Gynecologists allow fluctuations in the frequency of the onset of critical days for up to one week. This is a completely normal condition for young girls who are just establishing menstrual cycle, and for mature women of premenopausal age, already subject to the processes of extinction of ovarian function and their involution.

It’s another matter when a middle-aged woman has no stable periodicity of menstruation for six months or more. In this case, we can talk about some pathology of the gonads and regulatory mechanisms, hormonal imbalances. To treat such conditions, there are pills to normalize the menstrual cycle.

Any serious disorder of the menstrual cycle requires qualified assistance from an experienced gynecologist. Self-medication is prohibited, because the reproductive system, in addition to its main function, controls many general processes in a woman’s body, affecting her overall well-being and mood. Ignore this pathological condition it’s also impossible, because possible consequences and complications can seriously reduce the quality of life and daily activities.

After diagnostic procedures, including examination, palpation of the internal genital organs, laboratory analysis of a vaginal smear, as well as ultrasonography pelvic organs, the gynecologist will determine the cause of menstrual irregularities and prescribe appropriate medications that can restore the frequency of the onset of menstrual periods.

Treatment of menstrual irregularities involves the use of hormonal drugs, vitamins and traditional medicine. In advanced cases, several courses of drug therapy may be required.

The main criterion for the use of a particular drug is to establish the cause of the development of the disorder under study. may occur:

• due to pregnancy and lactation, that is, as a result of natural changes in hormonal levels. This option is physiological and does not require adjustment with the help of pharmaceuticals;
• proximity of menopause and menopause. In this case, doctors (gynecologist and endocrinologist) together can prescribe hormone replacement therapy, which can alleviate symptoms caused by hormonal changes in the body;
• urogenital infection. Required laboratory diagnostics in order to identify the pathogen. After this procedure, the doctor will prescribe adequate therapy with antibiotics, antimycotics or antiviral agents, depending on the type of pathogenic microorganism;
• pathologies of the hypothalamus, pituitary gland, adrenal glands and thyroid gland. Possible disruption of regulatory mechanisms, hypoproduction of releasing factors and tropic hormones. This option requires consultation with an endocrinologist;
• hormonal disorders due to the use of synthetic hormones, including oral contraceptives. In this case, it is necessary to discontinue the drug, replace it or adjust the dosage;
• ENT diseases. Acute respiratory infections, acute respiratory viral infections, tonsillitis and influenza can also cause menstrual irregularities. For a similar reason, everything will return to normal by itself after the acute phase of the infectious disease;
• psycho-emotional stress. In this case, medication is also not required. After adaptation, the cycle will return to normal.

Drugs

To restore the cycle, a wide range of hormonal drugs are used. Among the means of drug correction of the frequency of critical days, the most popular are:

• Cyclodinone;
• Dysmenorm;
• Cyclovita;
• Duphaston;
• Utrozhestan.

Cyclodinone

This is a herbal medicine that can normalize the frequency of menstruation. The pharmacological effect of the drug is to reduce the activity of the hormone prolactin, whose overproduction disrupts the natural balance of progesterone and estrogens. This causes failures in the onset of menstruation, as well as soreness and swelling of the breasts. Accordingly, in addition to normalizing the cycle, Cyclodinone also stops the pathological process in the mammary glands, relieving the woman of pain.

Cyclodinone is a popular drug with minor contraindications and a small number of side effects. They are mainly associated with individual intolerance to the components of the drug. The duration of the course is 2–3 months.

Even after clinical manifestations If they go away, you need to take the entire course of pills. An analogue of the drug in question is Agnukaston.

Dysmenorm

Dysmenorm is a homeopathic remedy. The drug restores the normal cycle in women of fertile age. As a rule, it is used in complex treatment together with other medications. It can be used for severe premenstrual syndrome, as well as pain during menstruation. The drug in question is prescribed for intolerance to drugs containing synthetic hormones, in particular estrogens. It rarely causes side effects.

The duration of the course is 3 months. Dismenorm should be taken every day.

For individual indications, a repeat course may be prescribed. The drug is not recommended for women intolerant to lactose and bee products.

Cyclovita

It is a dietary supplement and can be successfully used to correct the cyclicity of menstruation. Clinical studies have proven that a lack of vitamins, minerals, micro- and macroelements can cause pathological processes in the female reproductive system. Cyclovita is designed to solve the problem of shortage of essential substances.

Taking the drug allows you to relieve and treat conditions such as:

• disruption of the menstrual cycle;
• pain during menstruation;
• pain localized in the mammary glands.

The pharmacological effect of Cyclovita is that it has a beneficial effect on hormonal balance in female body, as it is a multivitamin and mineral complex used in various phases of the cycle. Each of them requires the intake of its own complex of substances.

Cyclovita can also be used to better cope with psycho-emotional stress, the consequences of gynecological diseases and complications after taking oral contraceptives. The duration of the course is from 1 to 3 months, depending on individual indications.

