Monday, 13 June 2016

Infograph: IRREGULAR BLEEDING.

As  Ramadan is just about to unfold all its blessings and advantages, more and more women with intimate issues like irregular cycles/ bleeding, pregnancy, painful periods, breastfeeding and fasting are surrounded by a series of doubts. Most commonly they are perplexed about their fast and any loss in the indulgence of the spiritual awakening in the holy month of RAMADAN due to the cycle disturbances and irregular bleeding.

As a physician, the most debated questions put by the women are:

Are we fit enough to fast with Pregnancy?
Will fasting have any effect on the production of milk?
Older women are mostly concerned about any episodes of spotting/ bleeding which may happen in Ramadan.

But the most awestruck are the young women having a MISSED PERIOD or an episode of IRREGULAR BLEEDING and assuming themselves to be pregnant.

What quantifies a physician’s role is the fact that these women also want to know the ISLAMIC RULINGS about the issue at first hand.

Recently, a newlywed girl with delayed periods came up for the confirmation of pregnancy and left with a heavy heart when she was told that her period irregularity is not because of conception but something else.
Al-BAQARAH
Al-Baqarah.

ISLAMIC RULINGS:


As mentioned above, most of the women insist on having the valid Islamic Rulings regarding their FAST and PERIOD IRREGULARITIES. As I am not an Islamic Scholar, I used to guide them to the Islamic JURISPRUDENCE sites for their issues. What I ensure them is the fact that SHARIAH rulings are built on consideration of differences between Individuals, Kindness and Gentleness. (Allah knows the Best)



According to By Sh. Muhammad al-Hassan Wali al-Dido al-Shanqiti
        women are presented with a number of issues that meet the               requirements of hardships like pregnancy, nursing,                          menstruation and irregular vaginal blood flow and it influences        the ruling related to purity, prayer and fasting….

you can read more here. (Allah knows the Best)

MEDICALLY:

We are all aware of the fact that the most common cause of MISSED PERIOD is PREGNANCY but also many of the causes of missed period could be due to any pathology other than pregnancy leading to IRREGULARITY in periods. It is a common complaint among women significantly affecting their quality of life.

According to the report published in the Journal of Clinical Endocrinology and Metabolism, missed periods over an extended period of time (Amenorrhea), is a relatively common condition that is present in up to 5% of adult women at any time.

Wait! Before digging into the irregular periods and their causes we must first get clear about what the normal or regular periods are?

NORMAL PERIODS:

Approximately every month, there is bleeding from the vagina when the lining of the womb sloughs off if the egg released from the ovary is not met with the sperm (the male unit of fertility). This is called as MENSTRUAL PERIOD or period.

It is usually scheduled after every 21 to 35 days, lasting for 2 to 7 days.

There are certain important things to be known about the period.

1. The LENGTH.

It is the number of days from one cycle to another counted from the first day of bleeding. Any length from 21 to 35 days are considered normal.

2. The QUANTITY.

Classically, it is about 20 to 60 ml(as written in the textbooks), but this measure is of no value for the household women; so practically it is something about 3 to 4 pads soaked per day. Remember not oversoaked.

3. The QUALITY:

The blood is usually bright red to light red in color.

IMPORTANT FOR REGULAR PERIODS:

But what is important is that the parameters for regular periods written above do not fit for all females. Rather, every woman should make a note of their own cycle, its length, flow every month and anything considered aberrant from this is taken as abnormal for that women.

IRREGULAR PERIODS.

For a regular cycle, experts usually take the length of the cycle alone as the parameter for the regularity. Accordingly, the cycle is said to be regular if it falls on the same date only with the variation of 1-3 days. So if somebody is experiencing vaginal bleeding apart from the expected periods than it may be due to some abnormality. After excluding pregnancy and menopause, there are no other normal happening which causes the periods to be irregular, missed or delayed.


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