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Date of last update: 10/14/2017.

Forum Name: Gynecology

Question: Irregular menstrual cycles

 Fiance - Mon Aug 01, 2005 2:18 am

I am concerned about my girlfriend. She is not pregnant, but her menstrual cycle comes on time and then delayed. Some monthes she can predict about the time it will come on and then she wont have it for a month or two. She has been complaining of painful side cramps and also pains when she urinates. The way she talks I fear for her having Ovarian Cancer. Can ovarian cancer delay her menstrual cycle and cause painful urination as well as severe side cramps? She is very healthy and excercises frequently. PLEASE HELP give me some Idea, I am worried.
 Dr. Tamer Fouad - Wed Jan 11, 2006 3:13 am

User avatar Hello,

She should be examined by a gynecologist. Your girlfriend may have dysfunctional uterine bleeding.

Your girlfriend may have dysfunctional uterine bleeding. Although dysfunctional bleeding is common it is a diagnosis of exclusion. It requires the exclusion of pregnancy or pregnancy-related disorders, medications, iatrogenic causes, obvious genital tract pathology, and systemic conditions.[1]

Anovulatory dysfunctional uterine bleeding is a disturbance of the hypothalamic-pituitary-ovarian axis that results in irregular, prolonged, and sometimes heavy menstrual bleeding. It may occur immediately after menarche but before maturation of the hypothalamic-pituitary-ovarian axis, or it may occur during perimenopause, when declining estrogen levels fail to regularly stimulate the LH surge and resulting ovulation.

Some common causes of hypothalamic anovulation are weight loss or gain, eating disorders, stress, chronic illness, and excessive exercise. Women with chronic anovulation that is not attributable to any of these causes are considered to have idiopathic chronic anovulation.[1]

1. Oreil KA, Schrager S. Abnormal uterine bleeding. Am Fam Physician 1999;60(5):1371-82.

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