Menstruação atrasada

Quando a mulher está com menstruação atrasada, a primeira suspeita normalmente é uma gravidez, mas na realidade atrasos menstruais nem sempre significam gravidez.

Menstruação atrasada: O que causa?

É natural que as mulheres tenham problemas nesse sentido durante a sua vida, pois desde fatores psicológicos e emocionais até problemas mais sérios de saúde podem influenciar diretamente no ciclo menstrual feminino e deixar a menstruação atrasada. Não há um mínimo nem um máximo de dias de atraso no fluxo que podem ser considerados normais, mas se sua menstruação atrasar mais de uma semana é importante procurar o médico.

Existem diversos problemas de saúde que podem causar irregularidades na menstruação. Vamos conhecer mais sobre alguns deles?

Amenorreia

Estresse, desvios hormonais, Síndrome dos Ovários Policísticos e distúrbios da hipófise estão entre as causas principais da amenorréia. O termo amenorréia significa ausência de menstruação e está classificado em dois tipos: a amenorreia primária e a secundária. As falhas na menstruação indicam que algo está errado com o seu organismo.

São classificados como amenorreia primária os casos de mulheres que nunca menstruaram, geralmente detectada após os 14 anos de idade. A amenorreia secundária caracteriza-se pela ausência da menstruação por um período superior a três meses em mulheres que sempre apresentaram ciclos menstruais normais. Ambos os quadros precisam de avaliação médica para investigação da causa do problema.

Oligomenorreia

Os ciclos menstruais com frequência desregulada são chamados de oligomenorreia. Bem como a amenorreia, a oligomenorreia  não é uma doença em si, mas um sintoma de que alguma coisa está errada com o seu organismo. A Síndrome dos Ovários Micropolicísticos é uma das principais causas da oligomenorreia e pode causar menstruação atrasada.

Menstruação atrasada

Minha menstruação atrasou, e agora?

Insuficiência Ovariana Prematura

Quando os ovários não conseguem manter seu funcionamento normal em mulheres com menos de 40 anos de idade caracteriza-se o quadro de insuficiência ovariana prematura. As mulheres que apresentam insuficiência ovariana prematura podem não menstruar ou ter o ciclo menstrual irregular.

A insuficiência ovariana prematura podem causar dificuldades para engravidar, porém essa condição pode ser revertida com terapia de reposição de estrogênio e outros hormônios que devem ser prescritos e indicados pelo médico.

Fibrose uterina

A fibrose uterina é um dos problemas benignos mais comuns em mulheres em idade fértil. Os tumores que surgem a partir da fibrose uterina não tem uma causa específica, e são responsáveis por três em cada dez cirurgias para retirada do útero.

Algumas mulheres que sofrem desse problema podem ter menstruação com fluxo muito intenso ou sangramentos no meio dos períodos menstruais. Os medicamentos receitados pelo médico ajudam a aliviar os sintomas mais comuns da fibrose uterina, como a dor, e podem diminuir ou impedir seu crescimento. A cirurgia costuma ser o meio mais utilizado para remoção dos tumores.

Endometriose

endometriose é uma inflamação provocada por células do endométrio que, em vez de serem expelidas, voltam para os ovários ou para a cavidade abdominal, onde multiplicam-se  e sangram. É uma doença crônica que regride quando mulher a menopausa, em razão da queda na produção dos hormônios femininos.

Além de desregular o ciclo menstrual, a endometriose causa dor e infertilidade. Existem diversas formas de tratar os sintomas e desdobramentos da doença, incluindo analgésicos, terapia hormonal e cirurgia.

Dismenorreia

A dismenorreia é a menstruação dolorosa, com cólicas menstruais severas. Ela pode ser classificada em primária, quando os sintomas estão relacionados com o próprio útero antes e durante a menstruação. Nesse caso, não há interferência de outras doenças, sejam elas ginecológicas ou não. Já a dismenorreia secundária é associada com outras enfermidades, como por exemplo miomas, endometriose, doença inflamatória pélvica, e outras.

Os tratamentos para a dismenorreia variam. Bolsas de água quente, hidratação e exercícios físicos aliviam e combatem as cólicas, bem como pílulas anticoncepcionais que ajudam a tornar a menstruação menos dolorosa. No caso da dismenorreia secundária, algumas situações pedem intervenção cirúrgica, mas muitas vezes o tratamento medicamentoso é suficiente.

Importante lembrar: ao sentir qualquer um desses sintomas, procure seu médico. Só ele pode indicar qual é o tratamento correto nesses casos.

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