Duphaston

This is a hormonal drug active substance which is dydrogesterone. The drug is widely used, as it activates restorative processes in the female reproductive system, and also maintains the balance of sex hormones. Indications for the use of Duphaston are:

1. Irregularity of the onset of menstruation.
2. Uterine bleeding.
3. Endometriosis.
4. Infertility associated with pathological processes occurring in the luteal phase of the menstrual cycle.
5. Progesterone deficiency.
6. Premenstrual illness.

The use of the drug is advisable only when progesterone deficiency is detected using laboratory tests. Before prescribing a course, a woman must undergo a comprehensive clinical examination.

Adverse reactions are rare. It is not recommended to prescribe the drug in the presence of pathologies of the cardiovascular system, liver diseases, diabetes mellitus, epilepsy, migraine. The duration of the course and dosage are determined by the attending physician depending on the individual parameters of the woman’s body.

Utrozhestan

In case of irregularities in the frequency of menstruation, it is possible to take the drug Utrozhestan. The decision on his appointment, like Duphaston, is made after laboratory research who revealed a deficiency of the hormone progesterone. The drug, in addition to the treatment of hormonal imbalances, is prescribed:

• for benign tumors of the uterus;
• infertility;
• endometriosis;
• as a prevention of premature labor.

The drug has a number of unpleasant side effects, such as:

• manifestation of dysmenorrhea;
• digestive disorders;
• cluster headaches;
• chronic fatigue syndrome;
• depression and depression;
• rash like urticaria.

Vitamins

Cycle disturbances often occur in the spring-autumn period, that is, a time characterized by hypo- and vitamin deficiency. A lack of nutrients causes disruptions in the functioning of the entire body, in particular in the functioning of the reproductive system. Hormonal imbalance disorders are caused by inhibition of the functions of the main endocrine glands, pituitary gland and ovaries, which do not receive enough vitamins and minerals.

Treatment involves the use of vitamin and mineral complexes. The main ones for a woman during a difficult period will be vitamins E, C, A and B12.

Vitamins C and B12 cause improvements of a non-hormonal nature. Thus, these biologically active substances regulate hemoglobin levels, strengthen blood vessels and stimulate normal uterine contractions during menstruation. Vitamins E and A are involved in the production of female sex hormones: estrogen, progesterone and others.

When there are irregularities in the frequency of menstruation, monovitamins are more often used. In this case, it is easier to control the dosage.

The necessary ones can be obtained from food: E and A are found in oils, seeds, nuts, fatty fish, B12 is present in buckwheat, oatmeal, fresh greens, and C is easily obtained from fruits, strawberries, sorrel and cabbage.

ethnoscience

Even today, many women use traditional medicine recipes to normalize the menstrual cycle. They involve the use of various decoctions and infusions medicinal plants, containing active substances that can have a beneficial effect on hormonal levels and the general condition of the reproductive system.

It is worth saying that the use can only be an addition to the main treatment, but not a replacement for it. Otherwise, there is a high risk of developing complications, such as chronic pain, extensive inflammatory process of the pelvic organs, and infertility.

Some traditional medicine recipes:

1. For dysmenorrhea, use a herbal mixture of viburnum, buckthorn bark and wheatgrass rhizome. 1 tablespoon is poured with 200-250 ml of boiling water and infused. Afterwards, the solution should be strained and drunk in small sips, one glass per day.
2. An infusion of valerian, peppermint and chamomile has a good sedative effect. Helps cope with many disorders associated with the pathological course of menstruation.

What effective pills are currently used to restore the cycle will be of interest to every representative of the fair sex suffering from similar disorders in the reproductive system. This pathology occurs for a number of reasons, the basis of which is hormonal imbalance. In order to restore the cycle, an integrated approach is required. In some cases, vitamin therapy is sufficient, but sometimes long-term treatment with hormonal drugs is necessary.

If menstruation is irregular, there is a delay or some other significant shift, then we are talking about a cycle disorder. In this case, the medicine is selected depending on the duration of the pathological changes and, of course, concomitant diseases. When cycle disturbances occur due to endometriosis, hormonal drugs based on pure gestagens are prescribed. These include Duphaston, Utrozhestan. They are used only according to strict indications and a certain course. Progesterone, which is part of this line of products, allows you to compensate for hormonal deficiencies, while correcting the harmful effects of estrogens on endometrial tissue.

Such tablets have a number of contraindications and should not be used without a doctor’s prescription. In addition, many side effects occur during use.

If cycle disorders are not accompanied by any serious diseases of the reproductive system, then most representatives of the fair sex are prescribed combined oral contraceptives, such as Jess, Yarina, Silhouette, Regulon, Novinet and others. Any of the listed drugs has its own characteristics and is selected depending on the woman’s hormonal background.

When taken, the cycle becomes regular because they contain synthetic hormones that enter the body with constant use and correct minor deviations. The disadvantage of such funds is daily use for 21 days. After this, a week-long break is taken, during which withdrawal bleeding occurs, that is, menstruation.

