About this disease
What it is about
A menstrual cycle usually lasts 28 days from the first day of bleeding to the last day before the next bleeding, although variations of 26 to 32 days are considered normal. Bleeding lasts three to seven days, with about 30 ml of blood lost. If there is any variation, the cause should be investigated by a doctor to find problems early and, if possible, treat them so that there are no long-term health consequences.
Types
Deviations can affect the frequency, intensity or duration of bleeding and should be clarified by a doctor. Even if girls do not have a period until the age of 15, clarification is indicated. In menopausal women, any bleeding requires clarification.
Symptoms and consequences
The cycle may be shortened or prolonged. Bleeding may be absent, very heavy or light, and painful. Unplanned bleeding may occur or bleeding after sexual intercourse. Depending on the type of bleeding disorder, there may be different underlying causes.
What we do for you
Examination and diagnosis
The examination includes a detailed clarification by means of anamnesis, analysis of a possible cycle diary and gynecological examination including ultrasound. If necessary, further laboratory tests and/or a uterine endoscopy are also performed.
Treatment
Treatment depends on the cause of the bleeding disorder. There are medicinal, hormonal and surgical therapies. In the case of cycle disorders in the context of stressful situations, an adjustment of lifestyle helps.