Polymenorrhoe

Polymenorrhoea, also known as oligomenorrhoea, is a condition characterized by irregular menstrual cycles. In women who have regular cycles, a menstrual cycle typically lasts between 21 and 35 days. Polymenorrhoea occurs when the cycles are longer than 35 days, while oligomenorrhoea occurs when the cycles are shorter than 21 days. This condition can be caused by various factors, including hormonal imbalances, stress, certain medications, and underlying medical conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or endometriosis.

The symptoms of polymenorrhoea may include irregular bleeding, heavy periods, and pain during menstruation. In some cases, women may experience amenorrhea, which is the absence of menstruation for several months. Polymenorrhoea can also lead to infertility, as it may disrupt the ovulation process.

The diagnosis of polymenorrhoea typically involves a thorough medical history and physical examination. Blood tests may be ordered to rule out underlying conditions and to measure hormone levels. Ultrasound or other imaging tests may also be used to assess the reproductive organs.

Treatment for polymenorrhoea depends on the underlying cause. Hormonal birth control pills may be prescribed to regulate menstrual cycles. In cases of PCOS, medications such as metformin or letrozole may be used. For thyroid disorders, thyroid hormone replacement therapy may be necessary. Lifestyle changes, such as stress management and a healthy diet, can also help improve menstrual regularity. If the condition is caused by a medication, discontinuing the medication may be sufficient. In severe cases, surgical intervention may be required.