I9C1FPaNQo8

Unfortunately, such pills do not have a prolonged effect and a cumulative effect, so literally a month after discontinuation, the cycle may be disrupted again. It all depends on individual characteristics body.

What other means are there?

For minor disorders, homeopathy has a good effect. The drug Cyclodinone contains plant extracts that can restore menstrual function and make the cycle more uniform, smoothing out hormonal fluctuations. However, this is not a panacea, and such tablets do not help everyone.

92RoFZ3Y1zA

The Time Factor drug, which restores the cycle, contains a complex of vitamins and microelements selected in such a way as to have a beneficial effect on the female reproductive system. As a rule, treatment gives good results. In addition to vitamins, it contains biologically active components, collected taking into account the cyclical changes in a woman’s body. This drug has a positive effect on the course of premenstrual syndrome, smoothing out hormonal fluctuations.

For menstrual irregularities, hormonal drugs, homeopathic drugs, hemostatics, iron-containing drugs, vitamins, analgesics and sedatives are indicated.

What medications are used for menstrual irregularities?

Disorders of the menstrual cycle in women are not always associated with lack of weight or stress; sometimes the cause of the disorder is hormonal imbalances, lack of vitamins, psychological problems. In such cases, therapy requires various medications that will eliminate health problems. Only a doctor can prescribe medications for menstrual irregularities, so the information below is written to familiarize yourself with the effect of medications.

Before describing different groups medications intended to normalize the menstrual cycle, it is necessary to understand why menstrual irregularities occur in the first place. There are several reasons that can cause menstruation problems:

In addition, irregularities in the menstrual cycle at different ages may be associated with the appearance of cancerous tumors in the mammary glands, uterine fibroids, cysts in the ovaries and other pathologies.

It is impossible to independently find the causes of menstrual irregularities; to do this, you need to contact a gynecologist, take blood tests for hormones and biochemical composition, do an ultrasound of the pelvic organs, and other diagnostic procedures. Only the attending physician, who knows the girl’s health parameters, will be able to correctly prescribe her treatment; you should not use any medications on your own.

Medications for menstrual irregularities

If the disruption of the menstrual cycle is not due to pathologies that need to be treated surgically, after tests and diagnosis, the doctor will prescribe medications to normalize menstruation. Medicines for recovery can be divided into the following groups:

• hormonal drugs and oral contraceptives;
• homeopathic medicines;
• hemostatics and preparations with iron;
• uterotonics;
• painkillers and antispasmodics;
• vitamin and mineral complexes;
• sedatives.

The information below is provided to familiarize you with the mechanism of action of drugs on the menstrual cycle; you should not start using them on your own.

Hormonal drugs and OK

One of the main reasons leading to the failure of menstruation is an imbalance of hormones in a girl’s body due to disruption of the endocrine organs, intake medicines, use of steroid medications or sudden weight loss.

If the problem is a lack or excess of active substances, the doctor must first determine which ones are disrupting menstruation. To do this, the gynecologist will definitely prescribe a blood test for hormones, and after that a more detailed diagnosis, for example, ultrasound of the thyroid gland, pelvic organs, MRI to examine the pituitary gland.

It is possible to restore the menstrual cycle in case of hormonal imbalances with the help of replacement therapy, that is, the girl will use hormonal drugs or oral contraceptives to correct the functioning of the endocrine organs. The choice of medication depends on which hormone is missing or in excess, so you cannot choose OK on your own or buy a cheaper one. Most often, correction of the menstrual cycle is carried out using the following drugs:

• Duphaston;
• Yarina;
• Utrozhestan;
• Progesterone (injections or tablets);
• Norkolut;
• Janine.

Duphaston, Utrozhestan and Progesterone help normalize the production of progesterone, the hormone responsible for the separation of the endometrium and its removal with the egg from the uterine cavity. Treatment of menstrual irregularities associated with an excess of male sexual active substances is carried out with the help of antiandrogenic drugs (Diane-35, Janine). If a woman has impaired estrogen production, the hormone levels are regulated with the help of Estradiol or its analogues.

Homeopathic remedies

If a woman’s periods are irregular, but there are serious irregularities in hormonal background and the endocrine system does not work, it is possible to eliminate the disruption of the menstrual cycle with the help of homeopathy. Homeopathic medicines are medicines based on herbal components, which, like hormonal remedies or OCs, contain active substances, but their dosage is much lower.

When taking homeopathic remedies, a practically healthy girl will be able to restore her monthly cycle in a short time, and there will be no such negative consequences as excess weight, hair loss, rash and others. It is important to understand that homeopathy will not help if a woman has serious disorders, for example, ovarian hypofunction, insufficient production of thyroid hormones, etc. - more pharmacologically active medications will be required.

Homeopathic medicines for restoring the cycle include the following:

• Dysmenorm;
• Manalgin;
• Remens;
• Feminalgin;
• Mabustin.

Some herbs have weak hormonal activity because they contain phytoestrogen. To correct the menstrual cycle, use a decoction of hop cones, sage, and flax seed jelly. But before consuming herbs, you need to consult a gynecologist, as some of them can negatively affect the functioning of the kidneys and liver, especially with urolithiasis.

