Menstruation Disorder and How to Care

Menstruation is the shedding of the uterine wall consisting of blood and tissue. Genesis will be held every month and is a normal process for women in general.

how to care menstruation disorder 269x300 Menstruation Disorder and How to CareNormal age of women getting the first menstrual period (menarche) is 12 or 13 years. But there are also some women who experience early menstruation (at age 8 years) or more slowly that is above 18 years. This will stop menstruating around the age of 40-50 years. Normal cycle occurs once every 21-35 days with 4-7 days old, the normal amount of menstrual blood of about 30-40 ml. According to the experts count the count of women will experience menstruation 566 times during his life.

Most women experience menstrual abnormalities. These problems do not silenced because it can have serious consequences, irregular menstrual, for example, can be a sign of a less fertile women (infertile). Disturbances that occurred during menstruation is considered normal if it occurs during the first two years after the first menstruation.

Disorders and menstrual abnormalities are several kinds, namely:

Painful menstruation (DISMENORRHOE)

At the time of menstruation women sometimes experience pain. The nature and level of pain varies, depending on the woman’s pain threshold respectively. Excessive pain is called dismenorrhoe.

There are 2 types of menstrual pain:

  • Primary, arising from the first period and will go away over time, this stability is caused by hormones in the body or the position of the uterus after marriage and childbirth. These symptoms are not dangerous. These symptoms can occur due to excessive physical and psychological factors influenced (endurance)
    Secondary, usually came later, that if any diseases or abnormalities persist, such as uterine infection, cysts, tumors or abnormal position of the uterus.

PMS (Pre menstrual Syndrome / Pre menstrual tension / PMT)

Is a collection of symptoms caused by hormonal changes associated with menstrual cycle and during ovulation.


* No balance between the hormones estrogen and progesterone, among others, progesterone deficiency

  • Genetic differences in sensitivity of receptors and carrier systems that convey the message of sex hormones in the cells of expenditure
  • Disturbance of feelings, psychological factors, social issues
  • PMT more readily occur in women who are more sensitive to the effects of normal ovarian hormone cycle

Patient visit to clinic

a. Pramenstrual physiological symptoms

* Only occurs in the luteal phase
* Missing total menstrual
* Not heavy and does not interfere with normal function

b. Premenstrual Syndrome

* Only in the luteal phase of menstrual cycle
* Missing total menstrual
* Symptoms of severe major effect on the normal functioning and interpersonal relationships

c. Exacerbations of medical illness on premenstruasi

d. Premenstrual exacerbation of psychological illness

e. PMT existing and underlying psychological illness

* Difficult differentiated
* The symptoms subsided on menstruation but only up to the level of underlying disease

f. Psychological illness non cyclic

* Symptoms similar to PMT, but did not subside until the end of menstruation
* Need an alternative diagnosis, including personality disorders, depression, drug abuse and others.


  • Symptoms typical psychological, irritability aggression, tension, depression, mood swings, feeling out of control, emotional instability
  • Feeling lazy and tired easily
  • Increased appetite, body weight increases because the body stores water in significant amounts
  • Physical symptoms that often are swelling and pain in the breast, dismenorrhoe (stomach cramps), headache, backache, aches, fainting
  • Most common cause is a symptom of psychological distress

Factors that increase the risk PMT:

  • Women who had given birth
  • Marital status
  • Age
  • Stress
  • Diet
  • Lack of nutrients

Types and symptoms of PMT, according to Dr. Guy E. Abraham

  1. PMT type A (anxiety), characterized by presence of anxiety, labile, sensitive and feeling tense
  2. PMT type H (hyperhidration), marked symptoms of bloating, abdominal bloating, breast pain, increased body weight
  3. PMT type C (craving), marked by hunger, want to consume food that is sweet and carbonated
  4. PMT type D (depretion), marked a sense of depression, like crying, weakness, sleep disturbances, forgetfulness


  • In the luteal phase of menstrual cycle and subside at the end of menstruation
  • There are also symptoms that occur several days immediately before menstruation or immediately after ovulation through the luteal phase until the end of menstruation


  • Psychosocial (decreased performance, marital problems, suicide, murder, beatings child)
  • Medical disorders (behavioral problems, migraine, epilepsy, asthma)

