Menstrual Irregularities

Namaskar. M Dr. Shalini Tiwari. I am senior gynecologist and consultant at Sureya hospital, East Delhi. Aj hum bat krty hn masik dharam m hony wali anemata ki. Matlab menstrual irregularities. Lag bhag 50 sy 60% mahilaon ko menstrual irregularities ki takleef rehti hai. Lekin hm aurtain aksar kr k us ko neglect krti hain k ye to hota e hai. Ye to chalta he hai. Lekin aisy nai hota. menstrual irregularities hamari 2 parakar ki ho skti hain. Ek mashik dharm karmana, yani khoon kam girna, ek mashik dharm zyada ana, yani khoon zyada jana. Ek 30 din ki bajaye 45 din 60 din py mahina ana. Ek 30 din ki bajaye hr 20 din m, ya 25 din m, ya 15 din m, jaldi jaldi mahina ana. Yani khoon girna. Hr prakar ki in, jo b bemariyan hoti hain ye irregularities hoti hain. Ye kch bhi normal m nai ata. Kisi b parakar ki irregularities k liye hamein investigations krwani hi chahyen. Is parakar ki jo irregularities hoti hn ye mahila k sharer main khoon ki kami dy skti hain. Hormonal imbalance dy skti hain. Ye alag alag prakar k karnon sy hoti hain. Jo ek bht e common karan h wo hai hormonal imbalance jo k aksar kr k dawaion sy treat ho skta hai. Aj ki is jan kari ka mukhye udesh yahe hai k is main sy bht sari bemariyan aisi hain jin ka elaj bina operation k sambhav hai. Dawaiyan, jo k harmoes hoty hain or kch khoon rokny ki or kch khoon regular krny ki dawaiyan hoti hain. Un sy hm bht asani sy hm masik dharm ki anemataon py kabu paa skty hain. Isi parakar sy aj ki tareekh main hamary pas ek instrument to nai kehty usy, ek pranali keh lijye usy, jo choty fibroids yani choti rasoli ya phr jin ko hr 20 din py khoon Zyada jata hai ya apny regular mahiny per hi bht zyada khoon jata hai us k lye use krty hain jis ko hum marina kehty hain. Matlb wo hormonal contracptive hoti h. marina is trade name though. Wo ek hormonal copete jaisi ek paranali hai jis k ohm uterous main dalty hn or bht sari tez khoon any wali bemariyon ka ilaj bina operation k bham bhav ho jata hai. Apko ye samjhna zaruri hai k kb ap k sharer ko operation ki awaskhakta hai or kb tk ap ka sharer bina operation k sirf dawaiyon or is prakar ki pranalion sy thek ho skta hai. Ye kch janchon sy hm bta dety hain. Kch apki history leny sy hm apko bta dety hain. Zarurt hai apka agy nikal k ana. Apka pny ap ko doctor k samny khol k apni takleef btana. Or apka razi hona k han. Hamein bhi ilaj ki zarurt hai. Hm bhi ilaj ly skty hain. Or hamein lena chahye. Hm agar ye karein gy to apny bachydani, andydani, or gharbashy ki moun k cancer sy bach pain gy. Samain py ilaj lena hamary lye bht avershak hai.

Dhanywad.