Hemostatics and preparations with iron

With anemia, anemia, lack of formed elements and other blood diseases, a woman may stop having periods completely. With menstruation, up to 100 ml comes out bloody discharge, but there are problems with this resource in the body - no influence of hormones will force it to make such losses. On the other hand, if there is a clotting disorder, the bleeding may become excessive.

Menstrual irregularities, the symptoms of which indicate problems with the blood, must be treated with hemostatic agents and iron supplements.

The hemostatic agent promotes accelerated division of bone marrow cells to form red blood cells and other blood cells. Hemostatic drugs are a group of medications that are aimed at a different range of problems, for example, increasing blood clotting through vitamin K, accelerating the division of blood cells, normalizing hemoglobin levels, and improving vascular tone.

Hemostatic drugs include the following:

• vitamin K;
• Vikasol;
• Dicynone;
• Ascorutin;
• vitamin C.

These drugs come in the form of tablets and injections. The choice of the form of the drug depends on the complexity of the problem, since when administered intravenously or intramuscularly, the active substances will penetrate faster to their destination sites, and their concentration will be higher than when taken orally. Medicines from this group can be prescribed not only to restore the menstrual cycle, but also as a preventative measure several times a year, because regular heavy menstruation weakens the body of every girl.

Preparations with iron

Iron supplements are aimed at combating anemia, because its first sign is not only pale skin, but also the absence of menstruation. The level of this element can be restored with the help of individual preparations (Ferraplekt, Ferlatum, Maltofer, Ferrum Lek) or vitamin-mineral complexes containing iron. In addition, in the fight against anemia, it is important to adjust the diet to include red meat, spinach, sesame and halva.

Uterotonics

Sometimes menstrual cycle disorder is not associated with hormones, blood counts or pathological neoplasms, but is caused by weak uterine tone. Most often, there is a genetic predisposition to this phenomenon, and it is difficult to correct the problem. Slightly improve the contractile function of this organ physical exercise.

In the case of low uterine tone, menstruation does not occur because this organ cannot normally “push out” blood and clots, against which the body adapts and reduces the abundance of menstruation. In such situations, under the supervision of a doctor, the woman will drink or inject oxytocin, a hormone that increases uterine contractions. This remedy should not be used without control, as deviation from the indicated dosage can cause pain in the uterus, bleeding and other unpleasant consequences.

Vitamins

Few people notice that menstrual irregularities in girls occur not in summer or autumn, but in winter and spring, when there are practically no fresh fruits and vegetables, so the body does not receive the required amount of vitamins, and vitamin deficiency begins. A lack of nutrients causes disruption of the menstrual cycle, the treatment of which requires dietary adjustments and the intake of vitamin and mineral complexes.

The main ones for women's health are C, A, and B12.

And B12 regulates hemoglobin levels, strengthens blood vessels and stimulates normal uterine contractions during menstruation. Vitamin E and A are involved in the production of female sex hormones: estrogen, progesterone and others.

If the menstrual cycle is disrupted, tablets with individual vitamins are used more often, because this way you can better control their dosage. Vitamin E in the form of an oily solution of alpha-tocopherol is usually prescribed to be consumed 2-3 times a day after meals, 5 drops along with folic acid, which improves its absorption. Ascorbic acid and B12 can be consumed before meals 1-2 times a day. Retinol, like vitamin E, should be taken after meals 1-2 times a day.

Cyclic is an excellent prevention of vitamin deficiency; it consists in the fact that a woman consumes certain vitamins during the period specified by the doctor, for example, in winter or spring, to prevent problems with menstruation.

Useful substances can be obtained not only from tablets, but also from food. Vitamin E along with vitamin A are found in oils, seeds, nuts, and fatty fish. B12 is present in buckwheat, oatmeal, fresh herbs, and ascorbic acid easily obtained from fruits, strawberries, sorrel and cabbage.

Sedatives

Due to hard work, intensive study, problems in her personal life or eating disorders, a girl may experience severe emotional stress, while her body releases the stress hormone cortisol, which disrupts the functioning of many endocrine organs, and the consequence of this will be the cessation of menstruation. Treatment of menstrual irregularities in such cases requires taking sedatives that will gently calm the nervous system and reduce cortisol levels.

Sedatives include tablets and herbal tea. There are a lot of sedatives on the shelves of pharmacies, but it is difficult to choose them on your own, because if used incorrectly, a person experiences drowsiness, allergies, or even becomes irritable, so it is better to entrust the choice to a therapist or neurologist.

Calming tea is gentler than tablets, but it is much less likely to cause negative effects and drowsiness. Sedative herbs: chamomile, sage, mint, lemon balm - can be consumed 2-3 times a day, as well as during bouts of stress. You need to brew tea for 7-10 minutes so that the plants have time to release their beneficial substances.

