Home > DO INFERTILE WOMEN MENSTRUATE?

Author Name: Dr. G Shilpa || Mentor Name: Dr. Nagadeepti on April 10, 2020

It is a common belief over decades that women with normal menstrual cycle pattern are fertile, and those with abnormal menstrual pattern are infertile. But, this is not true always as women even with normal menstrual cycle can have difficulty to conceive.

INTRODUCTION

Normal menstrual cycle length is variable from 21 days to 35days. Normal volume of bleeding is 80ml lasting from 3 to 7 days. In women with normal menstrual cycle the cause of infertility can be tubal factor, poor egg quality, uterine or male factor. Inappropriate timing of sexual intercourse may also contribute to infertility.
Menstrual cycle consists of regular cycling of the hormones which are responsible for the egg to grow starting from day 1 of the cycle. Average, after 12-14 days egg is released from the follicle and after 14 days if pregnancy does not occur, due to fall of estrogen and progesterone hormone menstruation occurs.

Abnormal menstrual cycle patterns are associated with infertility, they can be less than 21 days (polymenorrhoea), delayed cycles more than 35days( oligomenorrhoea,), heavy prolonged bleeding lasting more than 7days ( menorrhagia), scanty bleeding (hypomenorrhoea).

Disturbances in the hypothalamic pituitary ovarian axis are associated with unpredictable menstrual cycles. The length of the menstrual cycle is determined by length of the follicular phase length. Longer cycles have longer follicular phase and shorter cycles have shorter follicular phase.

Age is the important predictor of cycle length. As the age increases, the egg reserve decreases , quality of egg decreases, cycles become shorter due to hormonal imbalance. Anovulation is more frequent in menstrual cycles that deviate from normal cycle length.

Duration and amount of bleeding also indicate chances of fertility in certain conditions. Scanty bleeding is associated with thin endometrium which indirectly can affect the implantation rates. Prolonged and heavy bleeding is associated with anovulation disorder(PCOS).

ETIOLOGY

CAUSES OF ABNORMAL MENSTRUAL CYCLES ASSOCIATED WITH INFERTILITY

1. PCOS
2. Premature ovarian failure
3. Menopause
4. Thyroid disorders
5. Genital tuberculosis
6. Stress and eating disorders.

PCOS-This endocrine disorder is most common cause of anovulatoryinfertility. It is characterised by more than normal levels of androgens. This hormonal imbalance interfere with the growth and release of eggs from ovaries. In PCOS menstrual cycles are irregular heavy or scanty depending on hormones.

Premature ovarian failure– It is a primary ovarian defect characterised by absent menarche( primary amenorrhoea) or premature depletion of ovarian follicles before the age of 40yrs (secondary amenorrhoea). In this case women does not have menstruration.

Thyroid disorders– Hypothyroidism in women is associated with infrequent menstruation( oligomenorrhoea) that is cycle length more than 35days. Hyperthyroidism that is excess thyroid is associated with short periods with little flow. Abnormal levels of thyroid hormone can interfere with ovulation causing anovulatory cycles and infertility.

Genital tuberculosis– It usually affects fallopian tubes and endometrium leading to infertility. Most patients are asymptomatic or they can present with scanty menstrual cycle. Tubercular endometritis can also affect the menstrual cycle ,decreasing the implantation rates.

Stress and eating disorders, sedentary life style leading to increase weight are also associated with irregular cycles and infertility.

MANAGEMENT

1. Life style modification.
2. Pharmacotherapy with ovulation induction drugs in anovulatory cycles.
3. Correction of hormonal problems like thyroid and prolactin.
4. Anti tubercular drugs in TB endometritis.
5. In case of premature ovarian failure , HRT( hormone replacement therapy) is advised .
Disorders in menstrual cycle should be evaluated and treated accordingly.

You may also link with us on Facebook, Instagram, Twitter, Linkedin, Youtube & Pinterest

Talk to the best team of fertility experts in the country today for all your pregnancy and fertility-related queries.

Call now 18003092323

(Visited 317 times, 1 visits today)
guest
0 Comments
Inline Feedbacks
View all comments

RELATED BLOG

PCOS

PCOS Awareness Month – Everything You Need to Know about PCOS and its Prevention

Polycystic ovary syndrome (PCOS or...
Read More
IVF

A Complete IVF Guide: All You Need to Know About IVF

1. When to consult for...
Read More
IVF

Is Covid-19 Vaccination dangerous for pregnant women? Know the Benefits and Risks

What do we know today...
Read More
IVF

The Impact of Covid-19 on Pregnant Women & their Babies

Pregnant women and those in...
Read More
IVF

IVF Treatment in Covid-19 Age: Yes or No?

