Menstrual irregularities
- a reason to seek advice from a gynecologist. Critical days are the calling card of a woman’s body condition. Any cycle failure is a signal calling you to pay attention to your health. This may be a delay in menstruation in the absence of pregnancy, scanty menstruation or, conversely, too heavy menstruation. If there are such violations of the monthly cycle, it is imperative to be examined, determine their cause and begin treatment. We must always remember that dangerous diseases can be hidden behind menstrual irregularities.
Menstrual irregularities. First about the norm
The reproductive period in a woman's life is accompanied by menstruation
– periodic bleeding from the genital tract. This is a natural process by which the body restores its readiness for pregnancy. It is cyclical; The duration of the cycle and its regularity are a mirror of a woman’s intimate health. Menstrual irregularities are an alarm signal and should never be ignored.
Menstruation usually begins at the age of 12-14 years. During the year after the first menstruation, there is no clear periodicity; the cycle is just being established.
The menstrual cycle is counted from the first day of one menstruation to the first day of the next. On average it is 28 days, but there may be individual deviations. The normal duration is from 21 to 35 days. The duration of the discharge itself is usually 3-5 days. Menstruation is often preceded by the so-called premenstrual syndrome - a period of poor health. You may feel pain in the lower abdomen, swell your breasts, increase swelling, and have a headache.
No menstruation during pregnancy. After childbirth, the menstrual cycle is restored. The earliest this can happen is 6 weeks after birth. When breastfeeding, menstruation returns much later; how much later depends on the individual characteristics of the female body.
On the eve of menopause, the menstrual cycle may become unstable, and the intervals between menstruation may increase. Such disorders at the age of 45-55 are not a pathology.
How to restore your menstrual cycle after losing weight
If the reason for the absence of menstruation is heavy physical activity, then you should switch to calmer sports. Yoga, bodyflex, and swimming restore the body well. Such exercises will keep your muscles toned and maintain weight. These loads will not overtax the body; they will contribute to the restoration of menstruation and the normalization of general condition.
To restore your period after losing weight, you can use the services of a massage therapist, and in addition, drink herbal decoctions, eat not only low-calorie foods, but also fatty meats and fish. If a problem arises, you need to consult a doctor: he will recommend what types of massages can be used, prescribe a set of herbal remedies and prescribe proper nutrition. This approach will help restore your monthly cycle without exacerbating the problem or harming your health.
Increasing calorie intake
Thanks to a gradual increase in the calorie content of food, you can solve the pressing issue of how to restore menstruation after a diet. This is done very slowly, the body will immediately begin to react and store extra calories. It is important to understand that during this period you can gain up to three kilograms. For example, if the daily norm was 700 kcal, then daily consumption of 1500 kcal will create a habit in the body only after a month. The weight will stabilize and the woman will stop gaining weight.
Calculate the daily norm of BZHU
In order to eat properly and not gain weight, and in addition to this, to restore your periods, you need to correctly calculate the norm of proteins, fats, and carbohydrates. To do this, you can use the formula that nutritionists have developed:
- BZHU = 665 + (weight x 9.6) + (height x 1.6) – age.
The result obtained must be multiplied by the degree of activity, for example:
- regular daily training – 1.7;
- physical activity 3-5 times a week – 1.6;
- from one to three workouts per week – 1.4;
- without physical activity – 1.2.
If a woman wants to lose weight, then she needs to take 80% of the number obtained when multiplied by the degree of activity. When maintaining weight at a constant level - 100%. In order to gain the missing amount of kilograms - 120%. For the normal functioning of the body it is necessary:
Daily norm of BZHU (in percent) | Weight of one unit of BZHU (in grams) |
Belkov 30-35 | 4 |
Fats 15-20 | 9 |
Carbohydrates 40-50 | 4 |
To calculate the individual amount of BZHU per day, it is worth multiplying the latest data by the values from the table, for example:
- to get the protein norm, you need to multiply the last data obtained by 0.3 and divide by 4;
- for carbohydrates - multiply the result by 0.5 and divide by 4;
- fats - multiply the result by 0.2, divide by 9;
- Knowing the daily norm of BZHU, you can select the appropriate products and create a menu.