Having discovered a menstrual cycle disorder, treatment should be started immediately, because in the future, problems with women’s health can interfere with pregnancy, cause accelerated aging of the body and other problems. Only a doctor can select a drug that restores menstruation, because for therapy it is necessary to find out the cause of the disorder, and this requires diagnosis.

We recommend similar articles

The menstrual cycle is a cyclical change that occurs in a woman’s reproductive system and is aimed at preparing the body for a possible pregnancy. The normal menstrual cycle is 21-35 days. Regular menstruation is not established immediately, but within 0.5 - 1 year from menarche. Irregular cycles also occur in women over 40 years of age, which is a harbinger of menopause. In these cases, no treatment is required, since these phenomena are normal.

Sometimes in women of childbearing age, the menstrual cycle is disrupted. Menstruation becomes irregular, there may be frequent delays, or, conversely, premature menstruation. Other cycle disorders include:

long duration of bleeding (more than 7 days),

heavy menstruation (more than 80-100 ml - hypermenorrhea),

· scanty menstruation or its absence (oligo- and amenorrhea),

Excessive pain (algodismenorrhea).

The listed symptoms may indicate hormonal disorders in the body and disruption of the ovulation process, which leads to problems with conception and other pathologies. Therefore, patients are prescribed an examination and appropriate treatment is selected. The choice of drugs depends on the causes of the cycle disorder.

Depending on the causes and type of cycle disorders, the following remedies can be used for treatment:

homeopathic medicines,

hemostatics and uterotonics (for prolonged bleeding),

vitamins, iron supplements,

· painkillers and antispasmodics,

· sedatives.

Hormones

Hormonal therapy is most often the basis in the treatment of reproductive cycle disorders. Usually combined or single preparations of hormones (estrogens and gestagens) are used. They are first prescribed for a period of 3 months, after which an additional examination is carried out. In most cases, this period is enough for the functions of the reproductive system to return to normal. If the effect does not occur during treatment, then another course of hormonal therapy is carried out for a period of 6 months. Among the hormonal agents used to normalize the cycle, the following are known:

· Duphaston,

· Utrozhestan,

· Progesterone,

· Norkolut.

Hormonal oral contraceptives are also used.

Their action is based on increasing body tone, improving immune defense and other stimulating qualities. Many of these drugs can normalize hormonal status, including a beneficial effect on the level of sex hormones. Therefore, their use is advisable for menstrual irregularities. Homeopathic remedies used in gynecology include:

· Dysmenorm,

· Menalgin,

· Remens,

Feminalgin,

· Mastodinon,

· Gynekohel,

· Ovarium compositum,

· Gormel S et al.

Hemostatics and uterotonics

Hemostatic agents and drugs that increase uterine tone are used for prolonged menstruation that turns into uterine bleeding. More often than others, Vikasol, aminocaproic acid, Dicynone, Ascorutin, and Oxytocin are used. These drugs are prescribed for 5-6 days.

Vitamins and iron supplements

With prolonged heavy menstruation, iron deficiency anemia may develop. In such cases, iron supplements and vitamins are used - folic acid, ascorbic acid, vitamin B12. These drugs help compensate for the lack of hemoglobin. To normalize ovarian function, women are often prescribed vitamin E. Alpha tocopherol is rightfully considered a “female” vitamin, as it is an antioxidant, restores cell membranes and promotes adequate production of sex hormones.

Painkillers and antispasmodics

Analgesics and antispasmodics are indicated for menstrual disorders such as algomenorrhea. This term refers to excessively painful menstruation, painful sensations in the abdomen and lower back, this disrupts the normal functioning of a woman. Analgesics Ibuprofen, Paracetamol, Baralgin, etc. are used as painkillers. Aspirin is contraindicated during menstruation, as it can increase menstrual bleeding.

Typically, painful sensations during menstruation are associated with contraction and spasms of the muscular wall of the uterus. Antispasmodic drugs eliminate spasms and thereby promote pain relief. No-shpu or Drotaverine are most often used as antispasmodics for the treatment of algodismenorrhea.

Sedatives

Often, disruption of the monthly cycle is a consequence of various stresses and experiences. Even the smallest conflict at work or at home, moving or visiting relatives can be a factor that causes a delay in menstruation or, conversely, it can begin ahead of time. Therefore, in some cases it is advisable to start taking weak sedatives. This can be a tincture of valerian, motherwort, decoctions of various soothing herbs, etc.

Delayed menstruation can be caused by:

· stress,

Excessive physical or mental stress,

a diet with severe food restriction,

· change in climatic conditions,

exacerbation of chronic diseases,

· acute infectious disease, etc.

Menstruation may also be rare or absent for some time in the postpartum period, after stopping hormonal contraceptives or taking medications emergency contraception containing a high dose of hormones, etc. In these cases, most often the cycle is restored on its own without any special treatment. Usually, menstruation becomes regular again after the provoking factor is eliminated. But if there are frequent and prolonged delays, this may be an indication for restoring the menstrual cycle. For this purpose, both hormonal and non-hormonal agents are used: Duphaston, Norkolut, Progesterone, Utrozhestan, Pulsatilla, vitamin E, etc. Let’s look at them in a little more detail.

