In this slide, you can understand the types of menstrual disorders, Mahvari or haiz. You can learn about the types of Menstruation. Types of Menstrual disorders. cause of menstruation symptoms of menstruation diagnosis of menstruation Treatment of menstruation bleeding Heavy bleeding or menstrual cramps Menstrual cycle Amenorrhea Dysmenorrhea Oligo menorrhea PMS (Premenstrual syndrome) or PMDD (Premenstrual dystrophic disease) Menorrhagia You can download Powerpoint of menstrual disorders here: https://docs.google.com/presentation/d/1SCDUYcPYP7vpE4kzWoBwzYnyg4vzNAcXWrFp_iIZAnA/edit#slide=id.p1 You can download video from: https://youtu.be/APWG2liWR7E

1. Menstrual
Disorders
Treatment
&
Education
Presented by Zoraiz Haider

2. Types of Menstrual Disorders
• Menstrual disorder is a term that occur within a woman’s menstrual
cycle. These include
1. Amenorrhea
2. Dysmenorrhea
3. Oligo menorrhea
4. Menorrhagia
5. Premenstrual syndrome

3. • The process in a woman of discharging blood and other material from
the lining of the uterus at intervals of about one lunar month from
puberty until the menopause, except during pregnancy.
• Menstrual Cycle
• Menstruation Phase
• Follicular phase
• Ovulation Phase
• Luteal Phase
Normal Menstrual Cycle (Menses)

7. Amenorrhea
• Primary : is a failure of menses to occur by either:
• Age 16 or 2 years after onset of puberty.
• Age 14 in girls who have not undergone puberty.
• Puberty means Breast development and pubic hair growth So,
• If by age 13 menses has not occurred and there is no onset of puberty
then primary amenorrhea occur.

9. Cause of primary (ovulatory) Amenorrhea

10. Secondary Amenorrhea
• Cessation of menses after they have begun.
Cause of secondary (ovulatory) Amenorrhea
• Natural causes: pregnancy
• Medications and therapies: Contraception
• Antidepressants, Chemotherapy
• Gynecological causes: PSOS
• Premature Ovarian Failure

12. Diagnosis of Amenorrhea
• How old patient was at menarche (the 1st occurrence of
menstruation),
• Physical examination
• Measure FSH,
• LH,
• Testosterone/DHEAS,
• Prolactin & Karyotype of the patient.

16. Dysmenorrhea
(Painful period, Menstrual Cramps)
• Dysmenorrhea, also known as painful periods or menstrual
cramps.
• Its usual onset occurs around the time that menstruation begins.
• Symptoms typically last less than 3 days.
• The pain is usually in the pelvis or lower abdomen.

17. Types of dysmenorrhea
• Primary dysmenorrhea occurs in people who experience pain before
and during menstruation.
• If you've had normal periods that become painful later in life, it may
be Secondary dysmenorrhea. A condition affecting the uterus or
other pelvic organs, such as endometriosis or uterine fibroids,
can cause this.

19. Cause of Dysmenorrhea
• Uterine fibroids
• Endometriosis
• PID(Pelvic inflammatory disease)
• Adenomyosis
• Symptoms: Pain during menstruation, diarrhea, ...
• Usual onset: Within a year of the first menstrual

27. • Oligo menorrhea is a condition in which you have infrequent
menstrual periods.
• It occurs in women of childbearing age.
• Some variation in menstruation is normal, but a woman who regularly
goes more than 35 days without menstruating may be diagnosed
with oligo menorrhea.
• Periods usually occur every 21 to 35 days
Oligo menorrhea

29. • Causes:
• Hormone birth control side effect.
• Heavy exercise.
• Diabetes
• Height blood prolactin
• Eating disorder.
Cause of Oligo menorrhea

32. Menorrhagia (Heavy Bleeding)
• Excessive or menstrual blood loss depend on quality of life, hormonal
response or emotional factor.
• Menstrual bleeding lasting for longer than 7 days.
• About 1 in every 20 women has menorrhagia.
• Some of the bleeding can be very heavy,
meaning you would
change your tampon or pad
after less than 2 hours.

42. Premenstrual syndrome
PMDD(Premenstrual dysphoric disorder)
• Premenstrual syndrome (PMS) is a condition that affects a woman's
emotions, physical health, and behavior during certain days of
the menstrual cycle,
• Generally just before her menses.
• PMS is a very common condition.

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