Recently, many people have asked about menstruation disorder after yang, what is going on?
Someone came more than half a month in advance. There was blood on the day, but the amount was very small afterwards.
Someone never came, "Could it be burnt?"
Some people didn't come for two months, but they actually came after they became positive, "It actually cured my irregular menstruation."
There are also people who don't understand and ask whether "the thing about menstruation ahead of time" is true.
Today, I will come to understand with you why some people feel that their menstruation is "disordered" after they become yang.
menstruation and menstrual disorders
The occurrence of normal menstruation is based on the end of the luteal phase after ovulation, the withdrawal of estrogen and progesterone, and the shrinkage and necrosis of the endometrial functional layer, which will fall off and bleed.
The cycle, duration and blood volume of normal menstruation show obvious regularity and self-limitation.
Generally speaking, the length of the menstrual cycle is 28 days ± 7 days, and the duration of menstruation is between 3-7 days.
Menstrual disorders (abnormal uterine bleeding) include cycle frequency, menstrual volume, regularity, menstrual length, severity of menstrual-related symptoms, and spotting/intermenstrual bleeding, among others [1, 2].
Will COVID-19 affect menstruation?
Menstrual changes during COVID-19
The results of a study showed that more than half (54%) of the 210 respondents reported changes in their menstrual cycle, including menstrual cycle length (50%), menstrual duration (34%) and premenstrual symptoms. change (50%) [3].
In another study, 46 percent of women reported changes in their menstrual cycles since the pandemic, including heavy periods (18 percent) and painful periods (30 percent). Nine percent said they had missed periods (none before), had missed periods "occasionally" before, and missed "often" during the pandemic. Median cycle length (28 days) and bleeding days (5 days) were unchanged, but the range of days was 1 day less than before [4].
Studies have also found that women's menstrual cycles are shortened and the number of sanitary napkins used is reduced [5].
Menstrual changes after being positive
A domestic study reviewed the data of 237 women diagnosed with COVID-19 who were hospitalized from January 19 to April 1, 2020. Two months after discharge, information on menstrual cycles was collected by telephone. Nearly one in five patients showed decreased menstrual flow or prolonged cycles, the findings found. The menstrual changes in these patients may be the result of transient hormonal changes caused by suppressed ovarian function. During the follow-up period, 84% of patients returned to normal menstrual flow within 1-2 months after discharge, and 99% of patients returned to normal menstrual cycles within 1-2 months after discharge, indicating that COVID-19 infection The resulting menstrual changes are transient [6]. However, this study also has a flaw, that is, hospitalization itself is a source of stress, which may also lead to irregular menstruation.
Another study is an observational, single-center, cross-sectional study conducted in my country from January 28 to March 8, 2020. A total of 78 female patients with COVID-19 were included, with the aim of investigating the relationship between COVID-19 and ovarian function. The results of the study found that compared with non-severe patients, severe patients had amenorrhea, increased menstrual volume, irregular menstruation, and dysmenorrhea, but the difference was not statistically significant [7].
In a prospective study in the United States, 127 positive patients were included, and symptoms were investigated every 6 weeks. Of these, 16% (n = 20) reported menstrual cycle changes. The most common were irregular periods (n=12), increased PMS symptoms, and oligomenorrhea (n=7). Patients who reported changes in their menstrual cycle were more likely to report more symptoms such as fatigue, headaches, body aches, and shortness of breath [8]. A limitation of this study, however, is that there is no information on how many cycles these changes last, and there is no data on the control group or the menstrual cycle before infection.
It can be seen that no matter whether they are positive or not, the menstruation of some women has been affected to varying degrees during the COVID-19 pandemic.
Why do menstrual disorders occur?
The causes of menstrual disorders are basically divided into two categories: one is organic problems in the reproductive system and organs, and the other is functional abnormalities caused by endocrine disorders.
For most girls, there are no organic lesions of the reproductive system, such as endometrial polyps, adenomyosis, uterine leiomyoma, ovulation disorders, systemic coagulation-related diseases, and so on. Therefore, for these people, if pregnancy is excluded, most of them are functional disorders caused by fluctuations in endocrine levels.
When the body is affected by various internal and external factors, such as mental stress, malnutrition, metabolic disorders, chronic diseases, sudden changes in the environment and climate, eating disorders, excessive exercise, alcohol and other drugs, etc., it can System causes hypothalamus-pituitary-ovarian axis function regulation or target organ effect abnormality, leading to menstrual disorders.
So, why do some girls experience so many changes in menstruation after they become positive? Some people came early, some left early, some came after a long time, and some never came...
In fact, let me give a chestnut, everyone should understand it easily.
For example, before the college entrance examination, the mental stress is relatively high, and many girls have very irregular menstruation; for example, if you accept a project and have a lot of psychological pressure, you will also find that your menstruation becomes irregular.
During this period of time, people who are still yin may have "illusory yang syndrome", or they may always think "don't be yang", and feel anxious. People who are positive not only have some symptoms of discomfort, but also may worry about whether they will infect their family members, worry about whether there will be sequelae, and are more likely to experience anxiety.
Higher stress levels are associated with menstrual irregularities [9].
Increased sympathetic activity during acute stress leads to increased neural activity in various regions of the brain (especially the amygdala), especially during the late luteal phase. Increased stress causes fluctuations in progesterone in the body, leading to menstrual irregularities [10]. Another study also showed that stress can affect menstruation, and women who work with high stress have more than doubled the risk of short menstrual cycles compared with women who do not engage in stressful work [11].
Previous studies have analyzed the relationship between the Perception of Stress Scale (PSS) score and the menstrual cycle, and found that a PSS score > 20 is associated with irregular menstruation and menorrhagia [9, 12]. One study found that women with higher PSS scores (>26) experienced significant menstrual cycle disturbances, including changes in menstrual duration and greater menstrual bleeding [4]. In the study, more than half of the women reported that their menstrual cycles had undergone some changes during the COVID-19 pandemic, regardless of PSS score.
This suggests that menstrual cycle changes are common even in the absence of COVID-19-related stressful events (such as becoming positive).
Summarize
For girls, no matter whether you have no yang or you feel uncomfortable when you have yang, or your yang has turned to yin, if you have regular menstruation and occasionally have some menstrual disorders, if you are not pregnant, don't worry too much. Relax and avoid anxiety, and most people recover naturally.
If you usually have irregular menstruation (such as polycystic ovary syndrome), you should go to the hospital for treatment as soon as possible.