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| What should be done if menstruation is not happening despite puberty? |
"Doctor, my daughter will turn 16 in two months, and her period has not started yet."
These were the words of a worried mother telling the doctor.
In fact, such cases are very rare. But when such a case comes, it has to be checked very closely.
First, it has to be seen whether the rest of the physical development of such a girl is taking place according to age or not. When girls reach puberty, their breasts begin to develop slowly. Hair starts growing in the armpits and vagina. These are called secondary sex characteristics. If all this growth is happening, then we can assume that the amount of hormones in the girl's body is normal.
Then we have to see that there is no anomaly in the reproductive system.
The sonography of the said girl revealed that she did not have a uterus at the time of birth. Also, the vagina of such girls is not fully developed.
An MRI may also be done after sonography. Naturally, the girl's parents were very upset to hear her diagnosis. But with modern medical technology, we can now take successful measures in such cases.
Successful treatment possible
This girl will undergo surgery when she reaches marriageable age. The peritoneum is pulled down to create an artificial vagina so she can have sex. In this surgery, the ovaries are brought closer to the vagina. This means that sperm can be transferred from this ovary using test tube baby technology.
An embryo created by the union of a woman's sperm with the girl's husband's sperm can be implanted in the womb of another woman and thus the girl can become the mother of her child. This means that we can completely correct the medical problem this girl is facing with medical technology.
Many such advanced medical technologies have enriched our lives today. I think we should be thankful for the various blessings that modern medicine has invented instead of lamenting them.
Our Gynecologist's OPD always revolves around the two questions of period or absence of menstruation. The answers to both these questions can cause discomfort for women.
What are the reasons for not having a period?
A woman's body and mind dance entirely to the rhythm of hormones. Therefore, there is an urgent need for physical and mental balance for timely menstruation.
When the process of puberty begins in girls, their body starts undergoing various changes and then menstruation begins. If a girl does not start menstruating by the age of 15, it is considered abnormal and in such a case, all the tests should be done on the girl to find out the reason for not menstruating.
Certain birth defects in the reproductive system can be responsible for not having periods and sometimes there can be some genetic problems as well. Some of these problems are medically treatable, while not much else can be done.
An incomplete hymen can be a problem. Such girls do not notice that menstruation has started, but some days in a month they experience severe abdominal pain. Sonography and vaginal examination can quickly detect this problem. A small opening is then made under anesthesia at the mouth of the vagina.
The sexual system of such girls can be restored once again by draining out the accumulated blood, but timely diagnosis is very important.
When any organism is born, and there is something inherently wrong with it, various genetic problems can arise. Turner syndrome is one such type. Females have two chromosomes called 'X'. But females with Turner syndrome have only one X chromosome.
Therefore, their physical development is not correct and the onset of menstruation is delayed due to the low level of hormones.
If diagnosed in time, the right amount of hormones can start their menstrual cycle. Such girls are more prone to infertility but can sometimes benefit from modern medical treatment.
If menstruation does not come or if it is delayed?
It is normal to have irregular periods for a few years after the onset of menstruation, but if periods are not coming on time and the girl is gaining weight, it is important to consult a gynecologist. This could be the beginning of PCOD.
Period days begin to advance and bleeding begins to decrease. Prolonged or heavy bleeding during menopause is not normal. For this, it is necessary to consult a specialist immediately.
If women have long periods, it is obviously due to pregnancy. But due to changing lifestyles, menstrual problems are arising due to various reasons.
Even if there is a lot of stress in a single month, periods can last longer. But generally, it is not appropriate to do so. The process of 'spermatogenesis' is inherent in every menstrual cycle. So, if no sperm are produced in a month, menstruation may continue.
As a result, sometimes a cyst or water balloon-like tumor forms on the ovary. This causes more hormones to be produced and the menstrual cycle lasts longer. It is quickly diagnosed in sonography. Then when the menstrual pills are given, the hormone levels decrease, menstruation occurs and the ovarian cyst begins to shrink.
Don't worry about thyroid pills
Lack of physical activity, and lack of control over diet results in excessive weight gain and irregular menstruation. If the period becomes irregular, the weight increases further. To stop this cycle one should exercise regularly and reduce carbohydrates (rice, potatoes, sugar, flour, oil) in the diet.
An imbalance of the two hormones thyroid and prolactin leads to menstrual problems. If hypothyroidism is the problem, without proper treatment, no matter how hard you try, weight loss and menstrual problems will not go away. A regular pill can completely restore women's health. So don't think too much about thyroid pills.
There are still many reasons for irregular periods, but it will be right to list them all in detail. But the overall implication of this information is that women need to make efforts on all fronts to regulate the menstrual cycle.
A woman should take care of her and her child's health and should get timely treatment, and change her eating habits so that if some problems arise, their serious consequences can be avoided or reduced.