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Compliance with drinking regime
To restore menstruation, after losing weight, you need to calculate 45 ml of pure still water per 1 kilogram of weight. It is worth adhering to the norm; fluid consumption, both in excess and in deficiency, is harmful to health. Its excess is an additional burden on the organs of the excretory system and the heart, so everything should be in moderation. It is important to remember that when you regain your period after losing weight, you need to consume water to normalize your water balance.
Types of menstrual irregularities:
- absence of menstruation for six months or more (amenorrhea). This condition is normal during pregnancy, breastfeeding, during menopause and in girls who have not yet reached puberty. In all other cases, this is a pathology;
- infrequent menstruation (menstrual cycle more than 35 days);
- frequent menstruation (menstrual cycle less than 21 days);
- violation of the duration of menstruation (too short - less than 2 days; too long - more than 7 days);
- too scanty menstruation (blood loss less than 20 ml.) or heavy (more than 150 ml.);
- menstruation outside the cycle.
What to do in this situation
You need to get rid of excess weight correctly. Regular delays, scarcity or complete cessation of menstruation are the result of abuse and uncontrolled eating. Gynecologists, nutritionists and gastroenterologists will tell you how to restore your period after losing weight without threatening your health. Specialists know what to do in such situations.
In the absence of serious pathologies, the main recommendations will be given on nutrition.
Adjusting your diet
The course and regularity of the menstrual cycle largely depend on nutrition. Sometimes, in order to get your period back after losing weight, it is enough to change your daily diet, and it is not at all necessary to return the kilograms you lost with difficulty. You can maintain your shape without gaining weight:
- The best option is fractional nutrition, which helps to establish metabolic processes. Divide portions and eat every 3 hours. One meal should be 200-250 grams.
- Nutrition should be balanced. Fill your diet with foods high in carbohydrates, proteins and, of course, fats.
- It is better to stew, bake, steam food.
- Count your calories. The daily diet should contain at least 1000 calories.
- Don't go on hunger strikes. A break of 6 hours without food can result in the fact that even a small piece of gray bread will deposit fat more intensely. This is how the body gets used to periods of hunger and tries to stock up on everything it needs.
- Don't limit your menu to low-calorie foods. Fish, lean meat, vegetable soups and salads, and cereals are very healthy. The diet must include dairy products, vegetables and fruits. It is better to avoid alcohol, marinades, canned and fried foods, sweets and confectionery.
These rules can be considered general for a healthy nutrition system. The emphasis is always on the usefulness of products and controlling the amount of food consumed. If these measures are not enough to regulate the menstrual cycle, you can help the body recover with the help of vitamins.
It is very important to follow a diet during menstruation. For more information about what you can and cannot eat during your period, read a separate article on our website.
Multivitamins
On a diet, the body does not receive the required amount of nutrients. The reproductive system suffers from their deficiency.
If after losing weight there are no periods, women are prescribed individual vitamins to restore the cycle of groups A, C, E, D, B. These are the most important components for restoring menstruation.
Quite often, ascorbic acid is used to induce menstruation. Multivitamin complexes that contain a full range of necessary elements have proven themselves to be effective. Popular means for restoring menstruation and hormonal levels include Alphabet, Vitrum, Merz, Duovit, Cyclovit. Therapy using them helps stabilize the cycle and improve the state of the immune system, weakened after losing weight.
Selecting the amount of physical activity
The effect of an established diet and vitamin therapy can be reinforced by physical exercise. This will speed up the process of normalization of menstruation.
Training should be regular and moderate. The main thing after losing weight is not to torment the body with serious and prolonged stress. Do not overuse exercises that affect the abdominal area. You should not pump up your abs, jump, squat, run long distances or lift weights. Such a load can provoke a malfunction in the genitourinary system. While you are recovering from your period after losing weight, working out in the gym is not recommended. You can get by with a treadmill set to a calm mode, yoga or walking in the fresh air.
