Disorder of the menstrual cycle - what is the reason and what is the diagnosis?


Such a violation of the menstrual cycle, like amenorrhea, may be associated with different levels of regulation, or pathological disorders in the reproductive organs themselves. The characteristic feature of opsommenorrhea is not only delayed menstruation, but also changes in the amount of blood secreted. Moreover, there may be a reduced amount of discharge, less than 25 ml, and abundant menstruation.

Most often, ossenorrhea is associated with changes in the hormonal background of the body. The growth of myometrium is associated with the level of follicle-stimulating hormone, its rejection, if there is no implantation, is associated with luteinizing hormone and progesterone. Violation of their production can lead to atrophy of the mucous membrane, its slow development.

In some cases, ossenorrhea is associated with the presence of a persistent follicle, when ovulation does not occur, but the dominant follicle is not urereziruetsya and does not turn into a follicular cyst, as in polycystic. Under the action of hormones, it continues to change cyclically, which affects the production of hormones by the ovaries.

Some researchers associate obssenorrhea with hereditary pathologies, mutations. Therefore, it is often necessary to treat such a condition with the joint efforts of a gynecologist, an endocrinologist, and a doctor of genetics.

The causes of ososenorei are not easy to identify, since they can be caused by various factors and diseases. According to its course, the opsomenorrhea is divided into primary and secondary. Primary occurs in adolescence, when the cycle is not yet established and then it can be physiological. Over time, the cycle is restored, becoming normal duration. If this does not happen, then you need to look for what caused this condition. Often the cause of this are mutations, congenital pathologies of development.

If the cycle is normal and opsomenorrhea appears on this background, then this indicates violations, among which are:

  • changes in hormonal levels, it can occur as a result of damage to the pituitary, hypothalamus, ovaries,
  • endocrine diseases (diseases of the thyroid gland, adrenal glands),
  • sudden weight changes
  • inflammatory and infectious diseases of the reproductive organs,
  • severe diseases, infections (tuberculosis, AIDS, malignant tumors),
  • intoxication, exposure,
  • autoimmune processes
  • eating disorders, cachexia,
  • stress, neurosis, depression,
  • parasitic diseases,
  • overwork, physical exertion, poor living conditions.

In each case, you need to conduct a full examination, carefully collect history to identify the cause.

Symptoms of obssenorrhea are not specific and may correspond to the diseases that led to this condition. More often observed:

  • scanty or, conversely, copious menstruation,
  • painful periods,
  • irritability, depression,
  • weakness, fatigue.

The examination should be carried out in order to identify the symptoms of the underlying disease, so the examination often requires the advice of various specialists.


Complications of osmenorrhea are difficulties with conception, infertility. Often, if not treated, it turns into amenorrhea and early menopause. By the way, the climacteric period can also be accompanied by physiological occurrence.

With regard to the possibility of becoming pregnant, the opsomenorrhea can occur as a monophasic or two-phase cycle. A monophasic cycle occurs on the background of a persistent follicle, when a yellow body does not form, and endometrial hypoplasia is observed. The biphasic cycle may have an extended follicular or luteal phase, but in either case, pregnancy is almost impossible.


Diagnosis in case of opsenarrhea includes collecting anamnesis, examination, additional research, consultations with other narrow specialists in order to establish its cause. Examination of patients should include:

  • general blood and urine tests
  • biochemical blood tests,
  • determination of blood hormone levels, including thyroid function,
  • ultrasound examination of the genital organs,
  • determination of true ovulation, folliculometry,
  • examination of the adrenal glands, pituitary, hypothalamus, which is carried out using computer or magnetic resonance imaging,
  • testing for specific infections (HIV, syphilis, tuberculosis, hepatitis),
  • detection of urinary tract infections,
  • detection of parasitic diseases.

The complex of examinations is made individually for each patient and can be supplemented after consultations of narrow specialists. In case of primary disease, medical genetic consultation and examination are also required.

Osenomenorrhea treatment is aimed at treating the underlying disease that caused it. Patients can be appointed:

  • antibiotic therapy
  • hormonal treatment,
  • immunomodulators,
  • vitamins
  • physiotherapy,
  • phytotherapy,
  • alternative medicine methods
  • diet therapy.

Treatment can be long-term and often ineffective if the disease that caused the osomenorrhea is associated with serious changes in the body or mutations. But there is always a chance to improve the condition of the patient. Lack of treatment, can cause the development of amenorrhea, early menopause.

Forms of osmenorrhea and its causes

This pathology has two forms:

  • congenital or primary form, when such a long cycle of menstruation was the girl initially,
  • secondary form or acquired, that is, before the onset of the disorder, the rhythm of menstruation was normal.

The primary form is a consequence of various abnormalities in the development of reproductive organs, hypoplasia, infantilism or asthenia during puberty of a girl.

Obsomenorrhea secondary forms has many causes.

Disruption of the endocrine glands.