Duphaston

Duphaston is perhaps the most frequently prescribed drug to restore the cycle. The most common problem with frequent delays is a deficiency of progesterone in the body. And Duphaston is created on the basis of an artificially synthesized analogue of progesterone - dydrogesterone. The action of this hormone is to loosen the functional layer of the endometrium. The duration of the course of treatment and the dose of the drug depend on at what stage of the menstrual cycle the “breakdown” occurs. In some cases, 5-7 days of taking Duphaston tablets are enough, and after 2-3 days. Menstruation begins from the end of the course. In other cases, the course of treatment can be extended to 2-3 months. During this time, the uterine lining changes to a state corresponding to the end of the normal menstrual cycle.

Norkolut

The active substance is norethisterone, which has properties similar to gestagens. Available in tablets. The course of treatment with Norkolut to restore the cycle usually lasts 5 days. The drug blocks ovulation and reduces uterine tone, inhibits the production of hormones in the pituitary gland. After discontinuation of the drug, menstrual-like bleeding usually begins. Uncontrolled use of Norkolut is prohibited, as it has many side effects and contraindications, including pregnancy, tumors of the reproductive organs and mammary glands, liver disease, diabetes mellitus and many others. etc.

Progesterone

Progesterone is a hormone necessary for the maturation of the uterine lining. It is sometimes used as an intramuscular or subcutaneous injection. During the course, the patient is given no more than 10 injections, the dose is selected strictly individually. During treatment, the uterine lining matures and menstruation occurs. Progesterone in injection form has quite a lot of side effects, for example, weight gain, increased hair growth, irregular cycles, etc. Therefore, only the attending physician can prescribe it and select the correct dose.

Utrozhestan

A drug based on natural micronized progesterone. Has fewer side effects than other forms of progesterone. In addition, Utrozhestan is produced not only in oral form, but also in capsules for intravaginal administration. This allows you to reduce the systemic effect on the body. Also, vaginal capsules are not contraindicated for liver diseases, unlike oral forms. To restore menstruation, Utrozhestan is prescribed from 16 to 25 days. cycle. In 3-4 days. After withdrawal, menstruation usually begins.

Pulsatilla

Pulsatilla - homeopathic remedy, prepared from lumbago (a medicinal plant), known for its sedative properties. Therefore, it is advisable to use Pulsatilla to restore a cycle disrupted by stress. The drug is prescribed once in the form of granules under the tongue. Menstruation should come the next day. If your doctor has prescribed Pulsatilla, you should remember that its effectiveness may be reduced by drinking coffee, lemon, mint, chocolate, camphor, and alcohol. They should be excluded at least one day before taking the drug and one day after.

Vitamin E

Alpha tocopherol promotes the production of hormonal substances. It is possible to restore the menstrual cycle with the help of vitamin E in cases where the delay is due to a slowdown in the development of the surface layer of the endometrium. A course of taking alpha-tocopherol allows the endometrium to mature to a state in which the onset of menstruation is possible.

Other drugs to normalize the menstrual cycle

To the drugs listed above that are used to normalize the cycle, you can add the following:

· Cyclodinone,

· Bromocriptine,

· Remens.

Typically, the basis of treatment for cycle disorders is hormonal therapy. But many patients refuse to take hormones due to fear of side effects. If the examination does not reveal any serious organic pathologies of the reproductive system, the doctor may prescribe one of these drugs as treatment and limit it to that.

Cyclodinone and Bromocriptine are drugs that suppress prolactin secretion. Some cases of delays and irregular cycles are associated with excess prolactin in the blood, which inhibits ovulation and, accordingly, other changes in the reproductive system characteristic of the menstrual cycle. Cyclodinone has a natural vegetable origin and is an extract of twig. In addition to normalizing the cycle, the drug weakens PMS symptoms, reduces breast tenderness, and treats infertility due to luteal phase deficiency. As a rule, treatment is well tolerated and can be continued for a long time until the desired result is achieved.

Bromocriptine is similar in action to Cyclodinone, but is of semi-synthetic origin. It also reduces prolactin production.

Remens is a homeopathic drug that is also used to normalize the cycle in case of various disorders. It helps with irregular periods, restores the cycle with secondary amenorrhea, and reduces the severity of premenstrual syndrome.

If you have menstrual irregularities, you should not self-medicate. In each case, an individual approach and examination is necessary to exclude serious pathologies.

Premenstrual syndrome PMS

U healthy women During childbearing age, the menstrual cycle consists of three phases: ovarian (ovarian), ovulatory and luteal. What phases does the menstrual cycle consist of? Ovarian (ovarian) phase. In the period between menstruation, under the influence of upcoming changes in the activity of the central nervous system and endocrine apparatus, follicles mature; one of them, due to the accumulation of fluid in it, begins to increase in size, and the egg embedded in it is gradually pushed aside in the wall of the follicle. Other follicles shrink and dissolve in the tissues of the body.