Herbs and teas
Before turning to traditional medicine recipes, you need to make sure there are no sexually transmitted infections or pregnancy. Despite the mild effect of natural helpers on the body, their use is not always safe. Medicinal plants relieve inflammation, but this is a temporary effect that often hides the source of the disease.
It is better to discuss additional herbal treatment with your doctor. To restore menstruation after sudden weight loss, experts may recommend using oregano, parsley, lemon balm, yarrow, onion peels, wormwood, mint, parsley, and hogweed leaves. Teas and tinctures are made from these herbs. Having a general strengthening effect, the plants have a beneficial effect on the woman’s body, but do not forget about contraindications and allergic reactions.
A separate article on our website will tell you more about restoring the cycle using folk remedies.
Scanty menstruation
Insufficient development of the uterine mucosa is the main cause of scanty menstruation. However, hypomenstrual syndrome can also be a genetic feature of women. A change in menstruation towards reduction is considered normal if:
- The girl’s cycle has not yet fully established itself (puberty).
- In a woman aged 45 years or older, scanty menstruation indicates the approach of menopause.
It should be remembered that taking birth control pills significantly reduces the amount of menstruation.
The list of possible reasons is not exhaustive. In order to establish the cause, a medical examination is required, and in some cases, a comprehensive examination.
What to do if this happens?
To return the cycle and stop the development of amenorrhea, it is necessary that the fat layer in the body is about 20%. Gradually increasing your daily caloric intake, you need to gain weight to a safe level.
First of all, you need to see a doctor. Only a gynecologist will be able to assess the severity of the situation and take appropriate measures. Do not ignore your doctor's advice.
If you exercise to the point of exhaustion, reduce the load. Of course, sport is good for health, but you need to know when to stop. Replace heavy workouts with yoga, stretching or swimming.
Review your diet, pay more attention to nutrition. Recovery is a long period. There should be 5-6 meals a day. Eat more often, but in small portions. This way, metabolic processes will work faster. Give preference to quality products. The approximate percentage ratio of BZHU should look like this:
- carbohydrates 40-50%;
- proteins 30-40%;
- fats 20-25%.
Causes of menstrual irregularities
The cause of a disruption in the menstrual cycle may be mental trauma or emotional shock. It can also be caused by severe physical pain, overheating or hypothermia, or climate change when moving. If this is the case, then there should not be a repeat violation of the cycle unless the cause that caused it does not recur.
A number of gynecological diseases lead to cycle disruption:
- pelvic inflammatory diseases;
- sexually transmitted diseases;
- endometriosis;
- uterine fibroids;
- polyps.
Violation of the cycle may be a consequence of a surgical intervention, such as an abortion.
The menstrual cycle can also be disrupted as a result of a non-gynecological infectious disease. It can be affected by exhaustion of the body, vitamin deficiency, and lack of nutrition. Ill-conceived diets often lead to cycle disruption.
Among the causes, hormonal disorders occupy an important place. In this case, disruption of the menstrual cycle may be accompanied by an increase in body weight, the appearance of hair in atypical places, the appearance of acne, and increased oily skin.
This list of possible reasons does not end there. In order to establish the cause, a medical examination is required, and in some cases, a comprehensive examination.
No periods after fasting. Why is my period late?
Options for answering the question why periods are delayed.
Pregnancy?
- But we had coitus interruptus! - We used a condom! “But I didn’t stop taking birth control!” - But the sex was on the last day of your period! - But I’m already in menopause! “But I haven’t dated anyone for a year!”
These and other statements about the infallibility of the gynecologist are not impressive. During his practice, he has already seen a lot of “menopausal”, “sterile”, “protected on all fronts”. Nothing, everyone gave birth successfully. And your “I calculated, it was impossible to get pregnant that day!” he's not even amused anymore.