Diagnostic criteria

  • There was in the luteal phase
  • Generates a huge impact on the normal function
  • Gone to the final menstrual



  • Improving the neuroendocrine anomaly
  • Pressing a trigger on the ovary

Things to do when experiencing PMT:

  • Reduce salty foods, like flour, sugar, caffeine and chocolate
  • Increase foods high in calcium and vitamin C a week before menstruation
  • Consumption of fiber foods and drink plenty of water
  • If too many menstrual blood, consume iron containing foods

The things done to overcome the pain / abdominal cramps during menstruation

  • Apply with a hot water bottle on the part that feels pain
  • Warm bath, as an aroma therapy to calm down
  • Drink warm beverages containing high calcium
  • Rubbing the abdomen or waist pain
  • Take a position so that the uterus depends menungging down and relaxation
  • Inhale deeply for relaxation
  • Drink analgesics / drugs that health workers dinajurkan

Considerations on the therapy:

  • The patient’s age and desire to become pregnant in the near or longer (whether mememrlukan contraception, contraceptive approaches or hysterectomy can be done?)
  • Severity of symptoms (whether it requires invasive action?)
  • Women may only accept non-hormonal methods, psychotropic, surgical
  • Nature of symptoms
  1. SSRI (serotonin re-uptake selevtive inhibitor), effective for somatic symptoms of psychological well
  2. Breast symptoms (evening primrose oil, luteal phase danazol, bromocriptine)
  3. Pain (non-steroidal anti-inflammatory)
  4. Somatic symptoms, especially bloating respond to spironolakton

Therapy approach

Non-hormonal therapy

  • Recommendation to frequently eat carbohydrates, are not supported by experiments
  • Giving B6
  • Evening primrose oil (for symptoms in breast)
  • Mineral (Ca and Mg) may be useful
  • Alternative Therapies (exercise and relaxation)
  • Psychotherapy
  • Psychotropic drugs
  • Diuretics (spironolakton)
  • PG inhibitors (mefenamic acid and sodium naproksen)

Hormone therapy

  • Progesterone / progestogen
  • Estrogen
  • Danazol
  • Analog GnRH agonist
  • Bromocriptine
  • Oral contraceptive pill

Surgical approach

  • Hysterectomy
  • Oophorectomy


Is not getting your period at all


  • Imperforate Hymen, the hymen is perforated so that menstrual blood is not impeded to exit. Complaints on these events usually complain abdominal pain each month. This can be overcome by operating
  • Menstruation anovulatiore, namely stimulation of hormones that are not sufficient to form a layer of the uterine wall so it does not happen menstrual / only a little. Treatment with hormone therapy
  • Amenorrhoe secondary, which is usually on women who have had previous periods. The cause of this secondary amenorrhoe because of hypotension, anemia, infection, or weakness of body condition in general, psychological stress.

THE MANY menstrual blood

Marked by irregular menstrual cycles. These disorders can be caused by infection with venereal disease, complications in pregnancy, chronic illness, trauma, certain drugs consumption, the disruption of hormones or cancer.

Actions taken

  • Physical examination of the thyroid gland, liver and vagina
  • Laboratory tests, such as blood tests, pregnancy tests, thyroid function and liver function or hormonal examination


Related posts:

  1. Prevent Gynecological Disorder by Recognize Its Symptoms
  2. Relationship Between Menopause and The Integrity of Marriage and How to Deal with
  3. Australia Discover The New Cause of Heart Disorder In Younger Women
  4. Endometrial Cancer (Uterine Corpus)
  5. Why Men More Vulnerable of Liver Cancer?

Related posts:

  1. Prevent Gynecological Disorder by Recognize Its Symptoms
  2. Relationship Between Menopause and The Integrity of Marriage and How to Deal with
  3. Australia Discover The New Cause of Heart Disorder In Younger Women
  4. Endometrial Cancer (Uterine Corpus)
  5. Why Men More Vulnerable of Liver Cancer?

Posted on Apr 13 in Health. Tags: , , , , ,

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Comments (3)


  1. find he says:

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  2. chiring says:

    cysts problem

  3. bindhu says:

    hi i am 19 yrs old i have the periods countinuously 1 month and the hairs are growing in my face. pls give a solution.

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