  • Emotional and physical overstrain.
  • Exhaustion of the body due to nutritional deficiencies.
  • The presence of infectious inflammatory processes, and especially the urogenital system.
  • Severe diseases of the heart and blood-forming organs.
  • The processes of intoxication in the body (poisoning by harmful chemicals in the workplace).
  • Injury of the uterus and ovaries (domestic injuries, abortions).
  • Brain tumors and pituitary cell necrosis.
  • Parasitic diseases.
  • Antibody production to tissues of own ovaries (autoimmune causes).
  • Puberty, preclimacteric and climacteric periods.
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    Symptoms of the disease

    There are two types of the disease:

    1. monophasic extended menstrual cycle.
    2. extended two-phase cycle.

    In the first type, opsomenorrhea develops against the background of marked hypoplasia of the genital organs. The ability of follicles to mature is reduced, while the endometrium has a mild degree of atrophy, corresponding to the onset of proliferation. This mechanism of development of pathology have up to 24% of patients with opsomenorrhea.

    With this course of the disease, it can be caused by the persistence of the follicle without the corpus luteum phase.

    Constantly maturing follicles cause the growth processes of the endometrium. When they begin to reverse development (atresia), the estrogen content in the blood decreases, and hyperplastic endometrial cells begin to be rejected.

    The two-phase type of the menstrual cycle is due to the elongated process of follicle maturation.

    In studies, it has been observed that after the end of menstruation, it either does not develop at all, or undergoes degeneration at some stage of maturation, not reaching ovulation.

    In the cytological analysis of vaginal smears, the epithelium is proliferated to a small extent. Estrogens are produced at relatively low levels.

    After a delay in the development of the follicle, its normal maturation begins with a transition to the normal or shortened phase of the yellow body.

    The rectal temperature at this time is above 37 degrees, and the endometrial biopsy in the second phase of the menstrual cycle shows its secretory changes. In terms of hormone levels, this phase does not differ from the normal menstrual cycle.

    The main symptom of opsymenorrhea is an increased interval between periods. But besides this, it has other manifestations.

    This is a pain in the lower abdomen and in the lumbar region during menstruation, the woman quickly gets tired, becomes nervous and irritable. Often there is depression and depression, especially if before the menstrual cycle was normal.

    Opsymenorrhea treatment

    If a diagnosis of obssenorrhea is made, then there is cause for serious concern, because such a disorder can lead to a complete absence of menstruation, and later to infertility. Therefore, a comprehensive and thorough treatment of the disease.

    When detecting genital infections in a patient with opsomenorrhea, treatment begins with the prescription of antibiotics. If inflammatory processes take place, then it is necessary to get rid of them.

    After elimination of these factors, hormone therapy is carried out. The duration of hormone therapy depends on the specific case. Sometimes they are prescribed courses, in others they are taken before the onset of menopause.

    To regulate the hypothalamic-pituitary system and normalize the menstrual cycle, you can take homeopathic herbal remedies yourself and do it in parallel with taking hormones (Remens, Mastodinon, Klimadinon).

    In addition, these drugs are perfectly soothing and have a small number of side effects.

    The complex of medical procedures includes immunostimulating drugs. If opsomonorrhea is due to functional impairment (sudden weight loss, excessive exercise or stress), then treatment is directed to the elimination of these factors.

    After this, the cycle can recover on its own. Additionally prescribe vitamin therapy as a fortifying agent. It is necessary to fully eat, learn to relax and rest.

    Physiotherapeutic procedures are used to improve blood circulation in the tissues and organs of the small pelvis. Among them, electrotherapy has the best effect (electrophoresis with thiamine, novocaine or zinc, electrophoresis for the collar area with vitamins), acupuncture, therapeutic mud.

    However, physiotherapy has contraindications: cancer, severe therapeutic pathology, hypertension of the third degree.

    In order to prevent the need to maintain a healthy lifestyle, eat full, avoid stressful situations, exercise and regularly come for a visit to a gynecologist.

    What is omenorrhea and how to deal with it

    Opsomenorrhea - a pathological process during which increases the duration of the menstrual cycle to thirty-five days or more. In some cases, the interval between periods is several months.

    Lack of treatment can lead to complete cessation of menstruation even before the onset of menopause. Or to their rare appearance several times a year.
    Quite often, the pathology is accompanied by polycystic ovaries. And this greatly reduces the chances of conceiving a child. Since ovulation does not end or does not occur at all.

    The causes of the problem

    Share two forms manifestations of the disease:

    1. Primary.
    2. Secondary.

    Primary develops in the case of congenital abnormalities of the genitals or their underdevelopment. Opsomenorrhea occurs with the onset of the first menstruation and constantly recurs.

    The causes of the secondary form are provoking factors. They are:

    • Endocrine disorders.
    • Abortions.
    • Surgical intervention.
    • Infectious diseases.
    • Psychologically disturbed.
    • Hormonal disruptions.
    • Strong physical exertion.
    • Diseases of the genitourinary system.
    • Depletion of the body.
    • A brain tumor.
    • Climate period.
    • Diabetes.