Ovulatory phase of the menstrual cycle

Ovulatory phase. Meanwhile, luteinizing hormone has a stimulating effect on the ovaries, and part of the Graafian vesicle begins to secrete estrogen, causing the endometrium to thicken, preparing it for implantation of a fertilized egg. As a result of the action of other hormones on the ovary, the follicle wall cannot withstand the fluid pressure, which leads to rupture of the Graafian vesicle, and intrafollicular fluid pours into abdominal cavity along with the egg. The released egg is reflexively picked up by the tube. Ovulation usually occurs between days 11 and 17 in a 28-day menstrual cycle causing pain during ovulation , counting from the first day of the previous menstruation to the first day of the next one.

Luteal phase of the menstrual cycle

Luteal phase. In place of the former follicle, a new temporarily functioning hormonal gland appears, the so-called corpus luteum, which synthesizes large amounts of estrogen and progesterone. If the released egg is fertilized, the corpus luteum persists for about 6-8 weeks, then dissolves in the woman’s body.In the case when the egg does not undergo fertilization, it dies and dissolves, after which, after 10-12 days, the corpus luteum will undergo reverse development. This ends the cyclic process in the ovary, which leads to menstruation. With the reverse development of the corpus luteum, a new cycle of processes begins in the ovary and uterus - the next primordial follicle matures, and then the corpus luteum develops - it dies and menstruation begins again. These cyclical changes occur throughout the fertile years of a woman’s life.In those cases in which fertilization of the egg cell has occurred, the corpus luteum continues its further development until 12-14 weeks of pregnancy, after which it also undergoes reverse development. However, by this time the placenta is formed, which subsequently carries out hormonal functions.Thus, the mature follicle and the corpus luteum are temporary, but have hormonal properties glands. The product of their activity (hormone) has a significant effect on the entire woman’s body and, in particular, on the vagina and uterus. Therefore, with the onset of puberty in a girl and subsequently throughout the entire childbearing period, the uterine mucosa is in a state of continuous cyclic changes caused by the hormonal influence of these two glands. Under the influence of follicular hormone, the mucous membrane gradually thickens, and then, under the influence of the resulting hormone, the corpus luteum grows even more magnificently, and a special secretion containing a nutrient rich in glycogen begins to accumulate in its glands. This complex process in the mucous membrane of the uterus prepares those favorable conditions that are necessary for the perception and normal development of a fertilized egg cell - the embryo.The death of the egg causes the process of reverse development of the corpus luteum and, in connection with this, the cessation of the effect of its hormone on the mucous membrane of the uterus. Thus, if pregnancy does not occur, the luxuriantly developed mucous membrane of the uterus disintegrates and is rejected. The disintegration and rejection of the mucous membrane are associated, as a rule, with a violation of the integrity of the vessels in it, which leads to bleeding, which is the essence of menstruation. With the onset of pregnancy, during childbirth and often during breastfeeding, egg maturation, as a rule, does not occur.

Climax

Climax. As the body ages, the functions of all organs decrease, and the activity of the ovaries and female sex hormones also declines. Insufficient ovarian function often affects the general condition of a woman: discomfort rush of blood to the head, especially to the face - feeling of heat, dizziness, general malaise, fatigue. The previously existing regular monthly periods lose their cyclicity: periods become rare or very frequent. The number of menstrual days and the amount of blood lost also change. This period of a woman is called menopause, or menopause.

30.03.2018 Smirnova Olga (gynecologist, State Medical University, 2010)

The menstrual cycle is closely related to all processes in the female body, so any deviation cannot be ignored. There are various pills to normalize the menstrual cycle, as well as gels and settings. But the effectiveness of treatment depends not only on the right choice the drug, but also from following the instructions.

Causes of cycle disruption

The basis of any therapy is diagnosis. It is impossible to select the optimal and effective drug without identifying the cause of the cycle disorder. Women Health most often suffers from the following factors:

1. Hormonal imbalance.
2. Deficiency of useful microelements.
3. Anemia.
4. Neurological disorders.
5. Pathological development of the genital organs.
6. Inflammatory processes in the pelvic organs.
7. Neoplasms.
8. Stress.
9. Wrong lifestyle.

Only a doctor who uses the necessary modern examination methods can help determine the cause of the failure of menstruation.

When to ask for help

You should visit the hospital if a woman has one of the following problems:

1. Menstrual flow is accompanied by severe discomfort in the form of pain, gastrointestinal upset, vomiting, and contractions.
2. There are no monthly bleedings for a very long time (from six months).
3. Scanty periods, during which blood loss does not exceed 50 ml.
4. Heavy menstruation - more than 80 ml, in some situations the figure reaches 200 ml or more.
5. Uterine bleeding of unknown etymology, which occurs after menstruation.
6. A long menstrual cycle (over 35 days), in which periods last only a few days.
7. The cycle is longer than normal, but the critical days remain the same.
8. A short female cycle is less than 21 days.
9. Prolonged periods, which may last for more than a week.

Each type of deviation is eliminated certain drugs. Their action can be aimed at the reproductive system and other internal organs.

