menstruation kommt zu oft was kann ich dagegen machen? - #22803

Mala

Patientin: 19 Jahre alt Sexuelle Aktivität: keine (Virginität, Schwangerschaft ausgeschlossen) Blutdruck: eher niedrig Ruhepuls: ca. 64/min Menstruationsanamnese • Menarche in der frühen Adoleszenz • Initial: Menstruationen ca. 4 Tage, schwach, schmerzfrei • Im Verlauf der Jahre: zunehmend längere, stärkere und schmerzhaftere Menstruationen • Frühere Zykluslänge: ca. 35 Tage • 08/2025: zwei Menstruationen (02.–07.08. und 28.08.–02.09.) • Danach: Zyklusverkürzung auf 30–28–28 Tage • Seit ca. 2 Monaten: • Blutungen im Abstand von 9 Tagen • Blutungen schwächer als übliche Menstruation • Blutungsdauer jeweils ca. 6 Tage (sonst typische Menstruationsdauer) Schmerzen • Ausgeprägte Dysmenorrhoe, im Verlauf progredient • Häufige Ovulationsschmerzen • Defäkationsschmerzen zyklusassoziiert • Keine chronischen Beckenschmerzen • Keine Dysurie • Dyspareunie nicht beurteilbar (keine sexuellen Kontakte) Allgemeinsymptome • Episoden von Schwäche und Schwindel • Beinahe-Synkopen 2× (10/2025 und 12/2025) • Vermehrtes Durstgefühl (~3 L Flüssigkeit/Tag), Salzappetit • Eisenmangel bekannt, orale Eisensubstitution 2× jeweils 1 Monat, aktuell keine Therapie

Age: 19

300 INR (~3.53 USD)

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

1 hour ago

Hello Mala
Danke für die ausführliche Beschreibung deiner Beschwerden. Hier ist eine Zusammenfassung und Einschätzung deiner Situation:
Zyklusveränderungen & Blutungen
- Deine Menstruationen sind im Laufe der Jahre länger, stärker und schmerzhafter geworden.
- Seit ca. 2 Monaten treten Blutungen in sehr kurzen Abständen (alle 9 Tage) auf, die schwächer als die normale Periode sind, aber etwa 6 Tage dauern.
- Früher war dein Zyklus länger (ca. 35 Tage), dann auf 28–30 Tage verkürzt.
Schmerzen
- Du hast ausgeprägte, zunehmend schlimmere Regelschmerzen (Dysmenorrhoe) und häufig Schmerzen um den Eisprung.
- Schmerzen beim Stuhlgang treten zyklusabhängig auf.
- Keine chronischen Beckenschmerzen, keine Schmerzen beim Wasserlassen, keine Aussage zu Schmerzen beim Sex.
Allgemeinsymptome
- Schwäche, Schwindel, zwei Beinahe-Ohnmachten.
- Starker Durst und Salzappetit.
- Bekannter Eisenmangel, aktuell keine Eisensubstitution.
Was bedeutet das?
- Zyklusunregelmäßigkeiten und Zwischenblutungen können auf hormonelle Störungen, Myome, Polypen oder Endometriose hinweisen.
- Starke und schmerzhafte Perioden sowie zyklusabhängige Defäkationsschmerzen sprechen für Endometriose oder Adenomyose.
- Schwäche, Schwindel und Synkopen können durch Blutverlust (Eisenmangelanämie) oder Kreislaufprobleme verursacht sein.
- Starker Durst und Salzappetit könnten auch auf hormonelle Störungen (z.B. Nebennieren) hindeuten, sind aber oft unspezifisch.
Was solltest du tun?
- Gynäkologische Abklärung: Ein Besuch beim Frauenarzt ist dringend zu empfehlen. Es sollte ein Ultraschall gemacht werden, ggf. auch eine Hormonbestimmung und ggf. eine Gebärmutterspiegelung.
- Eisenmangel behandeln: Eisenwerte kontrollieren und ggf. wieder substituieren.
- Weitere Abklärung: Bei anhaltendem Durst und Salzappetit ggf. auch Hormonstatus (z.B. Cortisol, ACTH, Aldosteron) prüfen lassen.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

17 minutes ago

Hello dear
See as per history it seems endometriosis along with iron deficiency anaemia.
It will require comprehensive evaluation.
I suggest you to please get following tests done for confirmation and share result with gynaecologist in person for better clarity
Serum tsh
Serum prolactin
Serum ferritin
Serum estrogen
CBC
Esr
Rft
Lft
Pelvic USG
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

1 minute ago

Hello
🛑Das ist nicht normal.
Blutungen alle ~9 Tage sprechen für eine hormonelle Zyklusstörung (häufig anovulatorisch) – bei dir abklärungsbedürftig, vor allem wegen starker Schmerzen, