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A period is the term used to describe menstruation – the regular flow of blood from a woman which marks the beginning of a new reproductive cycle in her body. During the cycle, the womb (uterus) prepares to receive a fertilized egg by growing thicker and developing new blood vessels.

The uterus is covered or lined with a soft coating called the endometrium, which actually has two layers, called the basal layer and the functional layer; like a grassy lawn with plants which have roots (basal layer) and shoots (functional layer).

It becomes thickened in preparation to receive a fertilized egg, under the influence of the female hormones. If fertilization does not occur, the amounts of the hormone begin to drop steadily, and so the thickening process is slowed down. As the hormones reach their lowest level, the functional layer begins to shed because there’s no more support. When the cells are broken down, they release some chemicals that make the body of the uterus to start to contract/tighten.

Good morning house,

I will be sharing along the line of painful periods medically call dysmenorrhoea.

I will be looking at answering some few questions based on some feedback i have gotten via mail and calls.

Will share about why is there painful period in the first place, types of dysmenorrhoea, possible causes and how it can be managed or treated.


Feel free to drop your questions if you have anyone along this line of thoughts.

Amarabae:
I hope you will not be diagnosing and prescribing to people online?

smiles...its just an educative and help platform. Just to help answer questions.

If need call for diagnosis and prescription is better to be seen in person.

Thanks for your review. Regards

Possible treatment are as follows:
Change of lifestyle: As a first step, you will be advised to lose some weight, especially if you observed that the symptoms developed or worsened when you gained weight. This alone (even as little as a 5% reduction) can be effective enough to make your periods regular again and relieve other symptoms. Other things that help are regular exercise and a low calorie diet.

Oral contraceptives: The combination oral contraceptive (COC) pill can be prescribed, and this will address the hormonal imbalance and cause your periods to be regular again. However, this is only an option for someone who is not trying to get pregnant.


Ovulation induction and follicular tracking: This is used to address infertility that is caused by PCOS. Medications (tablets or injections) are given to stimulate the ovaries to ovulate (i.e to release an egg). After this, the ovaries are scanned regularly to monitor the growth of the follicle (the small sac on the ovary that contains the egg), and to confirm when ovulation occurs, so that sexual intercourse can be timed.


Ovarian drilling: This is a surgical procedure that is done if all the other treatments have been unsuccessful. A laparoscopy is done – the insertion of thin, rodlike instruments into the abdomen through small cuts. A camera is attached to them and the images are projected on a screen. The surgeon identifies the ovaries and uses the same instruments to remove the cysts on the ovary by puncturing them.

Today I will be sharing along the line of what is call polycystic ovarian syndrome

Polycystic ovarian syndrome (PCOS) occurs when there is a disproportion in the amounts of the female sex hormones oestrogen and progesterone. It is sometimes referred to as hormonal imbalance.

It derives its name from the fact that most women with PCOS will have numerous small cysts (a cyst is a fluid filled sac) on both ovaries, but it is important to note that this is different from having a single cyst on any of the ovaries.

The symptoms of PCOS include the following:

Hirsutism – increased hair on the face and body

Excess acne (numerous pimples on the skin, especially on the face)

Weight gain

Irregular periods: The cycle length is usually unpredictable, and can last longer than 35 days; sometimes it can take months before a period starts. A woman with PCOS will therefore have fewer periods in a year.

Numerous small cysts seen on the ovary in a scan

An imbalance in the amount of female hormones shown by a blood test

An increase in the amount of androgens (male hormones) shown by a blood test – it is normal for all females to have small amounts of male hormones)


Difficulty in getting pregnant


A diagnosis of PCOS is made when one has at least two of these three symptoms; irregular periods,numerous small follicles seen on the ovary in a scan and an imbalance in the amount of female hormones shown by a blood test.

The exact cause of PCOS is not known. However, we do know that PCOS can be hereditary, so if your mother or sister has been diagnosed with it, there is a higher chance of you having it. The syndrome is also related to the body’s inability to use a hormone called insulin, which is very important for the breakdown of glucose (sugar). Women with Polycystic ovarian syndrome (PCOS) are at a higher risk of developing Type II Diabetes, gestational diabetes (pregnancy induced diabetes), obesity, high blood pressure, and hyperlipidemia (raised levels of fat in the blood).

The current trend is a gynae and obstetric outreach platform. We are using this platform to discuss women's health; we will be sharing gynaecology & obstetrics related cases.

Gynaecology is the care of the female reproductive system including contraception, the investigation and treatment of menstrual problems, sexual problems, infertility, problems relating to the menopause, and disorders such as uterine fibroids and ovarian cysts. It also covers early pregnancy problems such as recurrent miscarriage.

Obstetrics is a branch of medical science that deals or care with pregnancy, childbirth, and the postpartum period.

The trend is also open to everyone that has any question in relating to the above topic and other medically related issues.

For personal questions feel free to reach us on whatsapp 08087252112 or call 08067410701
mail: respond.beachland@gmail.com