Troublesome periods could be the result of an underlying condition. From PCOS to endometriosis, our expert Emma Ross discusses some of the different conditions that can affect your womb and menstrual cycle. She goes on to explain what can cause them, what some of their symptoms look like and how they can be overcome.
A useful first step is to keep a record of your periods and the associated symptoms for a minimum of three cycles. Then, from this, if you still suspect that something isn’t quite right, you can visit your doctor with the information you’ve collated.
Common conditions affecting periods
From heavy to irregular, problem periods are often the most common symptom associated with menstrual disorders. Common conditions to be aware of include the following:
Endometriosis - Endometriosis occurs when tissue from the lining of the womb grows outside of the uterus – this can affect the ovaries, the fallopian tubes, the pelvic wall or in extreme cases, it can even interfere with the surrounding bowels or bladder. Endometriosis can often give rise to particularly painful, heavy or irregular periods
Fibroids - Fibroids are benign growths that form within the womb. Fibroids are fairly common and often don’t translate into any symptoms at all. However, depending on their size and location they can, in some cases, give rise to more painful, heavy or irregular periods
PCOS - Polycystic ovary syndrome, or PCOS, involves problems with insulin sensitivity and an imbalance in sex hormones. PCOS is also characterised by a woman’s ovaries containing a number of harmless cysts which can affect ovulation and the menstrual cycle. Irregular periods are a symptom of PCOS along with a number of more general symptoms. Up to 10% of the population are thought to be affected by PCOS to some degree.
PID – Pelvic inflammatory disease, is as the name suggests, inflammation of the reproductive organs, and is typically caused by an infection. If left untreated this can become quite serious, so if in any doubt, always visit your doctor.
Common causes of menstrual conditions
There are a number of common causes of menstrual conditions as follows:
Imbalance in other hormones – Hormonal problems elsewhere can give rise to issues in the womb. As seen in many cases of PCOS, insulin resistance can affect the ovaries and can upset their release of hormones. The result is often too much testosterone being released relative to the female sex hormone oestrogen. Together with the insulin resistance, this can give rise to irregular periods and a number of other symptoms including excess facial hair and problems with weight management
Structural problems – Problems with the structure of a female’s reproductive organs can, in some cases, contribute to the onset of symptoms, such as in endometriosis or PCOS. This could be directly affecting the womb itself or elsewhere such as the ovaries, fallopian tubes or vagina.
Painful periods – Particularly painful periods could be a sign of an underlying problem. Visit our Painful periods page to help you determine what is considered ‘normal’. Extreme cramps could be an indicator of a hormone imbalance, excess pro-inflammatory chemicals called prostaglandins or an underlying issue which needs to be addressed; such as fibroids or endometriosis
Heavy periods – Heavy periods often go hand in hand in with painful periods so many of the same underlying issues could be to blame
Infertility problems – Although infertility issues can arise for a number of reasons – a number of diet and lifestyle factors should be considered first, conditions of the womb such as PCOS or endometriosis could also be at the root of the problem
Depending on the root cause of the problem, there are often a number of different approaches in terms of treatment options. Normally your doctor would be the first port of call if you suspect you have a menstrual condition as they can physically examine you and prescribe any necessary medications or treatments.
In addition to the programme set out by your doctor, there are often self-help tips including diet and lifestyle factors which in many cases can also make a real difference.
For more specific advice for treating PMS, PCOS, endometriosis or fibroids, visit the individual condition pages via the relevant links above.
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