My aunt wasn't on time, it was really annoying!
In addition to unsuspecting clothes stained with blood, there are sudden dysmenorrhea, trips that need to be cancelled temporarily (can not extract teeth, can not swim)...
Can't menstruation come on time every month, why is it always early and delayed?
In this article, we will ask the obstetrician and gynecologist to talk to you about it.
Image source: Stand Cool Helo
After contacting many patients, I found that many people calculated the "big aunt" by the wrong standard, and the so-called "menstrual irregularities" were just a false alarm.
Calculate your menstrual cycle and keep in mind 3 key points:
If menstruation does not come on time, is there a physical problem?
not necessarily!
If you have no other discomfort, the overall menstrual period is also regular, suddenly a month of menstruation came in advance, you can not be too nervous, starting from the following 4 reasons, check one by one:
1. Emotions and stress
First of all, you can observe whether you have been stressed and nervous recently, or have changed your house and changed jobs.
Although you may not be aware of it, some subtle emotional changes may affect the endocrine system, allowing menstruation to come to "visit" in advance.
As long as you adjust your mood and relax appropriately, you can recover quickly.
2. Effects of hormonal contraceptives
If you have recently used an IUD, or subcutaneous implants, oral contraceptives (missed or improperly taken), or even emergency contraceptives, etc., you may also let your menstruation "come" in advance.
These conditions can be quickly recovered as long as the medication is stopped or the medication is adjusted [2].
3. Something is wrong with the endocrine system
If there is polycystic ovary syndrome, hyperthyroidism, or hypothyroidism, menstruation may also be frequently advanced and become irregular.
Therefore, if menstruation is suddenly advanced for no reason, it is necessary to communicate with the doctor in time to accurately find the cause [2].
4. Organic lesions
In addition, some diseases, such as endometrial polyps, uterine fibroids, endometrial cancer and other diseases, can also be mistaken for "premature menstruation" due to bleeding, increased menstruation, etc. [2].
In addition to being early, menstrual delays are also uncomfortable. Menstruation "late" may be these 5 reasons:
1. Pregnancy
If it is a woman of childbearing age and has a normal sexual life, the first thing to confirm when menstruation is late is whether she is pregnant.
At this time, you can first use the pregnancy test stick to rule out the pregnancy, or you can go to the hospital for a urine pregnancy test or B ultrasound to confirm.
2. Mental stress and bad lifestyle habits
Mental stress can make your periods come early, or they can make them late.
The good news is that relieving stress, getting enough sleep, eating regularly, quitting smoking and drinking, are all within your control.
If menstruation is irregular due to these reasons, as long as you change your lifestyle habits, you can generally return to the law very quickly.
3. Overweight or weight changes too quickly
If your period is delayed, also consider whether you are overweight, or whether you have recently lost weight too quickly because of weight loss and dieting.
Although fat is an important basis for normal menstruation, too much fat can become a burden on the body, making menstruation late [3,4].
4. Contraceptive effects
Many sisters often take emergency contraceptives, and highly effective progesterone from in vitro sources often inhibits ovarian function, and natural menstruation comes less and later.
5. Disease effects
Gynaecological diseases such as premature ovarian failure and polycystic ovary syndrome [5]; in chronic diseases such as diabetes, chronic hepatitis, tuberculosis, (ovarian, adrenal) tumors, and hypothyroidism[6], the endocrine function of the woman's body will also be disturbed, resulting in delayed menstruation.
In case of real irregular menstruation, don't be overly nervous. You can prepare the following questions in advance and communicate effectively with your doctor.
You are also welcome to save your images to your phone in case you need them.
To sum up 4 sentences:
1. Delayed menstruation & advance, may be a signal of irregular menstruation;
2. What we can do is to record our menstrual periods and detect abnormalities as soon as possible;
3. If it is advanced & postponed for more than 7 days, it is best to seek help from a doctor as soon as possible;
4. Don't blindly take medicine in order to urge your aunt to come and drive your aunt away.
I hope that you can have a "punctual" aunt when you see here.
Reviewer
Liu Haiphong | Deputy Chief Physician of the Department of Obstetrics and Gynecology, Huashan Hospital, Fudan University
bibliography
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Zhou Jianhong,Ma Linjuan. Causes and diagnosis and treatment of frequent menstruation[J].Journal of Practical Obstetrics and Gynecology,2016,32(12):892-894.
[3] Zhang E,LiX.Zhang B.ct al. Relationship between obesityand menstrual disturbances among women of reproductive age Abstractsof the 23rd Great Wall Intemational Congress of Cardiology,Asia Pacific Heart Congress 2012. October 11-14.2012Beijing.ChinaHeart2012.98 Suppl2:E1-319.
Yu Qi,Jin Lina. Weight abnormalities and amenorrhea[J].Chinese Journal of Practical Gynecology and Obstetrics,2008,24(12):898-900.
Chinese diagnosis and treatment guidelines for polycystic ovary syndrome[J].Chinese Journal of Obstetrics and Gynecology,2018,53(01):2-6.
Yao Yuanqing,Wang Hui. Causes and diagnosis and treatment of rare menstruation[J].Journal of Practical Obstetrics and Gynecology,2016,32(12):890-892.
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