Women Health and Diseases Specialist from Anadolu Health Center Op.Dr. Ebru Füsun Akbay, menstrual delay should be taken seriously.
In a woman with normal menstrual cycles, physiological changes vary between 21-35 days. If one cycle lasts longer than 35 days, it is mentioned that the menstrual delay occurs. However, menstruation, which is a very common condition, should not be perceived as a problem by delaying several days. There may be a menstrual delay twice a year, but if menstrual irregularity persists for 2-3 months, it should be evaluated by a doctor.
Why is it caused?
The most common cause of menstrual delay occurs when the follicle from which the egg develops does not crack. In fact, most women experience a cycle of egg-free cracking or follicle persistence once a year. This physiological condition is often not noticed by women as it often leads to several days of menstrual delay.
Pregnancy is the first thing that should come to mind in menstruation delay. Apart from these physiological conditions, menstrual delay can also be seen in pathological cystic formations such as endometriosis cysts that may develop in the ovaries and benign and malignant tumors of the ovaries. In some hormonal balance disorders, the first symptom may be menstrual delay. This group of diseases is very diverse and can be complex. Polycystic ovary syndrome, thyroid gland dysfunction and prolactin hormone secretory disorders are the most common ones. Among these hormone disorders, polycystic ovary syndrome is the most common cause of menstrual disorders.
How is the diagnosis made?
Gynecologist and obstetrician diagnoses with examination and ultrasonography. Detailed analysis of the hormone profile is the most important part of the diagnosis. In some hormone metabolism disorders, the doctor may refer to additional assays and tests. Even x-ray and computer tomography may also be needed for diagnosis.
How is it treated?
The mode of treatment varies according to the pathology found. Thyroid hormone is given in cases of thyroid hormone deficiency. When prolactin hormone is secreted at high levels, secretory drugs are given. In polycystic ovary syndrome, menstruation can be regulated even by losing weight. It is also possible to treat with progesterone hormone or birth control pills.
What are the consequences if not treated?
The endometrium layer that lays the inside of the uterus, which is under the effect of continuous estrogen hormone, is thickened continuously because it is not poured regularly and discarded in the form of menstrual bleeding every month. Over many years, this situation increases the risk of uterine cancer formation. In addition, if menstrual delays are not treated, pregnancy is delayed or does not occur. If there is a cystic condition in the ovary that causes menstrual delay, treatment is delayed.