    The main symptom of opsomorei - increase the interval between cycles. Also available:

    1. Lower abdominal pain.
    2. Low back pain.
    3. Fast fatiguability.
    4. Irritability.
    5. Weakness.

    Much reduced menstruation. They can begin and end in one day. And the amount of discharge is too meager, possibly of a scanty character.

    There is an increase in weight, acne appears on the face and chest. Perhaps the appearance of hair on the male type:

    • Over lip.
    • On hands.
    • On the back.

    Disappears sex driveand the sexual act itself does not bring satisfaction.

    The secondary form may manifest itself in the form of symptoms of the underlying disease that provoked it. Possible itching, rash, redness of the skin.

    NMC type opsomorei

    NMC type opsomorei - impaired duration or phase of reproductive function. Most often manifested in puberty, but may occur after its stabilization. The intervals between menstruation may occur during both two-phase and single-phase cycle.

    The development of pathology in reproductive age is an obstacle on the way to conception. But the menstrual cycle can be adjusted, after which it is possible to get pregnant.

    If a disease is suspected, a diagnosis is made. It consists of:

    1. History taking.
    2. Inspection of the genitals.
    3. Blood and urine analysis.
    4. Hormone analysis.
    5. Ultrasound of the pelvic organs.

    If the diagnosis is confirmed, an individual treatment plan is developed. It depends on the indications of diagnosis and is selected individually for each patient.

    First of all it is necessary eliminate the cause developmental pathology. Only after that you can expect positive results of treatment.

    Primary Osomenorea difficult to treat. Participate in the process endocrinologists, genetics, surgeons.

    To eliminate the inflammatory processes are assigned antibiotics. They also help destroy genital infections.

    Why are painful periods and what to do to reduce pain? The answer is here.

    Is required hormonal drugs. The duration of their admission is determined by the attending physician. Depending on the situation, hormone therapy can be carried out in courses or before menopause.

    It is recommended to strengthen the body and raise immunity. taking vitamin complexes. It is also necessary to adhere to a special diet. It is necessary to saturate the diet fresh:

    • Fruit.
    • Vegetables.
    • Berries.
    • Greenery.

    Refuse to use too fatty, spicy, fried foods. And also from alcoholic beverages and tobacco.

    Adipose tissue in the female body is a source of sex hormones. In case of their excess or deficiency, the reproductive system suffers. To eliminate this problem, you need to adjust body weight. A nutritionist works with a woman for these purposes. He makes a daily menu and makes good recommendations.

    To improve blood circulation in the pelvic organs, physiotherapy methods are used:

    1. Electrotherapy.
    2. Acupuncture.
    3. Healing mud.

    Detection of pathology at an early stage of development significantly increases the chances of recovery. Therefore, in case of detection of characteristic symptoms, you should immediately contact a gynecologist.

    Video: Opsymenorrhea: symptoms, treatment and prevention.

    Causes of Omenorrhea

    The basis of opsomenorrhea is a violation of the mechanism of the normal menstrual cycle with preservation of its two-phase. A change in the proper hormonal ratio provokes a change in the duration of one of the phases of the cycle, and ovulation is either absent or becomes inferior.

    They say about primary ossenorrhea if its causes are anomalies (defects) of the development of the genitals or their underdevelopment. Primary obssenorrhea appears with the first (usually late) menstruation and is constantly present in the girl.

    Secondary obssenorrhea develops against the background of a normal menstrual cycle under the influence of provoking causes. The causes of secondary opsomenorrhea can be either irregularities in the management system of the menstrual cycle (pituitary - hypothalamus), or unwanted changes directly in the uterus and / or appendages.

    Changes in the nature of menstruation according to the Opsomenorrhea scenario may be associated with psycho-emotional disorders, endocrine diseases, low-intensity infectious processes, traumatic surgical interventions (abortion, diagnostic curettage, resection or removal of the ovary).

    Ocsomenorrhea is sometimes part of the physiological process and is not considered an alarming symptom. During the period of the formation of the menstrual function, short-term opsomenorrhea is not classified as a deviation, as in the premenopausal period, when the gradual extinction of the menstrual function is part of the physiological age-related changes.

    Opsomenorrhea is not an independent disease and is included in the clinic of other diseases as a symptom of “poor menstruation”. All other clinical signs will be due to the disease that accompanies the omenorrhea.

    Menses rarely come in the form of "footprints" or drops. The menstrual cycle remains two-phase, but the duration of the phases varies according to the type of shortening or lengthening, which leads to disruption of the follicle maturation phase and distortion of the ovulation process. Such violations can reduce the chances of pregnancy.

    Opsomenorrhea is often accompanied by infertility, hypomenstrual syndrome and polycystic ovary. In this case, the opener and pregnancy become incompatible.

    Long-existing opsenerrhea can turn into amenorrhea - the complete absence of menstruation.

