Irregular menstrual cycles

DEAR DR MITCHELL,

I suffer from irregular menstrual cycles. I have been receiving treatment in the form of contraceptives. However, is this the only way of treating it or are there any other treatment methods? I am also very concerned about fertility problems I might have in the future.

Irregular menstrual cycle is a common complaint for women of all ages. It may be due to several factors. In this situation women may not be ovulating at all, ovulate infrequently, or have ovulation cycles.

In most women with irregular menstrual periods ovulation is either completely absent or occurs infrequently. Irregular cycles may be seen in women with the following problems:

1. Extremely overweight

2. Extremely underweight

3. Lost weight at a rapid rate

4. Suffer from eating disorders such as anorexia nervosa

5. Thyroid problems

6. Pituitary problems (enlarged pituitary gland)

7. Polycystic ovarian syndrome or other ovarian tumours

8. Excessive exercise programmes as is the case for some athletes.

9. Stress induced problems — work related, migration or relationship problems.

The important thing to do in situations where the menstrual cycle is irregular is to determine the underlying cause.

This is important so that the appropriate treatment can be given to correct the root cause of the problem.

You need to have a detailed examination done in addition to the appropriate blood studies and a pelvic ultrasound to determine the presence of any problems in the ovaries.

The use of the oral contraceptive pills can regulate the menstrual period, but it will not necessarily correct the underlying problems. You need to have a proper evaluation done by your doctor which will indicate the appropriate level of treatment necessary.

One of the underlying causes of irregular menstrual periods can be associated with infertility. However, most of the problems can be reversed with the correct treatment and I am sure you will be able to have as many children as you desire.

There are endless options as it relates to treatment of infertility and they are widely available, so you do not need to be worried.

Consult your doctor who will advise you further.

Best regards.

Dr Sharmaine Mitchell is an obstetrician and gynaecologist. Send questions via e-mail to allwoman@jamaicaobserver.com; write to All Woman, 40-42 1/2 Beechwood Ave, Kingston 5; or fax to 876-968-2025. All responses are published. Dr Mitchell cannot provide personal responses.

DISCLAIMER:

The contents of this article are for informational purposes only, and must not be relied upon as an alternative to medical advice or treatment from your own doctor.