- Okay, whatever you say. But pregnancy still needs to be ruled out, get tested for hCG, the doctor will tell you with a discouraging smile.
Variant of the norm
- A delay in menstruation by 5 days (as well as their start 5 days earlier) compared to the usual schedule is most often regarded as the norm.
- A regular cycle of 28±5 days is formed in girls only 5 years after the first menstruation, i.e. approximately at 17.5±2 years. Until then, you don’t have to worry (and don’t go to Google asking for “delayed period at 14 years old”).
- After 40 years, the menstrual cycle lengthens. This is due to the gradual decline of ovarian function.
Serious reasons
- Menstruation may be absent due to stress (mental and physical overload): a stressed body thinks about how to survive itself, what kind of children are there?
- Menstruation may be absent due to the woman's low body weight. More precisely, due to a lack of adipose tissue, which can be caused by hunger or starvation.
- The menstrual cycle may have an unusual duration after an abortion or the start/end of taking contraceptives.
- The cessation of menstruation can be a symptom of diseases of the pituitary gland and hypothalamus, ovaries, pancreas and thyroid glands, adrenal glands, uterus, as well as tuberculosis, rheumatism, alcoholism, mercury poisoning... In such cases, you think: maybe pregnancy is better?
How fasting and “unregulated” sports disrupt the menstrual cycle
In order to bear, give birth and feed a child, quite a lot of energy is required. A woman, of course, can go to the store at any time, buy some doshirak there and make up for any energy losses, but her body is not yet accustomed to these newfangled civilized things against the backdrop of evolution. He prefers to have energy stored right next to him (literally) - in fat.
Adipose tissue secretes leptin (a hormone), the main function of which is to reduce the feeling of hunger. In addition, a certain level of leptin is necessary for the normal release of female sex hormones. If there is not enough fat in the potential mother’s body, then there is also not enough leptin, too little female sex hormones are released and the menstrual cycle is disrupted (stopped).
Exercising is a wonderful cocktail of physical overload, mental overload and insufficient fat tissue. It is quite natural that female athletes may stop menstruating altogether. Moreover, the breasts are not growing well. So, girls, do physical exercise, but know when to stop!
For what menstrual cycle disorders should you consult a doctor?
Any irregularity in the menstrual cycle is a good reason to contact a gynecologist. The absence of a clearly defined cycle means a violation of reproductive function, which can affect the ability to become pregnant and bear a child. And most importantly, this is a possible sign of a serious illness.
You should definitely visit a doctor if:
- a girl did not start menstruating at the age of 15;
- discharge is observed during pregnancy;
- menstruation is extremely painful, accompanied by pain in the lower abdomen (this may be a sign of an ectopic pregnancy);
- heavy bleeding is observed (this can occur with an ectopic pregnancy, spontaneous abortion, or a malignant tumor of the uterus).
How to return
At the first failure of menstruation, the only correct solution is to visit a gynecologist. Moreover, before the appointment, you need to analyze your mistakes, find out the reasons for menstruation irregularities and honestly tell the doctor everything. This is the only way he can help restore the cycle. Self-medication in this situation is strictly prohibited, because the area is too delicate and important for women’s health.
All recommendations given below are for informational purposes only and are not a guide to action without consulting a specialized specialist.
Nutrition
Without normalizing your diet, restoring your periods after losing weight is impossible. Therefore, the doctor will probably either additionally refer you to a nutritionist, or he will tell you how to do this. Here you need to correct all the mistakes that you made earlier.
Recommended products that should form the basis of your diet:
- beef, lean pieces of pork, liver (to compensate for iron deficiency);
- different types of fish, including fatty ones;
- fresh herbs;
- olive oil instead of mayonnaise for salad dressings;
- fresh vegetables and fruits, dried fruits;
- medium fat dairy products;
- nuts, berries, mushrooms;
- cereals (for porridges and side dishes);
- seafood.
