any tea that you like and that does you good. Fresh herbal teas such as nettle tea, lemon balm or chamomile show a promising effect. Ginger is also said to have a beneficial effect.
You can add this to your tea, for example. In the week before menstruation: In the week before menstruation you can also do a lot to prevent menstrual cramps.Avoid alcohol, nicotine and caffeine if possible. This can prevent headaches and also menstrual pain. Avoid stress and make sure you eat a healthy diet.
