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Hormonal therapies to reduce or stop menstrual bleeding have long been used to manage a number of gynecologic conditions including menstrual cramps (dysmenorrhea), heavy menstrual bleeding, irregular or other abnormal uterine bleeding, menstrual-related mood changes (premenstrual syndrome or premenstrual dysphoric disorder), and pelvic pain due to endometriosis or uterine fibroids.
However, if no bleeding occurs after progesterone withdrawal, then the patient's amenorrhea is likely to be due to either a) low serum estradiol (i.e. premature ovarian failure), b) hypothalamic-pituitary axis dysfunction (such as low GNRH or low FSH that lead to low estrogen level ), c) a nonreactive endometrium, or d) a problem with the ...
During the week of placebo pills, withdrawal bleeding occurs and simulates an average 28-day menstrual cycle. The placebo pills are not required for pregnancy protection, and with any monophasic COCP the placebo pills may be discarded, and the next pack of active pills may be started to prevent the withdrawal bleeding. [ 10 ]
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However, bleeding may also indicate a pregnancy complication that needs to be medically addressed. [8] During pregnancy bleeding is usually, but not always, related to the pregnancy itself. The treatment of vaginal bleeding is dependent on the specific cause, which can often be determined through a thorough history, physical, and medical ...
Anovulatory bleeding triggered by a sudden drop in estrogen levels is called withdrawal bleeding. [55] Anovulatory cycles commonly occur before menopause (perimenopause) and in women with polycystic ovary syndrome. [56] Very little flow (less than 10 ml) is called hypomenorrhea.
Menopause itself begins after one’s final menstrual cycle. The transition is never going to be simple or easy for anyone, but it can surely be improved if we rethink classifying the topic as taboo.
Menopause, also known as the climacteric, is the time when menstrual periods permanently stop, marking the end of the reproductive stage for the female human. [ 1 ] [ 6 ] [ 7 ] It typically occurs between the ages of 45 and 55, although the exact timing can vary. [ 8 ]
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