menstrual irregularities
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2021 ◽  
Vol 12 (01) ◽  
pp. 13-18
Author(s):  
Zara Sami ◽  
Dania Farah ◽  
Hajra Naz

Objective: To determine incidence, awareness and association of Lifestyle modalities with symptoms of Polycystic Ovaries (PCOS) among females of two institutes Study design and setting: It was a Pilot study based survey at University of Karachi and Bahria University, Pakistan. Methodology: Following ethical approval, structured questionnaire was designed, validated and distributed as per convenient sampling. Results: SPSS analysis for 196 responses revealed that 4.6% were PCOS afflicted while 26% of non-PCOS were vulnerable cases on account of suffering any two of the three criterion symptoms of PCOS namely: menstrual irregularities, hirsutism and acne. Chi-square based cross tabulations revealed that PCOS females were predominantly between 21-25 years and were lean singles who exhibited a tendency to exercise, consumed poultry, slept late at night and used plastics by large in daily routine. Females susceptible to PCOS significantly exhibited the criterion symptoms when associated to consumption of poultry chicken, passive smoking and plastic usage on regular basis. Significantly larger proportion (70%) of non-PCOS females were aware about this disease but symptomatic, diagnostic and treatment based knowledge was significantly less prevalent. A significant percentage of females (61.5%) associated PCOS to the occurrence of infertility. Conclusion: Thus, concluding that imparting awareness about etiological factors, symptomatology and lifestyle triggers can enable females to ensure self-check and curb the chances of being prone to PCOS by avoiding plastics and smoking environment and incorporating weight management in their lifestyle


Author(s):  
Vinita Singh ◽  
Neelam Tamar ◽  
Zamir Lone ◽  
Esha Das ◽  
Rajshree Sahu ◽  
...  

Background: Research examining the role of vitamin D deficiency and the development of menstrual disorders in women is of widespread interest. Studies have been published showing that supplementation with high-dose vitamin D can lead to the restoration of the menstrual cycle. We lack adequate information regarding the effect of vitamin D levels on the physiology of menstruation and further on fertility in women of reproductive age due to the contradictory results reported by studies. Objective: To study the association of 25-hydroxy vitamin D with menstrual cycle characteristics including long and short cycle length and cycle irregularity. Materials and Methods: In this cross-sectional study, serum vitamin D levels of 166 women attending an outpatient department with menstrual irregularities after excluding all obvious causes of menstrual disorders (n = 83) between April-June 2019 were measured and were compared with women of similar profiles with complaints other than menstrual irregularities (n = 83). Results: A decreased level of vitamin D was associated with a 13.3 times odds of an irregular cycle (OR (95% CI): 13.30 (5.79-30.60), p < 0.001). 25-hydroxy vitamin D was not associated with age or body mass index. We found a significant difference (p < 0.001) in mean vitamin D levels among the females with irregular cycles vs. regular cycles. Conclusion: Vitamin D plays a role in the physiology of reproduction specific to the menstrual cycle and ovulation. Long-term prospective studies assessing the exact cutoff value and the exact dose of supplementation required are needed. Key words: Menstrual disturbances, Ovulation, Reproductive period, Vitamin D deficiency, Dietary supplements, Polycystic ovarian syndrome.


2021 ◽  
Vol 10 (4) ◽  
pp. 3324-3327
Author(s):  
Waqar M. Naqvi

Studies which are done worldwide, have stated that 74% of adult women suffer from irregular menstrual cycles and other associated symptoms. They have also found that there is association between quality of life and irregular menstrual cycles and distress related to menstrual irregularities. This study was a pre and post experimental study, where 45 college going girls were screened for irregular menstrual cycles, followed by that, demographic details were taken and pre intervention BMI was calculated and menstrual distress questionnaire scores were analyzed. The Karate exercises included, 15 minutes of Running, 15 minutes of 100 punches, 100 kicks for 15 minutes, 15 minutes of Karate techniques and 10 minutes of Katas and 5 minutes of cool down exercises and breathing exercises. The results of pre and post interventions showed that the Karate exercises were effective on irregular menstrual cycles along with decrease in BMI levels and menstrual distress questionnaire scores including domains. Based on the results, the study can be concluded that, the Karate exercises are effective on irregular menstrual cycles along with reduction in BMI levels and menstrual distress questionnaire scores. In addition it showed the improvement in pain, negative thoughts, concentration related to menstrual irregularities. The study found that the karate exercises are mostly effective on menstrual distress than BMI levels.


2021 ◽  
Vol 11 (9) ◽  
pp. 816-827
Author(s):  
Olga Dyulmesova-Bilash

Introduction. Psoriasis in women of reproductive age is one of the most pressing medical and social problems. The consequence of psoriasis disease is a significant decrease in the quality of life, disability of patients, difficulties in creating a family and deterioration of family relations, significant psychological discomfort. Objective of the study: to increase the effectiveness of treatment of women with psoriasis with menstrual irregularities by means of pathogenetically substantiated therapy based on the study of hormonal changes. Materials and research methods. The study included 130 women who were divided into three groups: the main group – 75 women with psoriasis with menstrual irregularities, who were randomized into 3 subgroups: 1a – 25 patients who will receive standard psoriasis therapy; 1b – 25 patients, in addition to the standard treatment of psoriasis, will receive gestagens for 3 months; 1c – 25 patients, in addition to the standard treatment of psoriasis, will receive a preparation of an dry extract of herb of creeping anchors for 3 months. The comparison group consisted of 25 women with psoriasis without hormonal disorders, comparable in age and social status with the study group. The control group – 30 apparently healthy women, comparable in age and social status with the study group. Research results. In patients of the main group who received standard psoriasis therapy (1a); who received progestogens for 3 months in addition to standard psoriasis treatment (1b) and, in addition to the standard treatment of psoriasis, who received the preparation of an dry extract of herb of anchors creeping for 3 months (1c), before the start of the treatment, the ratio of LH / FSH – luteinizing hormone (LH) and follicle-stimulating hormone (FSH) was below normal, which indicates a certain deficit in LH production relative to FSH values. In parallel, in these cohorts, the production of prolactin was increased, which suppresses the formation of FSH and LH in the pituitary gland. Changes in the production of gonadotropic hormones are a reaction to the existing deficiency or excess of sex hormones. In the main 1a, 1b and 1c in groups, estradiol values ​​were within the normal range with progesterone deficiency in the luteal phase. The testosterone value in all study groups did not deviate from the standard values. Conclusions. The obtained results of the survey indicate the need to increase the effectiveness of treatment of women with psoriasis with menstrual irregularities by involving measures aimed at correcting hormonal status in complex therapy.


Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3436
Author(s):  
Mana Miyamoto ◽  
Yuko Hanatani ◽  
Kenichi Shibuya

There is evidence showing that excessive mental stress is detrimental to the menstrual period, and it is known that many elite athletes are highly susceptible to mental anxiety. This study investigated the nutritional intake and mental anxiety of 104 relatively young elite endurance athletes aged 16 to 23 years and used a multiple logistic model to examine the factors that might be related to menstrual irregularity. Calcium intake was marginally associated with the occurrence of menstrual irregularities (odds ratio = 1.004, p = 0.030), whereas there were strong associations between body mass or state anxiety and menstrual irregularities in elite athletes (odds ratio = 0.557, p = 0.035 for body mass; odds ratio = 1.094, p = 0.006 for state anxiety). These results suggested that state anxiety would be an important factor causing menstrual irregularity in elite endurance athletes. It is recommended that elite athletes are monitored for anxiety levels and develop a strategy for stress management.


Author(s):  
M. Smitha

Background: Hirsutism is defined as presence of excess coarse hairs appear in male pattern in women.There is various aetiology of hirsutism like Idiopathic hirsutism, PCOS, androgen secreting ovarian tumours, menopause, CAH, Cushing’s syndrome, drugs which increases testosterone level, insulin resistance and tumour secreting androgen. We have designed present study with an aim to study the clinicoepidemiology, metabolic and hormonal profile of women with hirsutism in Konaseema region of Andhra Pradesh.Methods: All patients with hirsutism attending gynaecology outpatient department were selected for study based on inclusion and exclusion criteria. After that patient were examined clinically, BMI was calculated for each patient. Patients were clinically evaluated for signs of excess androgen secretion, Cushing syndrome, metabolic syndrome and hyperprolactinemia. Modified Ferriman-Gallwey scoring system was used for evaluating and quantifying hirsutism.Results: The mean Fasting plasma insulin12.42±2.41 (mIU/dl), the mean of HOMA-IR was 3.14±1.18. The mean value of dehydroepiandrosteronesulphate (DHEAS) 355.78±15.41 mcg/dl. There was statistically significant reduction in modified Ferriman-Gallwey scoring in before and after treatment (12.38± 1.55 vs. 9.62±1.6), the p value was 0.00001. The number of patients with menstrual irregularities were reduced from 63.3% to 20% after treatment and this difference is statistically significant (p=0.04).Conclusions: Hirsutism is associated with insulin resistance and DHEAS concentration was high. Modified Ferriman-Gallwey score was significantly reduced and there was significant weight loss and improvement in menstrual irregularities after treatment.


Author(s):  
Faizah Mughal ◽  
Ashok Kumar ◽  
Jai Dev Maheshwari ◽  
Ali Nawaz Bijarani ◽  
Tayyaba Kazmi ◽  
...  

Background: The menstrual cycle describes the healthy reproductive system of the women which is controlled by different hormones. Aim: The goal of the study is to evaluate the prevalence of irregular menstruation in different endocrine changes and to identify their association with the age of women in reproductive life. Methodology: It was a cross-sectional study conducted on women attending the gynecological clinic of Karachi from March 2019 to June 2019. Of the 165 women with different hormonal changes 100 presented with menstrual cycle abnormality. Results: Among the women with menstrual irregularities 51% women presented with insulin resistance, 23% with hyperandrogenism, 19% with hypothyroidism and 7% hyperprolactinemia. Age-related association was observed in menstrual irregularities women with insulin resistant and hyperandrogenism. Conclusion: Menstrual cycle is a physiological process, any irregularities in cycle can be caused by  even  minimal  hormonal  imbalance.  As  a  result,  it  is  critical  to  address  endocrine abnormalities in order to improve women's reproductive health.


2021 ◽  
pp. 23-27
Author(s):  
N. Kh. Khadzhieva ◽  
I. V. Kuznetsova

Purpose of the study. Evaluation of the effectiveness and safety of COC-DRSP in the control of psychosomatic symptoms in women with stressdependent menstrual irregularities.Materials and methods. The observational study involved 28 women aged 18 to 39 years with somatoform anxiety disorder and menstrual irregularities resulting from stressful events and did not have a tendency to improve in the process of therapeutic lifestyle modification and the use of means to improve adaptation. In order to prevent pregnancy and control the menstrual cycle, the patients were prescribed a combined oral contraceptive containing drospirenone (DRSP-COC) in the «24 + 4» regimen. Prior to the study, 3 and 6 months after initiation of therapy, psychosomatic symptoms of anxiety disorder were assessed.Results. Reception of DRSP-COC (Dimia) led to a significant decrease in the frequency and severity of psychosomatic symptoms after three cycles of therapy with the preservation of the effect with continued administration.Conclusion. DRSP-COC is effective in relieving psychosomatic symptoms in women with stress-related menstrual irregularities.


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