This is an automatically translated article.
Menstrual disorders: irregular menstruation, menorrhagia, heavy bleeding, hypermenorrhoea, etc. may be normal phenomena of minors due to the new period of menstruation, the activity of different areas of the menstrual cycle. hypothalamus, pituitary or ovary are not stable. However, some long-lasting menorrhagia due to various causes can affect the child's psychophysiological or physical findings.1. What is Menorrhagia During Puberty?
Normally, the menstrual cycle in Vietnamese people usually lasts from 28-32 days. During puberty, the menstrual cycle is often irregular, sometimes long or short, or amenorrhea or menorrhagia. The most common cause is the absence of ovulation in the menstrual cycle because of the hormonal regulation of the cerebral cortex down to the ovaries or the unstable operation of the ovaries. Menorrhagia is bleeding from the uterus that coincides with a menstrual cycle lasting more than 7 days. There is also the concept of bleeding. This is also bleeding from the uterus that lasts, but is not related to the menstrual cycle. Menorrhagia is a common disorder in adolescents and causes great concern for children and parents.
Rong kinh là hiện tượng ra máu từ tử cung trùng với chu kỳ kinh nguyệt kéo dài trên 7 ngày
2. Causes of menorrhagia during puberty
There are many causes of menorrhagia in adolescentsMenstruation without ovulation. This is the most common cause of anovulatory menstruation due to the underactive hypothalamic-pituitary gland. Up to 85% of menstruation in the first year is anovulatory and 44% in the first 4 years. Polycystic ovary syndrome may also present with menorrhagia due to prolonged menstrual cycles and thickening of the endometrium. Causes due to systemic diseases: hyperthyroidism or hypothyroidism, Cushing's syndrome, blood clotting disorders, stress,... Causes related to pregnancy because the rate of sexual intercourse in puberty tends to Increases include: threatened miscarriage, miscarriage, ectopic pregnancy, genital infections
3. Menorrhagia at puberty is dangerous?
If menorrhagia persists and is combined with hypermenorrhoea (menstrual bleeding) because parents do not care or children are afraid to talk to their parents, poor reproductive health knowledge can be harmful. can lead to prolonged blood loss causing fatigue, decreased concentration, body weakness, pale skin and mucous membranes, dizziness, weight loss, even fainting.This chronic blood loss leads to a child's development, reduced ability to absorb and focus attention, affecting learning. Children with delayed growth in height and weight.
Psychological influence. Children are afraid but do not dare to tell anyone, inconvenience in hygiene can affect their psychology
Long-term use of tampons can cause itching, vulvovaginitis, dermatitis, affect later reproductive function.
Menorrhagia at puberty can sometimes also be a potential risk of some gynecological diseases such as cervical fibroids, cervical polyps,... Most of these tumors are benign but there are also some In some cases, they can also be a sign of cervical cancer
Menorrhagia if not treated early makes the child prone to recurrent menorrhagia many times in the future or infertile due to difficulty or failure to ovulate. Therefore, children need to be treated early within the first 2 years
Rong kinh nếu không được điều trị sớm làm trẻ dễ bị rong kinh tái phát nhiều lần trong tương lai hay bị vô sinh do khó hoặc không phóng noãn
4. Treatment of menorrhagia during puberty
Need to find the cause of menorrhagia in puberty. If the cause of pubertal menorrhagia cannot be found, the most common cause is the unstable hypothalamic, pituitary, and ovarian axis. The treatment of menorrhagia should be done as soon as possible. If left to last for many months and years, menorrhagia leads to severe anemia, poor health as well as damage to the hypothalamus - pituitary gland which is difficult to recover, and the treatment effect is very poor.Therefore, the purpose of treating menorrhagia in puberty is to intervene to regulate the stability of hormone levels in the body according to the rules.
Drug treatments include:
Daily oral contraceptives. The combined or individual oral contraceptives are exogenous hormones and have dosages that are adjusted according to the day of the menstrual cycle depending on the individual. The method of treatment with birth control pills as above has absolutely no effect on conception and future childbirth. In addition, oxytocin hormone can be added to increase uterine contraction in the first days of menstruation to expel Menstrual bleeding is more effective and thorough, avoiding prolonged bleeding. Other drugs such as: non-steroidal anti-inflammatory drugs (eg, ibuprofen): They work to reduce blood loss and relieve menstrual pain. Tranexamic acid: works to reduce blood loss during menstrual bleeding. Supplement the daily meal composition with nutritious food groups such as: fish, beef, liver, eggs, milk, cheese... You should eat a lot of vegetables and fruits, especially vegetables. dark red fruits such as tomatoes, carrots... can add iron Menstruation puberty is a common disorder in teenage girls. With proper parental care and active intervention, these disorders are easy to correct, creating a solid foundation for a confident and healthy adult.
Rong kinh tuổi dậy thì là những rối loạn thường gặp ở các trẻ em gái mới lớn
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
