“Irregular menstruation ”
I am 28 yrs old for 1yr and now my menstrual period is not flowing well as before and it comes out late and ends before 3 days, also I see something like big red spots on my thigh and when I touch it. I feel pain and also it disappears and appear at another direction. Pls help me what can be the cause?
Female | 28 years old
Complaint duration: Year
Medications: Supplement
Conditions: None
5 Answers
There are several possible reasons, including hormonal dysfunction and coagulation disorders.
You need hormonal evacuation and hematology consultation rule out any auto immune disorder and gynecologist exam to determine the best treatment for you
Hi,
Your problem is quite common and most of the time it is easy to deal with. You describing a condition called: oligomenorrhea. It means delayed and shorter, lighter periods. This so-called "endocrine" or "hormonal" problem most commonly occurs in adolescence and before menopause, but can develop anytime during the reproductive years. Oligomenorrhea is usually associated with some rather uncomfortable physical symptoms. Some of them can be skin changes like increased tenderness, local swelling, puffiness or discoloration. Just as you describe it. The good news is that we gynecologists only worry about oligomenorrhea when the failure of coordination between your hormone producing and regulating organs (the hypothalamus, the pituitary gland ,and the ovaries ) is more severe and results in menstrual intervals of more than 35 days, i.e., less than 9 periods per year. To better understand the condition and the associated bodily changes, lets quickly recap the hormonal driving forces of the normal 28-day menstrual cycle:
Days 1-7: Large amounts of Prostaglandins (PG) are being secreted while the female hormones, Estrogen and Progesterone (E and P) both drop. Hence the emotional instability. PG, a strong vasoconstrictor, brings on the period with cramps and discomfort. It also increases the sensitivity of your skin. Any spots will feel more sensitive and new ones may appear. It is time for pain medication and hydration for your hypersensitive skin. Your diet should include some magnesium to relax the contracting uterine muscles and improve your mood.
Days 7-10: Your body resumes producing E and later P as well, which puts you in the "feel good" mood. Even your skin is much better now. Look for a diet which is rich in iron to compensate for the loss during the period. Eat plenty of spinach, kale, and dates. This is the time for a little red meat (not much) to improve your own red blood cell production.
Days 12-16: This is the ovulatory phase, you look at your best. Time to take pictures of yourself. You also are most fertile at this point in your cycle. One caveat: too much E sometimes causes increased sebum production by your skin glands. Some acne may appear but your skin should feel super normal now, but may have increased photo sensitivity. Time to give some nutritional support to your skin in the form of Vitamin A. Eat a lot of carrots and squash. Stay away from too much sun as well. For your face, collagen masks should be beneficial.
Days 17-24: Your hormone levels start dropping again. While P increases further before start dropping, your skin may become oily and sticky a bit. This is the time when your spots may appear again, but now that you know the cause and that they are just some minor nuisances, you accept them as natural changes in your body. A response to your own hormonal milieu. Testosterone, the male hormone that women also have, but much less than men, can produce skin discomfort, especially in this part of the cycle. Eating broccoli and some cucumber will help to get rid of any excess hormones in your body at this point in the cycle.
Day 15-28: This is the pre-menstrual phase. Your hormones are so low now that they cannot nourish and support the inner lining of your uterus. It begins sloughing. You start feeling bloated, puffy, and moody again. Your insulin sensitivity increases, resulting in low blood sugars and craving for carbs. The spots may be more sensitive now, but you know they will be gone soon again. Drink herbal and hot ginger teas for calmness and hydrate your skin to prevent wrinkles.
All will be fine in a few days and your spots will again be history.
