THEY ARE VERY FREQUENT and generally of transitory character, disappearing to the few years; only in exceptional cases they require pharmacologic treatment by prescription and under strict medical checkup. In some forms is helpful the psychotherapy.
ANOMALIES OF THE MENSTRUATION
The maturation processes that not always follow menarche they develop without upheavals, but that sometimes are accompanied by irregular menstruations.
It is possible to emphasize that in many cases it is arrived at a spontaneous normalization of the cycle.
Frequency.
The upheavals of the menstrual cycle are as frequent as the inflammations in the infantile gynecological pathology.
A correct menstrual calendar serves as departure point for any diagnosis. In the most complicated cases the registry of the curve of the basal temperature is from utility, that clarifies if it is normal cycles, two-phase (ovulatoris) or single-phase (anovulatoris) and identifies the phase that possibly is extended or shortened.
As the Basal temperature is moderate? immediately after waking up, with a thermometer normal to measure the fever (it is not necessary to use one of the special thermometers for basal temperature), the temperature in a cavity is taken from the body (vagina, rectum or oral cavity) and next in the armpit.
In any case the oral measurement is simplest. The results in a diagram are reflected to newspaper.
It is important to measure the temperature in the morning nothing else to awake, before undertaking any physical activity, like for example moving, speaking or to have breakfast. Anomalies of the menstrual rate and the intensity.
The too short or too long menstruations must in general to anovulatoris cycles.
These upheavals indicate a maturation incomplete of the endocrine system and disappear in general of spontaneous form without treatment some.
If menarche has happened behind schedule and the cycle is absolutely irregular (irregular menstrual intervals, resistant dysfunctional hemorrhages to the treatment and recidivants, repeated periods of amenorrhea), it will be necessary to think about a deficit of the hypothalamic function.
The anomalies of the menstrual rate of the adolescents usually are also due to anovulatorios cycles. If the cycle is inferior to the 25 days, polimenorrhea speech: in this case the menstruation also usually is prolonged.
If the cycle lasts more than 31 days, oligomenorrhea speech.
Also in this case the menstruation usually is longer of the normal thing and can even become a hemorrhage by dripping long play.
The anomalies of the rate are very frequent: they are registered in a 25% of the girls who suffer menstrual upheavals. The prognosis is nevertheless good, since approximately in half of the cases a spontaneous regulation of the cycle takes place.
If the upheaval of the cycle of origin anovulatorio lasts more than two years from menarche, will be essential to undertake a treatment with object to stabilize the cycle.
Dysfunctional youthful Metrorragy.
The irregular, acyclic, prolonged and intense menstruations are relatively frequent (2 5% of the girls). Good part of the menstrual upheavals of the puberty belongs to this category. The pathological picture pronounces in general months after menarquía and soon, with the passage of the years, it appears spontaneously alternating with normal cycles.
The cause of metrorragis dysfunctional youthful still has not been clarified; one is an upheaval of the regulation mechanisms of the hormonal system. If a therapy does not settle down, these situations can cause excessive losses of blood and one serious post-hemorrhagic anemia. In case of very serious and resistant hemorrhages to the first attempts of treatment, it is recommended to consult an expert gynecologist in endocrinology or to send to the patient to a specialized clinic. Reduced intervals and prolonged menstruations constitute youthful functional the typical manifestations of metrorragys.
The diagnosis can settle down to start off simply of the analysis of the menstrual calendar, so that it is possible to prescribe a treatment immediately. Obvious it is necessary to exclude other organic origins from menstrual upheavals, like: – pathology – inflammations (strange bodies); – malignant tumors; – extragenital hemorrhages (vejiga, intestine); – diseases of the blood (upheavals of the coagulation, aplasic anemia).
In case of metrorragy youthful dysfunctional can be resigned almost always to hormonal doses. Once established the diagnosis, he is not either indispensable to measure the basal temperature, since in general they are observed only curved single-phase, corresponding to a cycle to anovular.
In the treatment of metrorragy youthful dysfunctional the objective must be: to block the intense hemorrhage; – to restore a cycle that if possible is anovulatorio.
In general a series of preservative measures is advised and very not very often the possibility of one more a more radical intervention considers.
The treatment depends on the gravity of the pathological problem.
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