Common Menstrual Disorders

This video, titled "Common Menstrual Disorders" by Gynae Consultant (featuring Mr. Parijat Bhattacharjee), outlines the two broad categories of menstrual issues, their common causes, and potential treatments:

Heavy or More Frequent Bleeding

This type of irregular bleeding is usually caused by structural issues in the womb:

• Fibroids: Localized swellings of the uterine muscle. If a fibroid pushes into the uterine cavity, it can cause heavy and irregular bleeding.
• Polyps: Small, localized swellings of the inner lining within the cavity of the womb, which can also trigger erratic and heavy bleeding.
• Treatment: Both fibroids and polyps can typically be removed using keyhole surgery.
• Hormonal Fluctuations: If no structural issues are found, the bleeding is often driven by hormonal imbalances (such as thyroid hormone fluctuations or other endocrine shifts), which are usually managed with hormonal treatments.

Less Heavy or Less Frequent Bleeding

Infrequent or light bleeding is often tied to hormonal or lifestyle changes:

• Polycystic Ovary Syndrome (PCOS): This is one of the most common causes. It is primarily a disorder linked to diabetes and insulin resistance. Because it worsens with weight gain, managing weight is often a primary way to regulate the menstrual cycle.
• Other Factors: High levels of prolactin, emotional stress, and dietary changes can also suppress or reduce the frequency of bleeding.
• Structural Issues (Rare): Less frequent bleeding can occasionally point to structural problems in the womb or cervix, typically stemming from previous medical treatments like a termination of pregnancy or procedures targeting cervical issues.