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Oligomenorey. Rare monthly

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Oligomenorey serves one of manifestations of a hypomenstrual syndrome (easing monthly) when duration of menstrual bleeding makes less than 3 days. Oligomenorey it can be combined with other forms of a hypomenstrual syndrome – gipomenorey (poor periods), opsomenorey and spaniomenorey (rare periods), and also to precede total absence of menstrual bleeding (amenory). The most frequent option of an oligomenorea are short (from several hours to 1-2 days) and rare (with an interval from 40 days to 6 months) periods.

Oligomenorey. Rare monthly

Oligomenorey serves one of manifestations of a hypomenstrual syndrome (easing monthly) when duration of menstrual bleeding makes less than 3 days. Oligomenorey it can be combined with other forms of a hypomenstrual syndrome – gipomenorey (poor periods), opsomenorey and spaniomenorey (rare periods), and also to precede total absence of menstrual bleeding (amenory). The most frequent option of an oligomenorea are short (from several hours to 1-2 days) and rare (with an interval from 40 days to 6 months) periods.

On time and the reasons of emergence distinguish primary and secondary (acquired) . Emergence of primary oligomenorea belongs by the time of formation of a mestrualny cycle, i.e. to arrival of menarche (the first periods). Development of a secondary oligomenorea happens a time later after periods of normal duration. Oligomenorey occurs at 2-3% of young women.

Oligomenorea reasons

As the reasons of primary oligomenorea serve the congenital anomalies of a female reproductive system arising in the embryonic period (for example, infantility of a uterus). Secondary develops as a result of functional violations in gipotalamo-hypophysial structures, in ovaries and a uterus owing to the postponed sharp and chronic infections, inflammatory, tumoral diseases and injuries of reproductive organs, adverse influences of the environment, exhaustion, anorexia, stresses, sharp change of climate and other factors. The lack of secretion of the sex hormones regulating a menstrual cycle leads to violation of processes of growth and rejection of endometrium in a uterus that can be shown by oligomenorey. Besides, can be a consequence of endocrine violations in adrenal glands, thyroid and pancreatic glands. Oligomenorey often proceeds against the background of a syndrome of polycystous ovaries, endometriosis, an endometritis, a uterus hypoplasia, and also arises after uterus operations, vyskablivaniye of endometrium, abortions and miniabortions. More rare to oligomenory cardiovascular diseases and pathology of the haematogenic system bring. Physiological it is observed during the premenopauza which is followed by the gradual termination of menstrual function.

Oligomenorea symptoms

Shortening of menstrual bleedings at oligomenory quite often is followed by disorder of fatty exchange - the excess weight and development of an acne disease. At oligomenory at a quarter of patients the girsutizm, i.e. development of indumentum in women in men's type is noted. Excess pilosis appears on face skin, extremities, a stomach, a breast. The constitution at the women suffering oligomenorey quite often reminds men's: with the developed muscles and features of a bone skeleton.

At oligomenory decrease in a sexual inclination is also noted. Besides, women with oligomenorey often have problems with pregnancy approach, and often this circumstance forces them to be examined by experts. At oligomenory independent approach of an ovulation and pregnancy it is observed only at 20% of women. Connection of an oligomenorea with the subsequent development of a giperplaziya of endometrium and a carcinoma of a uterus is noted.

Diagnostics and treatment of an oligomenorea

Diagnostic actions and treatment at oligomenory are directed to establishment and elimination of the reasons which caused it. The diagnosis of an oligomenorea is established on the basis of the anamnesis, complaints, data of the general and gynecologic research, assessment of the psychoemotional status of the patient, and also additional objective methods. Serve as the main methods of diagnostics of an oligomenorea:

  • definition in blood of level of sex hormones (lyuteiniziruyushchy, follikulostimuliruyushchy, Prolactinum, steroid sex hormones: progesterone and estradiol);
  • creation of the schedule of basal temperature;
  • Ultrasonography in the transvaginal way for detection of pathology of ovaries and a uterus;
  • salpingogisteroskopiya.

As characteristic diagnostic indicators at oligomenory serve the increased content of the lyuteineziruyushchy hormone (LH) - to 10 ME/l above, and also the ultrasonic picture revealing increased with reinforced stromy ovaries on which periphery "the effect of a necklace" - not ovulating follicles is observed.

The modern gynecology has the wide list of methods of treatment of an oligomenorea. Tactics and the sequence of medical actions is chosen depending on diagnostic results. The gynecologist-endocrinologist usually is engaged in treatment of an oligomenorea. In treatment of an oligomenorea an important role is played by the all-strengthening therapy including normalization of food, reception of vitamins, immunostimulation, physiotreatment, acupuncture. For activization of blood circulation in a small basin special gynecologic massage and gymnastic exercises are appointed.

Medicamentous therapy of an oligomenorea includes reception of the hormonal estrogensoderzhashchy medicines stimulating process of an ovulation and normalizing a menstrual cycle (clomifene, since 2 till the 6th day of a menstrual cycle). As at development of a giperplaziya oligomenory perhaps and a carcinoma of endometrium, reception of hormonal contraceptives is necessary to cause regular menstrual bleedings. Except medical influence these medicines render contraceptive effect. A number of the states causing demands surgical intervention. At a syndrome of polycystous ovaries application of the dot diatermokoagulyation of ovaries (cauterization of tissue of ovaries high-frequency current through laparoskipichesky access) normalizing an ovulyatorny cycle is effective.

Indicator of an izlechennost of an oligomenorea is restoration of duration of menstrual bleedings and decrease in intervals between them less than 40 days observed for one year. At this time maintaining a menstrual calendar and observation at the gynecologist is recommended each three months. Further prevention of an oligomenorea consists in normalization of food, physical activity, emotional reactions, application of the reliable, recommended by the doctor contraception methods.

Oligomenorey. Rare monthly - treatment

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