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Diagnosis [ edit ] The initial workup includes exclusion of pregnancy and cancer, by performing a pregnancy test , a pelvic exam and a gynecologic ultrasound .
Painful (i.e. associated with dysmenorrhea): Pelvic inflammatory disease; Adenomyosis - extension of the endometrial tissue into the outer muscular wall of the uterus which can cause pain and abnormal bleeds when the endometrium sheds; Pregnancy related complication (i.e. miscarriage) Short cycle (less than 21 days) but normal menses.
Dysmenorrhea, also known as period pain, painful periods or menstrual cramps, is pain during menstruation. [4] [5] [2] Its usual onset occurs around the time that menstruation begins. [1] Symptoms typically last less than three days. [1] The pain is usually in the pelvis or lower abdomen. [1] Other symptoms may include back pain, diarrhea or ...
Headache, nausea, vomiting, diarrhea, and fatigue may also accompany the pain. Pain may begin gradually, with the first several years of menses, and then intensified as menstruation becomes regular. Patients who also have secondary amenorrhea report symptoms beginning after age 20 and lasting 5–7 days with progressive worsening of pain over time.
Polymenorrhea, also known as frequent periods, frequent menstruation, or frequent menstrual bleeding, is a menstrual disorder in which menstrual cycles are shorter than 21 days in length and hence where menstruation occurs more frequently than usual. [1] [2] [3] Cycles are regular and menstrual flow is normal in the condition. [3]
Constitutional scanty menstruation is perhaps best explained by assuming the presence of an unusual arrangement, or relative insensitivity, of the endometrial vascular apparatus. Reduced menstrual flow is a common side-effect of hormonal contraception methods, such as oral contraceptive pills, IUDs that release hormones (such as Mirena ), or ...
Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic. [3] Due to the accumulation of blood in the uterus, patients may develop low blood pressure or a vasovagal ...
Excessive menstruation is defined as bleeding over 80 ml per menstrual period or lasting more than 7 days. [1] The most common cause for puberty menorrhagia is dysfunctional uterine bleeding . The other reasons are idiopathic thrombocytopenic purpura , hypothyroidism , genital tuberculosis , polycystic ovarian disease , leukemia and coagulation ...