What happened to my cycle?
What happens after forty years, when the female body begins to prepare for hormonal changes, is well known. But problems with the cycle at a younger age come as a surprise to many women who for some reason are sure that everything will “tick” like a clock, and then - instantly - menopause will occur. Meanwhile, in some, the cycle increases to 40 or even 50 days, while in others it, on the contrary, decreases to two weeks. Someone lacks the maximum size pads and tampons to protect, and someone buys pregnancy tests more often than 20-year-old girls. Menopause does not occur in one day, and if you know what to expect from your body, the changes will go easier.
Until recently, doctors almost did not pay attention to such an important period as premenopause. And most women do not even suspect what can happen at this time in the body. But change can begin before the age of forty and last more than ten years. Doctors now note that heavy and painful menstruation is common enough - in almost a third of patients. After 35 years, the levels of estrogen and progesterone change, and the ovaries work less actively, ovulation occurs or not. Hormonal changes cause many unpleasant sensations: PMS, swelling, chest pain, fatigue and apathy can occur at any time, and by no means always they now become the precursors of the onset of menstruation.
But do not attribute all unpleasant symptoms only to hormonal instability. Fibroids and polyps, endometriosis, as well as malfunctions of the thyroid gland and even cancer, can cause similar sensations. Therefore, do not postpone a visit to the doctor! The standard examination algorithm - examination, analysis and ultrasound will help determine the exact cause. In our article you will find a list of symptoms that you should definitely pay attention to, as well as information about treatment methods that may be useful.
Too long or heavy periods
Monthly periods do not stop!
The average duration of menstruation is from four to six days, but during premenopause this period can significantly increase. In some months, you may not have ovulation (this is quite common at the present time), and the amount of hormones estrogen and progesterone decreases. Because of this, the mucous membrane of the uterus becomes too dense, and when menstruation nevertheless begins, it takes more time for the uterus to return to its normal state.
Besides, This may be a symptom of the appearance of polyps - mushroom-like formations on the walls of the uterus, which increase bleeding.Be sure to tell your doctorif you have had a menstrual period significantly longer than usual. And if your usual cycle suddenly doubled, you also need to pay attention to this. Such changes may indicate a precancerous state of the uterine cavity, and this can be determined for sure only with the help of an examination.
There is much more blood than usual
By issuing super-maxi-sized pads, manufacturers primarily focus on premenopausal women. Heavy bleeding is not uncommon at this time. And women who are overweight almost double their chances of getting at risk - this is the result of a study by British doctors. Besides, profuse bleeding can be a symptom of the appearance of fibroma - a benign tumor that forms on the wall of the uterus. Often several fibromas are immediately detected.Be sure to tell your doctorif heavy periods cause you apathy and breakdown. You may develop anemia from blood loss. The problem cannot be solved simply by taking iron. It is important to establish the cause of severe bleeding and timely treatment.
Small discharge in the middle of the cycle
Some women regularly experience minor spotting in the middle of the cycle, during ovulation. The same thing can happen during the premenopausal period, and the reason is the instability of the hormonal background.
Besides, this may be a symptom of the appearance of polyps or adenomyosis - a disease in which the uterine mucosa (endometrium) begins to invade the uterine muscle wall. A mid-stroke spot can also indicate a malignant change in the cells of the uterus or its cervix, as well as the presence of infection.Be sure to tell your doctorif you have spotting in the middle of the cycle. As a rule, the doctor will determine the cause during a routine examination, but in some cases an endometrial biopsy may be necessary.
The cycle has recovered!
You were already sure that the menstruation stopped forever - and now, please, you again need pads. The intervals between menstruation are significantly increased in most women. And during the year before the onset of menopause, the cycle can be up to 80 days.
Besides, this may be a symptom of a malfunctioning thyroid gland that secretes either insufficient hormones or, on the contrary, too much.Be sure to tell your doctorif the cycle was interrupted for more than 90 days, and then the menstruation still returned. If the endometrium grows within a few months, this can cause hyperplasia, a dangerous precancerous condition.
Whatever surprises your cycle presents, be aware that you can still get pregnant. Yes, the older you get, the less likely you are to conceive a child. But, according to statistics, more than 30% of pregnancies in women over 35 years old are unplanned. Noticing the first signs of impending menopause, many women neglect contraception. However, it is too early to relax. You can safely refuse contraception if more than 12 months have passed since the last menstruation.
Facts and Figures
This is the average age of onset of menstruation in girls. But recently, this age has decreased: for example, in the 30s it was 13.3 years.
This year, the educational film for girls "Molly Growing" was released in the United States, which over time was shown in most Western countries.