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Polimenorea: Penyebab dan Cara Mengatasinya

Polymenorrhea: Causes and Treatments

Have you ever experienced menstruation with a cycle that is shorter than usual, even less than 21 days? If so, you may experience polymenorrhea, a menstrual cycle disorder that can indicate certain health conditions.

Although each woman's menstrual cycle is different, it generally ranges from 21 to 35 days. If you previously had a normal cycle and then experience polymenorrhea, you should pay attention and consult a doctor.

Reason Polimenorea

Several factors may trigger polymenorrhea, including the following:

1. High Stress Levels

The inability to manage stress well can result in various health problems, including polymenorrhea. Stress has the potential to affect the body's hormonal balance. Managing stress effectively can help treat polymenorrhea caused by these factors.

2. Sexually Transmitted Infections (STIs)

Polymenorrhea can also be triggered by sexually transmitted infections. Early screening for polymenorrhea can help prevent further development of sexually transmitted infections. Symptoms such as vaginal discharge, itching in the vaginal area, and a burning sensation when urinating may accompany polymenorrhea due to STIs.

3. Endometriosis

Endometriosis occurs when endometrial cells grow outside the uterus, for example in the ovaries or fallopian tubes. Apart from causing menstrual cycle abnormalities, endometriosis can cause excessive menstrual pain and pain during intercourse. Treatment of endometriosis involves surgery or the use of medication.

4. Uterine Fibroids and Polyps

Uterine fibroids and polyps are abnormal growths in the female reproductive organs. Although benign, both conditions can cause problems such as bleeding, abdominal pain, and discomfort during intercourse, possibly resulting in polymenorrhea.

5. Tumor or Cancer Cell

The presence of tumors or cancer cells in the female reproductive organs can also be a cause of polymenorrhea. The presence of cancer cells can significantly disrupt the menstrual cycle.

6. Coagulopathy

Blood clotting disorders such as coagulopathy, which can be caused by insufficient protein intake or inherited conditions such as hemophilia, can cause polymenorrhea. Women with coagulopathy tend to experience more frequent menstrual bleeding.

7. Complications from Using Contraceptives

The use of contraceptives, both hormonal and non-hormonal, can contribute to polymenorrhea. Hormonal contraception can change hormonal balance, while non-hormonal contraception such as spiral birth control can cause infection, which in turn can result in more frequent bleeding or menstruation.

8. Menopausal Transition

Changes in hormone levels during the menopausal transition or perimenopause in women aged 40 years and over can trigger polymenorrhea.

How to Overcome Polymenorrhea

Treatment for polymenorrhea will vary depending on the root cause. If the triggering factors can be overcome or resolved, this disorder will likely subside and the menstrual cycle will return to normal.

A thorough examination is necessary to determine the cause of polymenorrhea. The doctor will perform a physical examination, review your menstrual history, and recommend several tests, such as:

  • Blood test
  • Pregnancy test
  • hysteroscopy
  • USG transvaginal
  • Endometrial biopsy

Various methods for treating polymenorrhea are adapted to the main factors causing menstrual cycle abnormalities, including:

  • Giving antibiotics for sexually transmitted infections.
  • Removal of the tumor to treat bleeding, especially if the abnormality is caused by a benign tumor in the uterus.
  • Stop using contraceptives if polymenorrhea appears as a side effect of installing or using contraceptives.

It is important to note that in some women, short menstrual cycles may be normal without any noticeable symptoms. However, if polymenorrhea is accompanied by worrying symptoms, you should immediately undergo an examination to get appropriate treatment.


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