Only a few points will remain from dietary nutrition: avoiding excessive salt consumption, excluding fried foods from the diet and choosing only healthy sweets (honey, dark chocolate, marmalade, marshmallows, natural sweeteners, molasses, agave syrup).
There are also certain products that, according to research, help normalize the menstrual cycle at any age. They need to be included in the diet daily:
- some fatty fish: sprat, salmon, mackerel, tuna, trout and sardine;
- protein products: almonds, peanuts, walnuts, 5% cottage cheese, hard cheese, hard-boiled eggs, chicken, hummus, soybeans;
- bitter chocolate.
How to properly organize your meals:
- Drink at least 2 liters of water from morning to 17.00.
- Eat at the same time.
- Calculate the optimal daily caloric intake for your age and height, gradually rise to this level and do not reduce it.
- The diet should be varied and balanced from the point of view of BZHU.
- Don't eat fast food.
There is no need to be afraid that the kilograms lost with such difficulty will return again. In this situation, the most important thing for you is to improve your health and restore your periods. Moreover, if you follow the principles of proper nutrition and light physical activity, the gain can be no more than 2-3 kg per month, and then the weight will stabilize.
Medications
In some cases, after examination and finding out the specific causes of the failure, the doctor may prescribe pharmaceutical medications:
- Vitamin and mineral complexes. Especially after mono-diets and strict nutrition systems that lead to vitamin deficiency.
- Antidepressants. If it was definitely established that stress was one of the causes of the failure.
- Hormonal drugs. If you haven't had your period for more than 3 months.
- Oral contraceptives.
Most often, doctors try to prescribe herbal-based drugs to minimize the risk to a woman’s health. Help to restore menstruation:
- Cyclodinone is a herbal preparation;
- Remens, Dismenorm, Manalgin, Mabusten, Feminalgin - homeopathic;
- Cyclovita - dietary supplement;
- Duphaston, Utrozhestan, Progesterone are hormonal.
Herbal preparations that help restore menstruation
Each of the above medications (including dietary supplements) must be taken exclusively as prescribed by a doctor.
Folk remedies
You can try to restore menstruation without hormones, using herbal decoctions. Traditional medicine offers a huge number of recipes on how to relieve pain in the lower abdomen during menstruation and normalize the cycle. However, a number of medicinal plants are powerful biostimulants and can affect blood pressure, heart, uterine tone and the functioning of other organs. One wrong ingredient and it becomes another problem. Therefore, it is strongly recommended to consult with your gynecologist in this matter. Usually prescribed:
- flaxseed (the leader in the amount of phytoestrogens);
- oregano;
- mint;
- parsley;
- shepherd's purse;
- cornflower;
- valerian;
- chamomile;
- sagebrush.
The course and dosage are determined individually, depending on what kind of irregularities in the menstrual cycle have arisen.
Healing procedures
To restore menstruation, with the permission of a doctor, you can use acupressure and cupping. In the first case, this should be done exclusively by a professional. Only he knows the exact location of the points on the female body responsible for the menstrual cycle. There are only 4 of them:
- Zhongzi - just above the pubis;
- Shi-men - just below the navel;
- Fu-liu - just above the inner ankle, next to the tibia, in the fossa;
- San-yin-jiao is next to Fu-liu.
Typically, the course of such a massage is 2 weeks with daily sessions.
Banks are also applied exclusively by professionals working in specialized salons on the following areas of the body:
- sacrum and lower back;
- anterior surface of the chest;
- hypogastrium;
- inner thigh.
Session duration: 15 minutes. Frequency: daily for 5-7 days.
Why do periods disappear when you lose weight?
The key point in the development of secondary amenorrhea against the background of sudden weight loss is a decrease in gonadotropic hormones. They are responsible for the growth and maturation of follicles and the release of the egg. Fasting leads to the switching off of the pituitary gland from regulating the functions of the gonads. The response to weight loss may vary among women, but even a loss of 3-10% of body weight leads to cessation of menstruation and infertility.
