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2.4 — Long Answer Questions

Q.Explain menstrual dysfunction.

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Menstrual dysfunction covers any cycle outside the normal 21-35 day range, with eight specific named disorder types, and matters for athletes because intense exercise/extreme thinness can itself disrupt the hormones that regulate periods.

Definition and causes: Menstrual dysfunction is an abnormal condition in the menstrual cycle. The normal range is 21-35 days; it is a problem if it happens earlier or later than this range, if 3+ periods are missed, if flow is heavier/lighter than usual, if a cycle lasts longer than 7 days, if there is pain/cramping/vomiting during the period, or if bleeding occurs after menopause. Causes include being overweight, stress, dietary disorders, disease, a sudden change in exercise schedule, travel, and other medical complications.

The eight types, as listed by the textbook:

  1. Pre-menstrual Syndrome — unpleasant symptoms (depression, anxiety, irritation, headache, fainting, vertigo) before/during the cycle, reduced by moderate exercise, a balanced diet, and good sleep/rest.
  2. Amenorrhea — missed periods: Primary (never begins at puberty) or Secondary (missed 3+ months, the most common type).
  3. Dysmenorrhea — severe pain or frequent cramping during menstruation, with symptoms like lower-abdomen cramping, back pain, leg pain, nausea and fatigue.
  4. Menorrhagia — heavy and long-term/continuous menstrual bleeding.
  5. Polymenorrhea — a cycle shorter than 21 days (too frequent).
  6. Oligomenorrhea — infrequent periods, at intervals greater than 35 days.
  7. Metrorrhagia — missed, delayed or erratic periods, or abnormal bleeding patterns. …

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