A.D.
Menstrual Period
Q & A
Questions and Answers About Your Period
Endometrium (n.) – The lining of the uterus that provides nourishment to a fertilized egg during pregnancy. The uterine lining is the substance that provides nourishment to a fertilized egg during pregnancy. If the egg is left unfertilized, the uterine lining will shed from the body resulting in menstruation.
When it comes to their periods, every woman’s experience is different. Periods can be irregular in teenage women and in women approaching menopause. 3, p. 384 A Some women experience periods that are absent, scanty, infrequent, too frequent, heavy or prolonged, or painful.3, p. 382 A Some of these differences are completely normal, while others may require a health care professional’s attention. The key is to be aware of any changes, and to talk to your health care professional if you have concerns with your menstrual cycle or if you have symptoms that interrupt your daily living.
Do any of these questions relate to your experience? If you’re not sure, start using the cycle calendar to chart differences that might take place from month to month. You may even find that your cycle affects your body throughout the month in more ways than just your period.
* What if my period is infrequent?
Also called oligomenorrhea, infrequent menstruation is defined as having menstrual periods that occur 6 weeks or more apart.3, p. 384 D This condition is often due to hormonal imbalances, and is particularly common in the few years after a woman gets her first period. 3, p. 384 E In women who have had regular periods in the past, this condition may be due to stress, anxiety, poor nutrition, excessive exercise or anorexia.3, p. 384, F
* What if my period is irregular?
Women with irregular periods have menstrual cycles of inconsistent length, usually involving some combination of short, long, and normal intervals between periods. Irregular periods are most common in the early years and before menopause. 3, p. 384 A Some women continue to have irregular periods throughout their childbearing years, which usually poses no problem other than making it difficult to predict when they are ovulating.3, p. 384 G
* What if my period is too frequent?
Some women have periods that occur more frequently than every 21 days. This is known as polymenorrhea. Frequent periods are most common in young women and women in their late 30s and 40s, when hormonal adjustments and imbalances can occur. 3, p. 384 H Any woman who has frequent periods should consider that what may appear to be menstrual bleeding could actually be breakthrough bleeding associated with nonmenstrual causes such as fibroids or cancer of the reproductive system.3, p. 384 H For women who have frequent periods, a health care professional may recommend oral contraceptives to help lengthen the cycle.3, p. 384 I
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Be aware of any changes in your monthly cycle, and to talk to your doctor or health care professional if you have any concerns.
What if my period is heavy or prolonged?
Having heavy or prolonged menstrual bleeding is called menorrhagia. Soaking a sanitary napkin or tampon every hour or so or menstruating for longer than 7 days are both considered forms of menorrhagia.3, p. 385 A Heavy bleeding is generally little more than an inconvenience that at worst may cause anemia because of excessive blood loss. Occasionally heavy periods can indicate a more serious health problem.3, p. 385 B Talk to your health care professional if you experience heavy bleeding with clotting. He or she can conduct tests to rule out fibroids or some forms of cancer.3, p. 385 B
* What if my period is painful?
Painful periods (also called dysmenorrhea) involve crampy, spasmodic pain in the abdomen, hips, lower back, or thighs. Women with dysmenorrhea may also experience nausea or bowel irregularities like constipation or diarrhea.3, p. 385 C For some women, painful periods subside after their first pregnancy.3, p. 385 D Talk to your health care professional about what you can do to treat painful periods.
* Does getting your period every month guarantee that you’re not pregnant?
Not necessarily. Even though many of us have been taught that a period means we’re not pregnant, some women may experience spotting, that seems like a period, very early on in a pregnancy.3, p. 483 Even when you have your period, you may want to keep an eye out for other symptoms of pregnancy, including unusual tingling or aching in the breasts, unusual fatigue, nausea or vomiting before a period is expected, or more frequent urination than usual.3, p. 489
* What is a withdrawal period?
When a woman is taking an oral contraceptive, her period is called a withdrawal bleed, because it happens during the time when she’s taking placebo pills (inactive pills, without hormones).22, p.1344A; 23, p. 904A The Pill was designed this way so that it would more closely mimic the experience of menstruation when not on the Pill.24, p. 487C
* What about extended cycle contraceptives — is it safe to skip periods by using an oral contraceptive?
It is medically accepted for women who are not trying to become pregnant to suppress their periods with use of hormonal medications or therapies like oral contraceptives, without any known adverse effects on health beyond those associated with oral contraceptive use.2, p. 434 B; 10, p. 7
Health care professionals sometimes prescribe oral contraceptives to help regulate irregular periods or to help address other menstrual irregularities.3, p. 384 I Oral contraceptives may help because they block the hormones associated with the menstrual cycle.2, p. 434 C
Talk to your health care professional if you have concerns about your monthly cycle or if you’re experiencing symptoms that interrupt your life. Use the Annual Visit Checklist to help guide your conversation.
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Good Luck to you and your husband. My husband and I are trying. So I know how you feel. The anticipation and stress can cause your cycle to be acting this way. God Bless.