    The diagnosis of NMS Opsomenorrhea implies an extensive range of diagnostic measures. Examination of patients with opsenerrhea begins with the examination of complaints. Sometimes the patient can clearly indicate the provoking factor for the appearance of a violation of the cycle or provide information about non-gynecological diseases, which served as a background for opsymenorrhea.

    During a general examination, attention is focused on the height and weight of the woman, the severity of secondary sexual characteristics (female type hair growth, etc.), the condition of the skin.

    A gynecological examination reveals abnormalities in the development of the genitals or the presence of inflammatory processes.

    Determining the nature of hormonal disorders is of paramount importance for deciding whether it is possible to restore the ability of procreation. The level of FSH, LH, progesterone and prolactin is determined. Sometimes it is required to determine the level of thyroid hormones and adrenal glands.

    If a concomitant inflammatory process is detected, laboratory diagnostics is supplemented with tests to identify the infectious agent.

    Ultrasound helps to clarify the size and degree of development of the genitals, to identify anatomical defects or the presence of an inflammatory process.

    Consultations of related professionals help to identify non-gynecological causes of omenorrhea.

    The volume of therapeutic measures depends on the disease, which is accompanied by opsomenorrhea. Also take into account the age of patients, the state of reproductive function and concomitant extragenital pathology.

    Congenital malformations of the genitalia and severe forms of delayed puberty are poorly amenable to therapy, the possibility of its use is decided together with endocrinologists, geneticists and surgeons.

    Opsomonorrhea therapy is to eliminate the cause of the underlying disease that caused it. The leading method of treatment is hormone therapy in order to restore the normal rhythm of menstruation. Treatment regimens are selected individually.

    When infertility after the restoration of the physiological rhythm of menstruation, hormonal stimulation of ovulation is performed.

    Unfortunately, often, open-air and pregnancy are incompatible, but the verdict is ambiguous and depends on the cause of menstrual dysfunction.

    Treatment of inflammatory diseases includes the use of antibiotics, immunostimulants and vitamins.

    An adequate full-fledged diet is selected for patients with weight deficit. Often, good nutrition as a treatment for young girls eliminates menstrual irregularities.

    Physiotherapy, herbal medicine and gynecological massage are successfully used as complex therapy.

    Why there is a lengthening of the menstrual cycle

    Opsomenorea - lengthening of the menstrual cycle, in which its duration is over 35 days. The violation is cyclical in nature, menstruation repeated no less than 3 months. Monthly can occur in the form of hypooligomenorrhea, and in the form of hypermenorrhea.

    The likelihood of pregnancy in opsomonorrhea patients is reduced. Examination with this disorder includes a standard gynecological examination, ultrasound of the pelvic organs, hormonal blood tests, colpocytology, according to indications - RFE.

    The treatment strategy for opsomenorrhea is determined based on the causes of menstrual irregularities, and hormone therapy plays a leading role in it.

    Opsomenorrhea (bradimenorrhea) - an increase in the interval between menstruation from 36 days to 3 months (at a rate of 21-35 days). Along with oligomenorrhea, hypomenorrhea and spaniomenorrhea, refers to the variants of hypomenstrual syndrome.

    Opsomenorrhea can have a primary (congenital) or secondary (acquired) character. The primary version of bradymenorrhea in practical gynecology is indicated if rare periods are noted from the very beginning of the menstrual function.

    The secondary option is characterized by a decrease in menstruation after a period when the woman had a normal menstrual rhythm.

    Like other disorders of the menstrual cycle, opsmenorrhea negatively affects the reproductive function, which, first of all, is associated with changes in the phase of the cycle, inferiority or lack of ovulation.

    Main reasons

    Primary opsmenorrhea is formed as a result of malformations of the genitalia, delayed sexual development, general and genital infantilism, adhenia during puberty. In this case, menarche usually comes late, and in the future the rhythm of menstruation becomes rare.

    Various acquired pathological conditions that adversely affect menstrual function lead to the development of secondary opsomonorrhea. This may be alimentary dystrophy, psycho-emotional trauma, hard physical labor, severe intoxication.

    Changes in the rhythm of menstruation by the type of opsomenorrhea may be associated with surgical operations - abortions, RFD, ovarian resection, oophorectomy, adnexectomy.

    Sometimes opsomenorrhea develops against the background of endocrine disorders (often polycystic ovarian disease, hypothyroidism, Sheehan syndrome), autoimmune, parasitic diseases, brain tumors, sluggish infectious processes, including the genitourinary system.

    In addition to pathological opsomenorrhea, there is a physiological reduction of menstruation — for example, during puberty and the formation of a cycle, in the premenopausal period, due to the gradual extinction of ovarian function.

    Clinically, ossenorrhea occurs in the form of rare periods. The intermenstrual interval is over 35 days, but not more than 3 months. The intensity of the menstrual bleeding is usually insignificant (smears or blood drops), the duration is short.

