August
12
20:06
Gynecology

Opsomenoreya

Opsomenoreya

opsomenoreya photo Opsomenoreya - is uncharacteristic for a normal menstrual cycle scarce.The duration of bleeding opsomenorrhea not exceed three days, and she menstruation does not come more often than every five weeks or less.Scant menstruation may be temporary and easily resist correction, and may be a symptom of serious gynecological diseases, such as polycystic ovarian syndrome hypomenstrual, infertility or delayed puberty (CRA).

Opsomenoreya as almost all disorders of the menstrual cycle can have a physiological nature during the formation of menstrual function (puberty) when physiological hormones is still being formed.Not a serious violation of scarce menstruation and during menopause, when hormonal function fades.

normal menstrual cycle form two phases controlled by the central nervous system (hypothalamus) and pituitary and ovarian hormones.In the first phase prevails follicle stimulating hormone (FSH), responsible for the proliferation (proliferation) of the inner layer of the uterus

, the endometrium.The second phase is accompanied by a process of preparation of the endometrium to the rejection of the sprawling, controlled by luteinizing hormone (LH), and progesterone.The first phase is called the phase of the cycle of proliferation, or follicular phase, and the second - phase secretion or luteal phase.In parallel with the changes in endometrial ovarian follicle matures ("bubble" with the shell), which is formed inside the egg.In the middle of the menstrual cycle is a change of the dominant hormone, leading to the release of a mature egg - ovulation.The ability to conceive is determined by the presence of a two-phase of the menstrual cycle and ovulation.Patients with opsomenoreey ratio varies phases of the cycle and decreases the likelihood of ovulation.

Physiological assumed regular menstruation intervals from 25 to 30 days and the duration of not less than five days.Blood loss during normal menstruation is individual, but should not be less than 40 ml.

The frequent diagnosis as the wording of the NMC opsomenoreya opsomenorrhea means belonging to a large group of disorders that share the nature and principles of therapy.

reasons opsomenorrhea

opsomenorrhea The basis is a violation of the mechanism of a normal menstrual cycle, maintaining its two-phase.Changes should provoke hormonal relations change in the duration of one of the phases of the cycle and ovulation is absent or becomes defective.About

primary opsomenorrhea say if its causes are anomalies (defects) of the genitals or hypoplasia.Primary opsomenoreya appears with the first (usually late) menstruation and the girl is constantly present.

Secondary opsomenoreya develops in the normal menstrual cycle under the influence of provoking factors.Causes of secondary opsomenorrhea can be no violation in the management of the menstrual cycle (pituitary - hypothalamus) or unwanted changes directly into the uterus and / or appendages.

Changes in the nature of menstruation opsomenorrhea scenario may be associated with disorders of psycho-emotional sphere, endocrine diseases, indolent infectious processes, traumatic surgical interventions (abortion, diagnostic curettage, resection or oophorectomy).

Sometimes opsomenoreya is part of the physiological process and is not considered alarming symptom.During the formation of menstrual short opsomenoreya is not classified as a deviation, as well as in premenopausal when the gradual extinction of menstrual function is part of the age-related physiological changes.

Symptoms opsomenorrhea

Opsomenoreya independent disease and is not included in the clinic other diseases as symptoms of "scanty menses."All other clinical signs of the disease are caused by the fact that accompanies opsomenoreya.

Menses rarely a "trace" or drops.The menstrual cycle is biphasic, but the duration of the phases varies according to the type of shortening or lengthening, which leads to disruption of the follicle maturation phase and distortion of the process of ovulation.Such violations can reduce the chances of pregnancy.

opsomenoreya often accompany infertility, hypomenstrual and polycystic ovary syndrome.In this case, opsomenoreya and pregnancy are incompatible.

opsomenoreya a long-term amenorrhea can go into - the complete absence of menstruation.

NMC opsomenoreya Diagnosis involves an extensive range of diagnostic measures.Examination of patients with opsomenoreey begins with a study of complaints.Sometimes, patients may make clear provocation appearance cycle disorders, or provide information about neginekologicheskih diseases served as the backdrop for opsomenorrhea.

During general survey emphasize the height and weight of women, the severity of secondary sexual characteristics (body hair on the female type, etc.), The condition of the skin.

pelvic examination reveals the anomalies of the genitals or the presence of inflammatory processes.

Determining the nature of hormonal disorders is of paramount importance to address the issue of the possibility of restoring the ability of procreation.It determines the level of FSH, LH, progesterone and prolactin.Sometimes you need to determine the level of thyroid hormones and the adrenal glands.

If found accompanying inflammatory process, complemented by laboratory diagnosis tests to identify the pathogen.

Ultrasonography helps to clarify the size and degree of development of the genitals, to identify anatomical defects or the presence of inflammation.

Consultations related professionals help to identify the causes neginekologicheskie opsomenorrhea.

Treatment opsomenorrhea

volume of therapeutic interventions depends on the disease, which is accompanied by opsomenoreya.Also take into account the age of patients, the state of reproductive function and concomitant extragenital pathology.

Congenital malformations of the genitals and severe delays puberty poorly to treatment, the possibility of its use is solved together with endocrinologists, geneticists and surgeons.

opsomenorrhea therapy is to eliminate the causes of underlying disease causing it.The leading method of treatment is hormone therapy to restore normal menstrual rhythm.Treatment regimens are selected individually.When infertility after the restoration of the physiological rhythm of menstruation spend hormonal stimulation of ovulation.Unfortunately, often opsomenoreya malosovmestimymi and pregnancy, but the verdict is ambiguous and depends on the cause of menstrual dysfunction.

treatment of inflammatory diseases include antibiotics, vitamins and immunostimulants.

Patients underweight selected adequate complete diet.Often, good nutrition as a treatment for young girls eliminates menstrual irregularities.

successfully as a complex therapy applied physiotherapy, herbal medicine and gynecological massage.

service physician recruitment is relevant only for the citizens of the Russian Federation

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