IVF in Pandemic: Safety Measures...
Read More
IVF

Pregnancy in COVID-19: What are the Risks?

Is the infection more dangerous...
Read More
IVF

Diet Plan for Lactating Mothers: What to eat while breastfeeding?

You know breast milk is...
Read More
IVF

आईवीएफ में जुड़वा बच्चेः आईवीएफ गर्भावस्था और एकाधिक प्रेगनेंसी

सामान्य जुड़वा बच्चे बनाम आईवीएफ...
Read More
IVF

Right Time For IVF: Indications and Contraindications

The IVF procedure can be...
Read More
Female Infertility Hindi

बच्चेदानी में सूजन: लक्षण, कारण, निदान, एवं उपचार

एंडोमेट्रैटिस (Endometritis) अथवा बच्चेदानी में...
Read More
Hindi IVF

आईवीएफ के लिए ऋण: एक अवलोकन

संतान की चाह रखने वाले...
Read More
Hindi IVF

कैसे करें एक सही आईवीएफ सेंटर का चयन?

आईवीएफ एक सुप्रसिद्ध सहायक प्रजनन...
Read More
Hindi

जानिए आप प्रेगनेंट हैं या नहीं

प्रेगनेंसी के 10 प्रमुख लक्षण...
Read More
Female Infertility

7 things You Must Discuss with Gynaecologist

With female friends or people...
Read More
Tamil

உங்கள் பிறக்காத குழந்தையைப் புரிந்துகொள்வோம்: கருவில் குழந்தை எப்படி வளர்கிறது!

கீழ்காணுமாறு ஒவ்வொரு வாரமும் கரு வளர்ச்சியடைவதை...
Read More
Kannada

ನಿಮಗೆ ಹುಟ್ಟಲಿರುವ ಮಗುವನ್ನು ಅರ್ಥಮಾಡಿಕೊಳ್ಳುವುದು: ಗರ್ಭದಲ್ಲಿ ಮಗು ಹೇಗೆ ಬೆಳೆಯುತ್ತದೆ!

ವಾರದಿಂದ ವಾರಕ್ಕೆ ಭ್ರೂಣ ಅಭಿವೃದ್ಧಿಯಬಗ್ಗೆ ಎಲ್ಲವನ್ನೂ...
Read More
Kannada

ಪಿಸಿಒಡಿ – ಕಾರಣಗಳು, ಲಕ್ಷಣಗಳು ಮತ್ತು ಚಿಕಿತ್ಸೆ

ಪಾಲಿಸಿಸ್ಟಿಕ್ ಅಂಡಾಶಯದ ಕಾಯಿಲೆ (ಪಿಸಿಒಡಿ)ಯು ಮಹಿಳೆಯರಲ್ಲಿ...
Read More
Kannada

ಅಂಡಾಶಯದ ಸಿಸ್ಟ್ (ಅಂಡಾಶಯದಲ್ಲಿ ಗಡ್ಡೆ): ಲಕ್ಷಣಗಳು, ಕಾರಣಗಳು ಮತ್ತು ಚಿಕಿತ್ಸೆ

ಅಂಡಾಶಯದ ಸಿಸ್ಟ್ (ಅಂಡಾಶಯದ ಸಿಸ್ಟ್‌ಗಳು) ಸಾಮಾನ್ಯವಾಗಿ...
Read More
Kannada

ಗರ್ಭಪಾತದ ಲಕ್ಷಣಗಳು, ಕಾರಣಗಳು ಮತ್ತು ರೋಗನಿರ್ಣಯವನ್ನು ತಿಳಿಯಿರಿ

ಗರ್ಭಪಾತವಾಗುವುದು ಅಪರೂಪದ ವಿದ್ಯಮಾನವಲ್ಲ. ಇದು 15...
Read More
Hindi PCOD

भ्रूण स्थानांतरण के बाद आहार

इन विट्रो फर्टिलाइजेशन (IVF) एक...
Read More
Request Call Back
IVF
IVF telephone
Book An Appointment