Opisomenorea – this is unusual for the normal cycle of meager menstruation. The duration of bleeding with opdomenoree does not exceed three days, and menstruation itself comes no more often than once every five weeks and less often. Scarce menstruation can be temporary and easily amenable to correction, and may be a symptom of a serious gynecological disease, for example, polycystic ovary, hypomanstrual syndrome, infertility or delayed sexual development.
Opsomenorrhea, like almost all disorders of the menstrual cycle, can have a physiological character during the period of the formation of menstrual function (pubertal), when the physiological hormonal background is only being formed. Not a serious violation of meager menstruation and in the menopause, when the hormonal function fades.
Physiological is considered regular menstruation with an interval of 25 to 30 days and a duration of at least five days. Blood loss during normal menstruation is individual, but should not be less than 40 ml.
The frequent formulation of the diagnosis as nmts oposomenorea means the belonging of the opsoniformes to a large group of disorders having a common nature and principles of therapy.
Causes of Opsomenorrhoea.
At the heart of oposomenorei lies the violation of the mechanism of the normal menstrual cycle while maintaining its two-phase. The change in the proper hormonal ratio provokes a change in the duration of one of the phases of the cycle, and ovulation either is absent or becomes inadequate.
About primary otformenorey speak, if its causes are anomalies (malformations) of development of genitals or their underdevelopment. Primary otformenoreya appears with the first (usually late) menstruation and is present in the girl constantly.
Secondary opromenorea develops against the background of a normal menstrual cycle under the influence of provocative causes. The causes of secondary otformenorei may be either violations in the management system of the menstrual cycle (pituitary – hypothalamus), or undesirable changes directly in the uterus and / or appendages.
Changes in the character of menstruation according to the scenario of opsoniformes can be associated with disorders of the psychoemotional sphere, endocrine diseases, slow infectious processes, traumatic surgical interventions (abortion, diagnostic curettage, resection or removal of the ovary.
Sometimes opsonenorea is part of the physiological process and is not considered an alarming symptom. During the period of menstrual function formation, short-term omnemenorrhea is not classified as a deviation, as in the premenopause period, when the gradual extinction of menstrual function is part of the physiological age-related changes.
Symptoms of otomenorrhoea.
Opmomenoreia is not an independent disease and enters the clinic of other diseases as a symptom of “meager menstruation.” All other clinical signs will be due to the disease that accompanies oposomenorea.
Menstruation rarely comes in the form of “traces” or drops. The menstrual cycle remains biphasic, but the duration of the phases varies according to the type of shortening or elongation, which leads to a disruption in the phase of maturation of the follicle and distortion of the ovulation process. Such violations can reduce the chances of pregnancy.
Often, oposumenia accompanies infertility. hypomenstrual syndrome and polycystic ovary. In this case, otformenorrhea and pregnancy become incompatible.
Prolonged existing oposomenorea can go into amenorrhea – a complete absence of menstruation.
The diagnosis of nmz oposomenorei implies a wide range of diagnostic measures. Examination of patients with oposmenorei begins with the study of complaints. Sometimes the patient can clearly indicate the provoking factor of the occurrence of a cycle or provide information on non-gynecological diseases that served as a background for oposomenorei.
During the general examination, attention is focused on the height and weight of the woman, the severity of secondary sexual characteristics (female hair type, etc.), the condition of the skin.
Gynecological examination reveals anomalies in the development of the genitals or the presence of inflammatory processes.
Determination of the nature of hormonal disorders is of paramount importance for resolving the issue of the possibility of restoring the ability of procreation. The level of FSH, LH, progesterone and prolactin is determined. Sometimes it is required to determine the level of hormones of the thyroid gland and adrenal glands.
If a concomitant inflammatory process is found, laboratory diagnostics is supplemented with analyzes to identify the causative agent of the infection.
Ultrasound research helps to clarify the size and degree of development of the genitals, to reveal anatomical defects or the presence of an inflammatory process.
Consultations of related specialists help to identify non-gynecological causes of oposomenorrhea.
Treatment of opsoniformes.
The volume of therapeutic measures depends on the disease that oposomenorea accompanies. Also take into account the age of patients, the state of reproductive function and concomitant extragenital pathology.
Congenital malformations of genitalia and severe forms of delay in puberty are not amenable to therapy, the possibility of its application is solved together with endocrinologists, geneticists and surgeons.
Therapy of opsoniformes consists in eliminating the cause of the underlying disease that caused it. The leading method of treatment is hormone therapy to restore the normal rhythm of menstruation. Schemes of treatment are selected individually. When infertility after restoring the physiological rhythm of menstruation, hormonal stimulation of ovulation is carried out. Unfortunately, often opsonomena and pregnancy are incompatible, but the verdict is ambiguous and depends on the cause of menstrual dysfunction.
Treatment of inflammatory diseases includes the use of antibiotics, immunostimulants and vitamins.
Patients with a deficit of weight selected an adequate full-fledged diet. Often a full meal as a treatment for young girls eliminates menstrual irregularities.
Successfully as a complex therapy used physiotherapy, herbal medicine and gynecological massage.