Menstrual Disorders – Dr. Sachin Dalal – Symptoms, Causes, and Effective Treatment
Introduction
Menstrual disorders are common health concerns affecting women of all ages. Irregular periods, heavy bleeding, severe pain, or missed cycles can impact daily life and overall well-being. Understanding the causes, symptoms, and available treatments for menstrual disorders is essential for early diagnosis and effective management.
What Are Menstrual Disorders?
Menstrual disorders refer to abnormalities in the menstrual cycle, including changes in timing, flow, or associated pain. These conditions may be temporary or indicate underlying health issues that require medical attention.
Why Do Menstrual Disorders Occur?
Menstrual disorders occur when the normal hormonal balance that regulates the menstrual cycle is disrupted. Factors such as stress, poor lifestyle habits, hormonal imbalances, underlying medical conditions like PCOS or thyroid disorders, and nutritional deficiencies can interfere with regular menstruation.
Common Causes of Menstrual Disorders
Several factors can contribute to menstrual irregularities, including:
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Hormonal imbalances
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Stress and lifestyle changes
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Polycystic Ovary Syndrome (PCOS)
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Thyroid disorders
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Uterine fibroids or polyps
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Excessive weight gain or weight loss
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Certain medications
Symptoms of Menstrual Disorders
Symptoms vary depending on the condition but may include:
1. Irregular or Missed Periods
Menstrual cycles may become unpredictable, with delayed, early, or completely absent periods. This often indicates hormonal imbalance or underlying reproductive health issues.
2.Heavy or Prolonged Bleeding
Excessive bleeding lasting longer than normal periods can lead to discomfort and anemia. It may be caused by hormonal problems, fibroids, or uterine disorders.
3.Severe Abdominal or Pelvic Pain
Intense cramps or pelvic pain during menstruation can interfere with daily activities. This is commonly associated with conditions like dysmenorrhea or endometriosis.
4. Clotting During Menstruation
Passing large blood clots may occur due to heavy menstrual flow. Frequent clotting can be a sign of hormonal imbalance or uterine abnormalities.
5. Fatigue and Weakness
Ongoing blood loss or hormonal changes can cause low energy levels and tiredness. In some cases, it may be linked to iron deficiency or anemia.
6. Mood Swings or Headaches
Hormonal fluctuations during the menstrual cycle can trigger emotional changes and headaches. These symptoms may affect mood, focus, and overall well-being.
Types of Menstrual Disorders
- Amenorrhea (Absence of Menstruation)
Amenorrhea refers to missing menstrual periods for several months. It may occur due to hormonal imbalances, stress, excessive weight loss, or underlying medical conditions. - Dysmenorrhea (Painful Periods)
Dysmenorrhea causes severe menstrual cramps and lower abdominal pain. It can be primary (common cramps) or secondary due to conditions like endometriosis or fibroids. - Menorrhagia (Heavy Menstrual Bleeding)
Menorrhagia involves unusually heavy or prolonged menstrual bleeding. It can lead to fatigue and anemia and is often linked to hormonal issues or uterine disorders. - Oligomenorrhea (Infrequent Periods)
Oligomenorrhea is characterized by menstrual cycles that occur infrequently or irregularly. It is commonly associated with hormonal imbalance, PCOS, or thyroid problems.
Diagnosis of Menstrual Disorders
Doctors may recommend:
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Physical and pelvic examinations
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Blood tests for hormonal levels
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Ultrasound or imaging tests
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Menstrual cycle tracking
Treatment and Management Options
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Medications: Hormonal therapy, NSAIDs for pain relief
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Dietary changes: Iron-rich foods, balanced nutrition
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Lifestyle management: Stress reduction, yoga, regular exercise
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Medical intervention: Treatment of underlying gynecological conditions
When to See a Doctor
You should consult a doctor if you experience extremely painful periods, very heavy or prolonged bleeding, missed periods for several months, or sudden changes in your menstrual cycle. Medical attention is also important if symptoms are accompanied by severe fatigue, dizziness, or interfere with daily activities.
Conclusion
Menstrual disorders should not be ignored, as early diagnosis leads to better outcomes. Understanding menstrual disorders’ causes, symptoms, and treatment helps women take control of their reproductive health and seek timely medical care.
Gynecologist Surgeon Sachin Dalal in Bhandup | Madhu Hospital

