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Menstrual Disorder: What Every Woman Should Know

During the monthly periods, some women have little or no problems and don’t bother about menstrual disorders. while some other women always have problems with their periods.

In this article, we will be sharing with you vital information on menstrual disorder. Keep reading!

How does the menstrual cycle work

The menstrual cycle involves series of changes that occur to your body parts (ovaries, uterus, vagina, and breasts) and your menstrual period. On average, the menstrual cycle is 28 days, some normal menstrual cycles are a bit longer (35 days) while some are shorter (21 days). The menstrual cycle begins from the first day of your period till the beginning of another period. The menstrual bleeding lasts for three to seven days on average.

Types of Menstrual Disorders

Menstrual disorder includes:

  • Abnormal uterine bleeding (AUB), which may include heavy menstrual bleeding, no menstrual bleeding (amenorrhea), or bleeding between periods (irregular menstrual bleeding)
  • Dysmenorrhea (painful menstrual periods)
  • Premenstrual syndrome (PMS)
  • Premenstrual dysphoric disorder (PMDD)

1)   Heavy Menstrual Bleeding

Normal menstrual bleeding may require you to change the pad three to four times a day, it is usually about 5 tablespoons. But a flow that makes you change pad every hour is heavy. Heavy menstrual bleeding is common in teens and adults in their early 50s as they approach menopause.

Heavy menstrual bleeding can be caused by:

  • hormonal imbalances
  • structural abnormalities in the uterus, such as polyps or fibroids
  • medical conditions

Heavy menstrual bleeding is usually blamed on too much or too little production of reproductive hormones (estrogen or progesterone) which are necessary for a regular menstrual cycle.

A medical condition that can cause heavy menstrual bleeding include:

  • thyroid problems
  • blood clotting disorders such as Von Willebrand’s disease, a mild-to-moderate bleeding disorder
  • idiopathic thrombocytopenic purpura (ITP), a bleeding disorder characterized by too few platelets in the blood
  • liver or kidney disease
  • leukemia
  • medications, such as anticoagulant drugs such as Plavix (clopidogrel) or heparin and some synthetic hormones.

Other conditions that may be responsible for heavy bleeding

  • complications from an IUD
  • fibroids
  • miscarriage
  • ectopic pregnancy, which occurs when a fertilized egg begins to grow outside your uterus, typically in your fallopian tubes
  • infections
  • precancerous conditions of the uterine lining cells

2)   Amenorrhea
This is a condition in which menstrual bleeding is scanty or the absence of menstrual bleeding. this is normally only during pregnancy and after menopause.

The two types of amenorrhea are:

Primary amenorrhea: This is usually caused by certain problems in the endocrine system. it is diagnosed when you are 16 and have not menstruated.

There is a number of things that could cause primary amenorrhea like excessive exercise or medications, eating disorders, problems with ovaries, or an area of the brain called the hypothalamus, genetic abnormalities, or delayed maturity of the pituitary gland.

Secondary amenorrhea: This condition occurs if you had regular periods, but suddenly stopped for three months or longer. It is affected by the level of estrogen including stress, weight loss, exercise or illness, hyperthyroidism or hypothyroidism, ovarian cyst, and so on.


3)   Severe menstrual cramps (dysmenorrhea)

It is normal for some women to experience menstrual pain before or during their period but if the pain is persistent and so severe that it affects daily activities, it is called dysmenorrhea. Menstrual cramps are caused by uterine contractions which are triggered by prostaglandins, produced by uterine lining cells, and circulate in your bloodstream. Severe menstrual cramps can be accompanied by diarrhea, lightheadedness, or a feeling of faintness.

4)   Premenstrual syndrome (PMS)

Premenstrual syndrome is used to refer to different physical and psychological symptoms associated with the menstrual cycle. About 30 to 40 percent of women experience severe PMS while other experience mild premenstrual symptoms. PMS is caused by the rise and fall in the level of hormones estrogen and progesterone, which may influence brain chemicals.

5)   Premenstrual Dysphoric Disorder (PMDD)
This is far more severe than the typical PMS and it may interfere with their daily life. It is associated with symptoms like heightened irritability, anxiety, and mood swings. Both emotional and physical symptoms of PMDD are cyclical. It usually subsides within few days when a woman starts her period.

Physical symptoms of PMS include:

  • bloating
  • swollen, painful
  • breasts
  • fatigue
  • constipation
  • headaches
  • clumsiness

Emotional symptoms of PMS include:

  • anger
  • anxiety or confusion
  • mood swings and
  • tension
  • crying and depression
  • inability to concentrate

Causes of Menstrual Disorders

There are several things that can cause severe menstrual disorders and every menstrual disorder can have a different cause. They include the following

  • Hormonal imbalance
  • Polycystic ovary syndrome (PCOS)
  • Genetics
  • Sexually transmitted diseases
  • Uterine fibroids
  • Cancer

Common symptoms of menstrual disorders

Symptoms of menstrual disorder largely depend on the type or causes of the disorder. Some symptoms that are common to Menstrual disorder are:

  • Pain and cramping
  • Abnormal uterine bleeding
  • bleeding less than 3 days or more than a week
  • Headaches
  • Depression
  • Abdominal bloating and fullness
  • Emotional distress

Diagnosis of menstrual disorder

If you notice some abnormalities in your period and visit a gynecologist, certain tests will be performed and questions will be asked to establish a diagnosis. Tests and examinations to carry out might include:

  • Pelvic exam
  • Pap smear
  • Blood tests
  • Hormonal tests
  • Ultrasound
  • Hysterosonography
  • Hysteroscopy
  • Laparoscopy
  • Endometrial biopsy
  • Magnetic resonance imaging (MRI)

Treatment for menstrual disorder

it can either be:

  • Medical treatment: pain relievers and hormonal contraceptives.
  • Surgical treatment if the condition is severe and cannot be treated medically.
  • Natural treatment: the use of herbs and root-like the menstrual disorder pack. it is the safest treatment without side effects.


Some irregularities between periods like occasional light or heavy flow are nothing to worry about. however, if you experience severe pain or a heavy flow with blood clots, scanty or no blood, bleeding between periods, and any other unusual symptoms. it becomes necessary to get treatment and a natural remedy like the one here is highly recommended.

For full details on the natural menstrual disorder pack, click here

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Coach Amuda

Naturopathic Doctor & Founder, Green Remedies Int’l

Coach Amuda is a Holistic Practitioner and the C.E.O of Green Remedies International, a wellness company that specializes in tackling different health challenges through Natural, Organic, and Holistic Medicines.

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