Good luck,
Dr. Toth
Your problem is quite common and most of the time it is easy to deal with. You describing a condition called: oligomenorrhea. It means delayed and shorter, lighter periods. This so-called "endocrine" or "hormonal" problem most commonly occurs in adolescence and before menopause, but can develop anytime during the reproductive years. Oligomenorrhea is usually associated with some rather uncomfortable physical symptoms. Some of them can be skin changes like increased tenderness, local swelling, puffiness or discoloration. Just as you describe it. The good news is that we gynecologists only worry about oligomenorrhea when the failure of coordination between your hormone producing and regulating organs (the hypothalamus, the pituitary gland ,and the ovaries ) is more severe and results in menstrual intervals of more than 35 days, i.e., less than 9 periods per year. To better understand the condition and the associated bodily changes, lets quickly recap the hormonal driving forces of the normal 28-day menstrual cycle:
Days 1-7: Large amounts of Prostaglandins (PG) are being secreted while the female hormones, Estrogen and Progesterone (E and P) both drop. Hence the emotional instability. PG, a strong vasoconstrictor, brings on the period with cramps and discomfort. It also increases the sensitivity of your skin. Any spots will feel more sensitive and new ones may appear. It is time for pain medication and hydration for your hypersensitive skin. Your diet should include some magnesium to relax the contracting uterine muscles and improve your mood.
Days 7-10: Your body resumes producing E and later P as well, which puts you in the "feel good" mood. Even your skin is much better now. Look for a diet which is rich in iron to compensate for the loss during the period. Eat plenty of spinach, kale, and dates. This is the time for a little red meat (not much) to improve your own red blood cell production.
Days 12-16: This is the ovulatory phase, you look at your best. Time to take pictures of yourself. You also are most fertile at this point in your cycle. One caveat: too much E sometimes causes increased sebum production by your skin glands. Some acne may appear but your skin should feel super normal now, but may have increased photo sensitivity. Time to give some nutritional support to your skin in the form of Vitamin A. Eat a lot of carrots and squash. Stay away from too much sun as well. For your face, collagen masks should be beneficial.
Days 17-24: Your hormone levels start dropping again. While P increases further before start dropping, your skin may become oily and sticky a bit. This is the time when your spots may appear again, but now that you know the cause and that they are just some minor nuisances, you accept them as natural changes in your body. A response to your own hormonal milieu. Testosterone, the male hormone that women also have, but much less than men, can produce skin discomfort, especially in this part of the cycle. Eating broccoli and some cucumber will help to get rid of any excess hormones in your body at this point in the cycle.
Day 15-28: This is the pre-menstrual phase. Your hormones are so low now that they cannot nourish and support the inner lining of your uterus. It begins sloughing. You start feeling bloated, puffy, and moody again. Your insulin sensitivity increases, resulting in low blood sugars and craving for carbs. The spots may be more sensitive now, but you know they will be gone soon again. Drink herbal and hot ginger teas for calmness and hydrate your skin to prevent wrinkles.
All will be fine in a few days and your spots will again be history.
Good luck,
Dr. Toth
Chunjai P. Clarkson
OB-GYN (Obstetrician-Gynecologist)
I recommend seeing your doctor for a pregnancy test and examination. Irregular periods may be caused by a number of things, but the common things should be addressed first. If you have other serious signs or symptoms such as a fever, unusual vaginal discharge or abdominal pelvic pain you be seek care as soon as possible. Retained tampons can rarely cause toxic shock syndrome that may result in a rash. If you are not feeling ill, more likely the rash is not related to your periods and is a separate dermatologic or allergic condition such as urticaria (hives). Good luck with getting these issues addressed soon.
Dear Patient,
From your description I think you have two different conditions. Firstly, your menstrual cycle irregularities are of a hormone origin and you need some blood tests and possibly an ultrasound scan to diagnose the cause and allow treatment to commence. The second is the red spots on your thighs. These are unrelated to your menstrual cycle disturbance. These could be caused by a number of different infections or a blood disorder.
I suggest that you consult a gynecologist for the first condition and a dermatologist for the second.
Kind regards,
Dr. Trevor Wing
From your description I think you have two different conditions. Firstly, your menstrual cycle irregularities are of a hormone origin and you need some blood tests and possibly an ultrasound scan to diagnose the cause and allow treatment to commence. The second is the red spots on your thighs. These are unrelated to your menstrual cycle disturbance. These could be caused by a number of different infections or a blood disorder.
I suggest that you consult a gynecologist for the first condition and a dermatologist for the second.
Kind regards,
Dr. Trevor Wing