And medicines can be used as maintenance therapy.

Treatment: basic drugs to normalize menstruation

Drugs for normalizing the menstrual cycle are usually divided into the following categories:

1. Hormonal pills, contraceptives.
2. Alternative medicine (homeopathy).
3. Means for increasing blood clotting (hemostatics).
4. Complexes with vitamins and minerals.
5. Substances to increase the tone and contractile activity of intimate muscles (uterotonics).
6. Sedatives.
7. Painkillers, antispasmodics.

Treatment of menstrual disorders can be based on several drugs at once. The choice of medication will depend on the stage, type of disorder, as well as the general health characteristics of the patient.

Algomenorrhea

Painful periods can be caused by many reasons. Therefore, therapy is most often complex. Treatment may include the following drugs:

Prostaglandin synthesis inhibitors

Reduce muscle spasms and also have an analgesic effect:

• Indomethacin;
• Naprosin;
• Brufen.

Combined contraceptives

Estrogen-gestagen tablets should be taken from the 5th to the 25th day of the cycle, one tablet for at least three months:

• Yarina;
• Jess;
• Regulon;
• Noviten;
• Femoston.

If prolonged periods occur due to these factors, then the cycle will be disrupted until the pathology can be eliminated. Doctors prescribe an individual treatment regimen for each individual case.

If the diagnosis shows the absence of serious disorders, then hemostatic agents are most often used:

• vitamin C, K;
• Vikasol;
• Ascorutin;
• Dicynone;
• Ascorutin.

Weak uterine tone

In some conditions, menstruation disorder is not associated with hormonal substances and pathologies. Therefore, doctors sometimes suspect weakened uterine tone in a woman. In the case of a hereditary factor, the problem is very difficult to solve, but the condition can be corrected with the help of the right physical exercise for this body.

This diagnosis during pregnancy can cause complications during childbirth.

Low uterine tone affects menstruation so that monthly bleeding cannot come out normally. The body adapts to such changes, which is why the abundance of menstruation decreases.

The problem can be solved with injections and oral administration of oxytocin. But therapy must be carried out under strict medical supervision, otherwise side effects (pain, bleeding) cannot be avoided.

Herbal substances for menstrual irregularities

In case of certain contraindications or mild malfunctions, it is not possible to use tablets with progesterone or estrogen. In this case, the doctor may prescribe herbal medications:

• Pregnoton;
• Mastodinone;
• Klimadinon;
• Agnucaston;
• Cyclodinone;
• Estrovel;
• Dysmenorm;
• Normomens;
• Tazalok.

But even such seemingly safe products cannot be used without the instructions of a gynecologist. The specialist will select the best option and duration of treatment. And this is the only way to avoid more serious health problems.

ethnoscience

Folk remedies You can supplement the main therapy or use tinctures of medicinal plants as a preventive measure. They will not only help regulate the cycle, but also improve the woman’s overall well-being.

Amenorrhea

Collections based on the following herbs help well:

• rue;
• fennel;
• St. John's wort;
• juniper berries;
• parsley seeds and rhizomes;
• rosehip berries;
• sagebrush.

Directions for use: pour two tablespoons of the mixture into 0.5 liters of boiling water. Let it brew and then strain. The daily dose is 200 ml. treatment is carried out over several cycles.

Uterine bleeding (heavy periods)

• calendula flowers;
• alder fruit;
• Lagochilus leaves.
• yarrow.

Directions for use: dilute 2 tablespoons of the mixture in 0.5 liters of boiled water. Drink 100 ml three times a day.

Painful periods

• joster bark;
• viburnum bark;
• wheatgrass root.

Directions for use: prepare a tincture using one spoonful of the mixture per 0.2 liters of boiled water. Treatment lasts two months with a daily dose of 225 ml. Then a break is taken for 30 days, after which the course can be resumed.

Polymenorrhea

• oak bark;
• shepherd's bagworm;
• yarrow;
• cinquefoil root.

Every day you need to drink 400 ml of tincture from the third day of your period.

Prevention of menstrual irregularities

Any problems with the cycle and menstruation are easier to prevent than to treat. Compliance with certain rules is the best prevention any gynecological problems:

1. Organization of balanced nutrition.
2. Normal sleep.
3. Daily physical activity.
4. Avoiding severe stress.
5. Refusal bad habits.
6. Regular sex life.
7. Systematic visit to the gynecologist.

When menstrual irregularities occur, it is necessary to correctly determine the cause of the cycle disturbance in order for treatment to be effective. You cannot be guided only by information from the Internet when prescribing medications for yourself, since the diagnosis of the disease is carried out on the basis of test results.

The problem may be hidden in lifestyle changes and may not require therapy at all, however, there are often cases when there is a need to take potent hemostatic drugs or hormonal pills to restore the menstrual cycle.

Independently determine the advisability of using a particular substance and its dosage, a person without medical education will not be able to, therefore it is important to follow only the doctor’s instructions and discuss with him any changes in taking medications.