    Changing the phase of the menstrual cycle causes the inferiority of ovulation or anovulation, so many patients with osomenorrhea suffer from infertility. In some cases, opsenorrhea goes into secondary amenorrhea.

    Along with rare periods, there are symptoms of the underlying disease.

    Opsomenorrhea can have 2 different types of flow: with the presence of a prolonged two-phase or monophasic menstrual cycle. With an extended two-phase cycle, the delay in menstruation is due to the prolonged process of maturation of the follicle.

    In the first phase of the cycle, the follicle either does not develop at all or undergoes atresia at one of the developmental stages. The secretion of estrogen in this case is low, the basal temperature is single phase, and colpocytology indicates a low degree of epithelial proliferation.

    Subsequently, after growth retardation, the follicle still matures, but ovulation can occur on the 20-30 day of the menstrual cycle. The duration of the corpus luteum phase is shortened or not changed.

    The level of sex hormones does not differ from that with a normal menstrual cycle, the basal temperature in the second phase becomes higher than 37 ° C, the cytology of vaginal smears reflects the secretory changes of the endometrium.

    Obsomonorrhea with monophasic cycle is less common - in 22-24% of cases, usually in patients with hypoplasia of the genitals. At the same time, the state of the endometrium remains unchanged and corresponds to the beginning of the proliferative phase.

    Another cause of opsomonorrhea with a monophasic cycle may be the persistence of the follicle. In this case, the phase of the corpus luteum does not occur, and the persistent follicle creates the conditions for endometrial hyperplasia.

    The reverse development of the follicle is accompanied by a sharp drop in the level of estrogen and rejection of the functional layer of the uterus of the endometrium, which is clinically expressed by menorrhagia.

    Factors of occurrence

    Many women are interested in the issue of the opsomenorrhea, what it is, because of what it develops and how to treat it. The average duration of the menstrual cycle is from 21 to 35 days. Changes in its duration in the direction of increasing for any reason, has the name opsomenorei.

    This violation is a companion of the pathological process and can carry a threat to the life of a woman. This is especially reflected in reproductive function.

    The duration of the cycle with opsomenorae can reach 4 months, and also the intensity of bleeding changes in the direction of reduction.

    The menstrual cycle is completely regulated by hormones, therefore, the occurrence of opsymenorrhea during puberty or menopause is not a pathology. In the first case, this is due to the rate of puberty, and in the second - with hormonal regression. The menstrual cycle has two phases.

    During the first, there is growth and an increase in the inner layer of the uterus, in the second - rejection of the endometrium and its exit beyond the uterus. In the normal course of this process, a new egg has time to grow and mature, and the old one leaves the body with menstrual flow.

    And if the cycle is broken by the type of opsomonorrhea, then the probability of conception is sharply reduced.

    You should know that this pathology preserves the two-phase nature of the menstrual cycle, but the timing changes. Hormonal imbalance provokes a violation of the length of the phases of the cycle, while the process of ovulation is not completed or completely absent.

    Depending on the reasons for the occurrence of osmenorrhea is:

    • Primary occurs in the pathology of the female reproductive system or its underdevelopment and manifests itself initially in the form of a long first menstruation,
    • secondary is a consequence of pathological processes that disrupt the brain, or the presence of changes in the uterus and appendages.

    The reasons for the appearance of the first are abnormalities in the development of reproductive organs, their hypoplasia or infantilism, the presence of asthenia in the period of early sexual development. Secondary occurs due to many reasons, namely:

    • lack of nutrition
    • diseases of the cardiovascular system
    • inflammatory processes with spread to the genital and urinary systems,
    • the effects on the body of chemicals
    • trauma to the uterus or ovaries, including abortion,
    • brain neoplasms,
    • parasitic damage to the body,
    • autoimmune pathology,
    • hormone disruption,
    • psycho-emotional trauma.

    First aid in violation of the menstrual cycle

    Opsomenorrhea is a violation of the menstrual cycle (Nmc), in which its duration increases to 36 or more days. The disease is a type of hypomenstrual syndrome. In some cases, this pathology causes infertility. How to treat it?

    Often a woman does not pay due attention to her menstrual cycle. This usually happens until the moment when the desire to become pregnant suddenly becomes an unattainable dream, while gynecologists and fertility specialists are already shrugging.

    Menstruation reflects the state of health of a woman and her ability to continue the race. Fine:

    • bleeding lasts 3 to 5 days,
    • the intervals between the “critical days” of 21–35 days (from the first day of the beginning of one cycle to the first day of the beginning of the second cycle),
    • blood loss of about 40 ml.

    Allocate primary and secondary form. Types of amenorrhea vary with manifestations. In the primary form of a woman, menstruation is initially pathological.

    When a secondary disease develops as a result of disruption of the organs of the reproductive system - the normal cycle is extended to 36 or more days.

    The primary and secondary NMCs of the type of opsomenorei are also sometimes referred to as congenital and acquired, respectively.