Gonadotropin releasing hormones of the hypothalamus stop being produced, which causes a decrease in the production of gonadotropins in the pituitary gland - luteinizing and follicle-stimulating hormones. This amenorrhea is classified as hypogonadotropic.
With reduced LH and FSH, ovulation and follicle maturation are impossible. Therefore, a sudden, without previous oligomenorrhea, amenorrhea occurs - a complete cessation of menstruation, it is impossible to get pregnant during this period.
Another reason for the absence of menstruation after losing weight is the depletion of adipose tissue, which performs the function of extragonadal secretion of sex hormones. Rapid depletion of subcutaneous fat by 10-15% will lead to a sudden cessation of menstruation.
Insufficient fat intake provokes a lack of cholesterol, necessary for the production of progesterone. Its deficiency does not allow the normal formation of the endometrium, which takes an active part in the menstrual cycle. As a result, periods disappear.
Another factor in the sudden cessation of menstruation when losing weight is intense physical exercise, which helps to increase muscle mass, which leads to a predominance of male sex hormones over female ones. The result of sudden weight loss is ultimately the absence of menstruation.
Read also Malformations of the genital organs and infertility
Why is this happening
If a woman is over forty, then the absence of regular periods is quite normal. And taking into account the fact that menopause has become noticeably younger over the past decades, such delays can begin after 35. Any stress (and sudden changes in the daily routine or food system are very stressful!) can accelerate the onset of menopause, since it immediately affects the functioning of the entire endocrine system.
A long delay or complete absence of menstruation at a younger age is a sufficient reason to sound the alarm. Regular periods are the first indicator of women's health. If they do not come on time, then the woman is either sick or pregnant. In both cases, the sooner she knows about it, the better.
After a sharp weight loss, menstruation may disappear due to a severe deficiency of vital microelements, which a woman does not receive when she is on a strict diet (especially during fasting or mono-diets).
The second main reason is a severe slowdown in metabolism, which ultimately suppresses the normal functioning of the ovaries. The eggs do not mature, so menstruation does not occur.
But most often, both of these reasons go hand in hand, and such a dangerous neighborhood leads, in a fairly short time, to a number of problems:
- uterine bleeding;
- polycystic ovary syndrome;
- development of endomethyrosis;
- hormonal disorders.
When eating completely low-fat foods for a long time, a woman experiences a severe deficiency of cholesterol, which is necessary for the production of a very important hormone - progesterone. With its deficiency, the endometrium, the detachment of which is accompanied by menstrual pain and bleeding, does not form normally. This means it won’t be rejected in time. This is why any unbalanced diet is dangerous for women's health.
What to do to maintain your period while losing weight
The menstrual cycle after losing weight is not always disrupted. It is important not to resort to extreme methods. The main rule for weight loss is to eat healthy, exercise and create a calorie deficit.
There is a lot of advice from experts in order to reduce your volume, but keep your periods.
- Refusal of any flour products, sweets, milk chocolate. The exception to the rule is durum pasta.
- It is highly undesirable to eat crackers, chips and similar products for a snack.
- It is not recommended to drink carbonated drinks, store-bought juices, or generously pour ketchup and mayonnaise on food.
- Doctors advise starting to count the calories of the food you eat. To start losing weight, you first need to reduce your daily diet by at least 400 kcal. But you need to eat at least 1500 Kcal per day.
- Physical activity should be increased. You should start with hour-long workouts every other day, gradually increasing the load. But you can’t put too much stress on yourself so that your periods don’t disappear.
- In order to speed up metabolism, you need to drink at least one and a half liters of water per day, in addition to teas and other drinks. This will eliminate excess water from the intercellular space.
- Your daily diet should include plenty of fiber and dietary fiber. This slows down the absorption of fast carbohydrates and reduces appetite.
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It is important to understand that nutrition is the main factor in weight loss and the prevention of conditions such as menstrual cycle disorders.