When polymenorrhea represents a unique event, or in any case sporadic, it must not cause any worries, since it can happen that the menstrual cycle presents some irregularities: stress, changes in season and fatigue can in fact affect the regularity of menstruation. In such circumstances, menstrual bleeding is delayed, is more abundant (menorrhagia) or is early, as in the case of polymenorrhea.
We talk about poly-hypermenorrhea when menstruation occurs not only after too short a time, but also with a more abundant and long-lasting flow.
(period that coincides with the first menstruation): the body still has to balance its hormonal structure and needs some time to settle down. In the second year from the manifestation of the first ovarian cycle, polymenorrhea occurs in 7.5% of cases, to drop to 6% in the third year. In other words, when polymenorrhea occurs at the beginning of childbearing age, it should not cause consequences within the organism: in general, the close menstrual cycles of little Women they are characterized by a short follicular phase, but ovulation and the ovarian cycle are regular and adequate. Moreover, in young women, polymenorrhea is often associated with hypermenorrhea, that is to say with an abundant and long-lasting cycle. In adult women , on the other hand, polymenorrhea is often correlated to an "alteration in the production of progesterone, a phenomenon that coincides, in particular, with the luteal (or secretory) phase of the menstrual cycle; again, the alterations in the thyroid gland and the increase in prolactin in the blood (hyperprolactinemia) represent other factors that could favor polymenorrhea.
: anovulation (failure to ovulate) and menstrual irregularity are the causes that most affect the manifestation of polymenorrhea.
It should be emphasized that vaginal bleeding is not always an indication of menstruation: in some cases the haemorrhage could be interpreted as menstruation, when instead it is something else. In the most serious cases, but unfortunately not rare, the necrosis of the superficial layers of the "endometrium, which manifests itself with possible intermenstrual bleeding, could be equivocal with polymenorrhea: in these cases the endometrial cells are no longer properly oxygenated due to hyperestrogenism (bleeding is therefore attributable to the" hyper-secretion of estrogen in the body " ).
, with relative biopsy of the tissue, for the diagnosis of the problem: if the close menstruation is an indication of polymenorrhea due to hormonal alteration, in general, the gynecologist recommends the administration of a progestin. The duration of therapy varies from patient to patient, but usually the treatment is continued for a few months; if the woman needs an oral contraceptive, even the contraceptive pill could be useful to restore the balance of the menstrual cycle and resolve the typical symptoms of polymenorrhea., irregularity of the menstrual cycle
Incidence in girls
It occurs in 13% of girls during the first year of menarche, in 7.5% in the second year from the first menstruation and in 6% from the third year.
Associated conditions
Metrorrhagia, menorrhagia, hypermenorrhea
Therapies
Taking hormones; resolution of organic pathologies; the contraceptive pill also reduces the symptoms of polymenorrhea.