    Signs and symptoms of pathology

    The main symptom of obssenorrhea is the absence of menstruation for 36 days or more. Sometimes a break between cycles can be up to 4-6 months or more. Other symptoms characteristic of the hypomenstrual syndrome can also be added:

    With careful questioning, you can identify other non-specific signs and symptoms:

    • decreased libido - libido,
    • miscarriage at different times,
    • skin changes: excessive dryness, acne and others,
    • reduced performance
    • frequent depression,
    • irritability,
    • headaches,
    • pain in the abdomen, including during sexual intercourse.

    Disruption at the level of the uterus and ovaries

    The manifestation at the level of the female genital organs is expressed in the following:

    • Genital hypoplasia is a significant decrease in the size of the female genital organs while maintaining proportions in the structure.
    • Sexual infantilism - asymmetrical underdevelopment of the reproductive organs.
    • Perimenopause when ovarian function fades away. NMCs, especially osmenorrhea, always accompany this period in a woman’s life, which lasts from 2 to 4 years on average.
    • Formation of menarche. Within two years from the beginning of the first menstrual period, any girl can tolerate significant fluctuations in the cycle.
    • Lack of ovarian function.
    • Frequent abortions and other manipulations inside the uterine cavity can lead to the inferiority of its inner lining - the endometrium, and subsequently the development of opsymenorrhea. In addition, abortion has a negative effect on the ovaries and the hypothalamic-pituitary system.
    • Inflammatory diseases of the genital organs.
    • Polycystic ovary syndrome.
    • Autoimmune diseases of the ovaries.

    Changes in the level of the pituitary and hypothalamus

    The pituitary and hypothalamus are brain structures that secrete a large number of active substances that regulate the functions of all internal organs in the body, including the sex organs. The latter are controlled by regulating the production of sex hormones. The problems with the menstrual cycle are:

    • hypothalamic-pituitary insufficiency, as well as an imbalance in hormone production,
    • Sheehan syndrome,
    • brain tumors, including the pituitary gland.

    Other factors affecting the occurrence of a woman’s problem

    In addition to the above, problems with the menstrual cycle can be influenced by the following factors:

    • overweight or underweight,
    • psycho-emotional overload,
    • violation of the work of other endocrine glands (thyroid, adrenal glands, etc.,
    • intoxication of the body against the background of chronic pathology (tuberculosis, HIV and others), as well as after severe infectious diseases,
    • medication.

    Disease therapy

    Treatment of omenorrhea should begin with determining the reliable causes of the disease. This often requires consulting not only the gynecologist, but also other related specialists - an endocrinologist, a psychiatrist and a psychologist, a neurologist, a nutritionist, a therapist, and others.

    Obstetrician-gynecologists are engaged in the treatment of primary ossenerrhea, secondary obssenorrhea, the causes of which lie, as a rule, in non-gynecologic pathology, takes place in 90% of cases independently during the treatment of primary pathology.

    The most frequent therapeutic measures:

    • Purpose of hormonal drugs: analogues of female sex hormones, thyroid gland, adrenal glands. Dosage, regimen and duration of treatment is determined by the attending physician.
    • Therapy of STIs and other inflammatory diseases of the pelvic organs.
    • Correction of body weight. In the female body, adipose tissue, in addition to all its functions, is a source of female sex hormones. Therefore, with an excess or lack of lipids in the body, the reproductive system suffers.
    • Appointment of sedative drugs, including antidepressants.
    • Herbal medicine, homeopathic medicines.
    • Physiotherapy - acupuncture, electrophoresis, massage, etc.

    Prevention of the development of the disease

    Mom should still take care of the state of the future reproductive health of the girl when the baby is just beginning her life in utero. Favorable psychological climate in the family, school - all this affects the development of the girl. In adult life, the girl to monitor their health, which includes:

    • prevention of sexually transmitted infections
    • minimizing all manipulations inside the uterus, including abortions,
    • competent management of childbirth and the postpartum period,
    • regular sex life
    • diet rich in vitamins, minerals, trace elements, tartar,
    • sufficient physical activity.

    Opsomenorrhea is a menstrual disorder, often indicative of serious diseases in a woman’s body. Treatment of this pathology should be carried out on time and by high-level specialists.

    Только так можно избежать неприятных последствий этого состояния, в том числе бесплодия. Anxious attitude towards their health will lead to a happy, sometimes long-awaited motherhood, as well as family well-being.

    Symptoms and treatment of the disease

    Opsomenorrhea is a condition that is characterized by an increase in the duration of the menstrual cycle over 35 days.

    Such a failure may indicate the development in the body of a woman of serious illnesses that can threaten not only her health, but also her life. It may also adversely affect its reproductive function. Most often, omenorrhea is accompanied by a decrease in the volume of blood secreted.

    Normally, during menstruation from 100 to 150 ml should be allocated, but with this pathology this volume can be reduced to 25 ml.

