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| Irregular Menstruation? Careful! Could You Have Hyperandrogen? |
Menstruation is the process of shedding of the uterine lining accompanied by the discharge of menstrual blood through the vagina. Normally, menstruation occurs every 20–35 days, with a duration of about 2–7 days. The amount of blood that comes out during menstruation normally ranges from 2-4 tablespoons.
Some women may have experienced irregular periods. If this happens too often, you should be more vigilant, yes. The reason, irregular menstruation, late, or no menstruation at all could be caused by hyperandrogens.
There are several things that can cause irregular menstruation, including polycystic ovary syndrome (PCOS), fibroids, breastfeeding, pelvic inflammatory disease (PID), excessive and extreme weight loss, hypothyroidism, exercise. overeating, eating disorders, and hyperandrogens.
Hyperandrogens and their Relation to the Menstrual Cycle
In women, androgen hormones are generally only formed in small amounts. Because more are formed in the male body, the hormone androgen or testosterone is also known as the male reproductive hormone.
One of the causes of irregular menstruation is hyperandrogen, which is the condition of too high levels of the hormone androgen or testosterone in a woman's body.
If there are excessive levels of this hormone in women, besides irregular menstruation, there are also some health problems that can also appear, namely acne, excessive hair growth (hirsutism) or even baldness, high blood pressure, and no menstruation (amenorrhea).
Menstrual disorders that occur due to hyperandrogens are caused by disruption of the process of development and release of eggs. As a result, menstrual cycles become irregular, late, or even not menstruating at all.
Here's How to Overcome Irregular Menstruation
Irregular menstruation can make it difficult for you to determine the fertile period. In addition, if irregular menstruation is caused by hormonal disorders or disruption of the development and release of eggs, fertility problems can occur which makes it difficult to get pregnant.
So, it is important to check with a doctor if you often experience irregular periods.
Before determining treatment, the doctor will conduct a thorough examination, including checking hormone levels, to find out whether the cause of your irregular menstruation is hormonal disorders, including hyperandrogens.
Therapy to treat irregular menstruation will be adjusted to the cause.
Some anti-androgen drugs, which are types of drugs that can reduce androgen hormone levels in the body, can be given by doctors to treat this condition. There are several drugs that have anti-androgen effects, namely spironolactone, flutamide, and cyproterone acetate (CPA).
If irregular menstruation is caused by hyperandrogens, the recommended therapy is combination hormonal therapy containing a combination of cyproterone acetate (CPA) and ethinyl estradiol (EE).
Cyproterone acetate (CPA) is an anti-androgen steroid preparation that works by inhibiting the formation of testosterone and the binding of testosterone to its receptors.
While ethinyl estradiol is a synthetic estrogen that works similar to natural estrogen in the body. This hormonal drug will also work to reduce levels of the hormone androgen or testosterone.
The combination of these two ingredients has the benefit of reducing high androgen levels, improving irregular menstrual cycles, and reducing hyperandrogen symptoms.
Additional Benefits of Combination Hormone Therapy
Combination hormonal therapy containing Cyproterone acetate (CPA) and Ethinyl estradiol (EE) which is used to treat hyperandrogen conditions also has additional benefits, including:
- Duration of use depends on the severity of androgenization symptoms and response to treatment
- In addition to becoming more regular menstrual cycles, menstrual pain and menstrual blood are also reduced
- Has a contraceptive effect so there is no need for additional family planning methods, for women who want to use family planning
To help keep the hormones in the body in balance, you are also encouraged to adopt a healthy lifestyle, such as regularly eating healthy foods, not smoking, getting enough rest, managing stress well and exercising regularly.
Well, that's the explanation of irregular menstruation and hyperandrogens. If you are still confused or have questions about menstruation or other hormonal disorders, don't hesitate to consult directly with your doctor.
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