Hello Doctor, I want to ask you for my Girlfriend, She is 22, she is a Occasional Drinker, 3-4 times in a week, she has not became regular with her menstrual cycle, her cycle is very irregular. Sometimes it takes 2 or 2.5 months. And when she is in her period then she feels so much pain, she was also complaining about the amount of flow, it use to be very large. And her cycle time is also very long sometimes it takes 10 days also, I'm so much worried about her irregular cycle, Can you explain me the possible reasons behind her problem? And one more thing she vomits almost everyday when she is in periods, she also feels so much pain in her stomach and in her legs that she can't even move and she need to do compulsory bed rest. So please can you explain the possible reasons behind her situation? And what can be possible solutions? It will be great help from you doctor.

Dr. Poornima AAyurveda2yrs exp

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During a woman's menstrual cycle, the endometrium thickens in preparation for potential pregnancy. After ovulation, if the ovum is not fertilized and there is no pregnancy, the built-up uterine tissue is not needed and thus shed. Molecular compounds called prostaglandins are released during menstruation, due to the destruction of the endometrial cells, and the resultant release of their contents. Release of prostaglandins and other inflammatory mediators in the uterus cause the uterus to contract. These substances are thought to be a major factor in primary dysmenorrhea. When the uterine muscles contract, they constrict the blood supply to the tissue of the endometrium, which, in turn, breaks down and dies. These uterine contractions continue as they squeeze the old, dead endometrial tissue through the cervix and out of the body through the vagina. These contractions, and the resulting temporary oxygen deprivation to nearby tissues, are responsible for the pain or" cramps" experienced during menstruation. Compared with other women, women with primary dysmenorrhea have increased activity of the uterine muscle with increased contractility and increased frequency of contractions. This results in severe pain, vomiting etc. Along with this the irregular cycle also leads to prolonged cycle. It may be associated with pcos. So it will be better to have a usg abdomen to rule out pcos. 

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Dr. Aparnaa PandaGynaecologist19yrs exp

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She might be having pco and or endometriosis and or pelvic infection. Get her checked by a gynaecologist after she does her pelvic ultrasound. 

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