    Clinicians identify 2 forms of illness:

    • congenital It is also often called primary. About its progression speak in the event that such a long cycle was formed initially,
    • acquired Disorders appeared under the influence of various adverse factors.

    The cause of the primary form of the disease is a violation of the development of reproductive organs during puberty. Also asthenia, hypoplasia, infantilism can lead to opsomenorrhea.

    Acquired opener hemorrhoids may begin to develop due to a variety of reasons:

    • strong physical strain,
    • parasitic diseases
    • failure of the endocrine glands,
    • diseases of the heart and blood vessels
    • malnutrition, which led to the depletion of the body,
    • infectious and inflammatory diseases of the urogenital system,
    • injuries of the uterus and ovaries. This group includes bruises, penetrating wounds, as well as abortions and mini-abortions,
    • pituitary cell necrosis,
    • tumors of a benign and malignant nature in the brain,
    • autoimmune causes (the body begins to produce antibodies to the ovaries).


    Opsomenorrhea has 2 variants:

    • monophasic extended cycle
    • biphasic elongated cycle.

    In the case of the first type, the pathological process begins to progress due to hypoplasia of the genital organs. There is a decrease in the ability of follicles to fully mature. Endometrium in the uterine cavity has a mild degree of atrophy, which corresponds to the onset of proliferation.

    In this case, the possible cause of the progression of opsomonorrhea is the persistence of the follicle without its transition to the corpus luteum phase. Ripening follicles help speed up the growth of the endometrium. When their atresia is observed, the level of estrogen in the blood of a woman drops sharply, which leads to the rejection of hyperplastic endometrial cells.

    For the two-phase type of development of the disease is characterized by lengthening the process of maturation of the follicle. But after such a delay, its normal maturation is observed. The follicle enters the shortened phase of the corpus luteum. If you hold a rectal temperature measurement, it can be noted that it is above 37 degrees.

    The main symptom of this disease is an increased interval between cycles. But additional symptoms may also occur:

    • pain in the lower back and lower abdomen,
    • irritability,
    • fast fatiguability,
    • depression.

    Treatment methods

    If the diagnosis is confirmed, it is recommended to begin treatment of this disease as soon as possible, since such a disorder may cause infertility in the future.

    If a woman has various sexually transmitted infections, antibiotics are included in the treatment. They also help eliminate inflammation in the female genital organs. Hormones must be included in drug therapy.

    The duration of hormone therapy is determined strictly by the individual physician, taking into account the general condition of the patient and the characteristics of her pathology.

    In some cases, hormonal treatment is carried out by courses, and in some such drugs will need to be taken before the onset of menopause.

    Osenomenorrhea treatment also includes:

    • taking homeopathic medicines. This method of treatment is usually combined with hormone intake,
    • taking immunostimulating drugs
    • weight normalization
    • elimination of physical and psycho-emotional stress. Sometimes after that the cycle can normalize itself, without using other methods of treatment,
    • vitamin therapy,
    • diet therapy,
    • electrotherapy,
    • acupuncture.

    It is worth noting that treatment with physiotherapeutic procedures has its own contraindications - grade 3 hypertension, oncological pathologies.

    Preventive actions

    Treatment of the disease is not required if time to do its prevention. Observance of simple recommendations will help to avoid the progression of such a dangerous pathological condition as opsomenorrhea:

    • good nutrition,
    • moderate exercise
    • whenever possible, stressful situations should be avoided
    • come to a gynecologist for a routine check-up.

    Diseases with similar symptoms:

    Premenopause (matching symptoms: 4 out of 7)

    Premenopause is a special period in the life of a woman, the term of which is different for each female. This is a kind of gap between a weakened and fuzzy menstrual cycle and the last menstrual periods that occur during menopause.

    ... Polycystic ovaries (matching symptoms: 3 out of 7)

    Polycystic ovary is a hormonal disease that occurs when ovulation is not in the female body.

    Polycystic ovaries, the symptoms of which are expressed in a significant increase in them and a number of other specific manifestations, leads to the formation on the ovarian surface of numerous cysts in the form of follicles filled with fluid with the immature ovules in them.

    As a result of polycystic and specific proliferation of cysts that characterize its course - the impossibility of the onset of pregnancy in a woman and, accordingly, infertility.

    ... Diverticulosis (matching symptoms: 3 out of 7)

    Diverticula are called protrusions that form on the walls of the large or small intestine. They can occur and not bother a person for life, however, in some cases they become inflamed, causing such a disease as intestinal diverticulosis. This disease can be formed in different parts of the intestine. For example, in a sigmoid or colon.

    ... Sacroiliitis (matching symptoms: 3 out of 7)

    Sacroiliitis is an inflammatory process that affects the sacroiliac joint of the spine, affecting the synovial membrane, as well as its entire surface.

    Among the main causes of the emergence of this disease, doctors note a violation of metabolism and injuries received earlier. The disease is accompanied by pain in the back (in its lower part).

    Aseptic sacroiliitis is treated with conservative methods, and purulent - with surgical methods.

