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Ask the Mayo Mom: Managing heavy menstrual cycles and demystifying treatment options

The menstrual cycles for adolescents fluctuate considerably, together with the age at which the primary interval begins. Frequency, size of interval, and quantity of bleeding additionally fluctuate extensively.

“The elements that outline when you are going to get your first interval actually is when did mother get her first interval, so genetic elements, however there are a whole lot of way of life elements, too” says Dr. Asma Chattha, chair of Pediatric Gynecology at Mayo Clinic. “Undoubtedly weight acquire and charge of weight acquire performs into it as properly. New analysis is suggesting socio-economic elements and adversarial childhood experiences additionally have an effect on if you get your first interval. In order that’s most likely why there’s such a variation and if you’ll first get your interval.”

Menorrhagia is the medical time period for menstrual intervals with abnormally heavy or extended bleeding. Though heavy menstrual bleeding is a standard concern, most girls do not expertise blood loss extreme sufficient to be outlined as menorrhagia.

Whereas what’s thought of regular covers a variety, heavy bleeding throughout menstrual cycles could be a concern. In these circumstances, teenagers and their dad and mom ought to attain out to their well being care crew for an analysis.

“From a hematology standpoint, we at all times fear that there is some sort of predilection to bleeding,” explains Dr. Asmaa Ferdjallah, a Mayo Clinic pediatric hematologist. “And there is a few inherited bleeding problems that aren’t that unusual within the inhabitants, actually. And generally their solely presentation is heavy intervals. At occasions, many of those ladies and younger ladies go their complete life, they usually simply do not know that they’ve these deficiencies, or bleeding propensities, and people are pretty straightforward to display for.”

One other frequent challenge is menstrual cramps.

Menstrual cramps, or dysmenorrhea, are throbbing or cramping pains within the decrease stomach. Many women and girls have menstrual cramps simply earlier than and through their menstrual intervals.

For some, the discomfort is merely annoying. For others, they are often extreme sufficient to intrude with on a regular basis actions for a number of days each month. Menstrual cramps that are not attributable to one other situation have a tendency to minimize with age and infrequently enhance after giving delivery.

There are hormonal and non-hormonal therapy choices and merchandise to assist ladies and younger ladies deal with heavy intervals.

“I do know it is exhausting to speak about this stuff, however speak to your well being care crew with any query you might have about heavy intervals,” says Dr. Ferdjallah. “Ask all of your questions. None of them are dumb, and we’ll do our greatest that can assist you. Most of the time, we will discover you an answer to make your intervals higher.” 

On the Mayo Clinic Q&A podcast, Ask the Mayo Mother host Dr. Angela Mattke, a Mayo Clinic pediatrician, is joined by Mayo Clinic Kids’s Middle consultants Drs. Chattha and Ferdjallah to debate misconceptions about, and therapy choices for, heavy menstrual cycles.

Extra sources:

Dads, daughters and speaking about menstruation — recommendation from an skilled.


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