    ... ovarian dysfunction (matching symptoms: 3 out of 7)

    Ovarian dysfunction - a violation of the hormonal function of the reproductive system. This disorder often develops on the background of disorders in the endocrine system, as well as inflammation in the internal female genital organs. The greatest danger is that ovarian dysfunction can provoke breast cancer and even infertility.

    What threatens the rare onset of menstruation

    Some women face the symptoms of this disease, but not everyone knows what constitutes an open-back, what is it? An experienced gynecologist can tell about this in detail.

    Normally, the duration of the menstrual cycle ranges from three weeks to thirty-five days. In these limits fit individual feature, specific heredity, other.

    Exits beyond these limits usually indicate a violation, a disease.

    Opsomenorrhea is a disease in which the patient's menstruation occurs much less frequently than once every thirty-five days. In some cases, menstruation occurs only a few times a year. Sometimes girls rejoice at such a reduction, because it means reducing unpleasant feelings, discomfort, pain. However, in this case we are talking about a pathology requiring medical intervention.

    In addition, girls are often faced with acne, the causes of which are similar to those that are inherent in the hymen. In general, the disease can seriously threaten the body, affect the quality of life. In addition, the clinical picture of other pathologies may be blurred, so there is a very real risk of missing the manifestation of another disease. Therefore, ignoring the violation is not worth it.

    Types of disease

    Doctors indicate the presence of two main forms of omenorrhea: primary and acquired.

    The first option is available from birth, due to abnormal development of the fetus, infantilism, severe asthenia, abnormalities in sexual development. Often the main cause of the primary form is heredity.

    In this case, doctors can not remove the disease, but greatly alleviate its course, improve the reproductive function of women.

    In the secondary version, up to certain events, the menstrual cycle was completely normal. Thus, we are talking about an acquired disease that can be cured in most cases, unless the occurrence of ososenorei is not associated with a natural process in the body, for example, menopause.

    Causes of secondary opsomonorrhea

    What exactly can trigger the appearance of this disease? There are several reasons:

    1. Strong shocks, nervous breakdown, pronounced stress. Shock for the nervous system can unpredictably affect the body as a whole. It will require the participation of a gynecologist, together with a neurologist. Often resort to the services of a psychotherapist.
    2. Power failure. The desire to restrict oneself too strictly in obtaining calories can lead to the most unpredictable consequences, among which there is sometimes a similar violation of the menstrual cycle. This happens because of the general weakening of the body. Recovery is often required to be done in the hospital.
    3. The presence of parasites. Globalism has led to the fact that in the CIS countries there are parasites unknown even to experienced parasitologists. The reaction of the body may be different.
    4. Infectious diseases affecting the functioning of the ovaries. Opsomenorrhea is directly related to the work of the ovaries. If they are affected by a specific pathogen, it is logical that violations may occur.
    5. A variety of gynecological pathology, including latent. In recent years, the number of diseases, which are completely secretive, has noticeably increased. This is due to poor ecology, active self-treatment, mutation of strains, and other factors. Women may not realize that they are sick for years. That is why in the case of the secondary form of opsomerena, doctors most often prescribe a comprehensive examination of the body. Especially when the etiology of the disease remains incomprehensible.
    6. Endocrine diseases. Diabetes, thyroid dysfunction, and other pathologies can affect the functioning of the ovaries. Which leads to further failures.
    7. Numerous abortions. Premature termination of pregnancy is the strongest shock to the body. It is not surprising that reproductive function suffers first.
    8. Depression. Since this is a fairly complex disease affecting the body as a whole, the manifestations of this disease may be different. Sometimes oppression concerns reproductive function as well.

    Other reasons

    Intoxication. Doctors ascertain: more and more women living in ecologically disadvantaged areas are faced with omenosrhea among other pathologies.

    Heredity. Although this reason most often causes the primary form, sometimes the genes make themselves known not immediately, but only after a certain provocation on the part of the woman herself.

    Disease of the pituitary gland. In this case, there is a strong hormonal failure affecting the whole body.

    Some tumor diseases of the pelvic organs, most often - the internal genital organs of a woman.

    Autoimmune reactions. Doctors are still studying violations in the field of immunity, but they can lead to very different consequences.

    Sometimes a condition that is very close in symptoms to opsomenorae (rare menstruation, acne, infertility, or difficulty conceiving) can cause polycystic ovary. However, the latter is not the cause of the disease under discussion, it is simply a matter of similar symptoms.

    The treatment of this disease is complex. First, the doctors determine the reason with which the main work goes on. In the presence of an inflammatory process, the latter is necessarily removed. The basis of treatment is hormone therapy, which sometimes lasts for a very long time, until the onset of menopause.

    Treatment of omenorrhea is always characterized by a thorough examination, since the real reason may be hiding, while causing serious trouble. Also, gynecologists pay attention to the frequent need to restore normal vaginal microflora, at least after the use of antibiotics, if the infection still occurred.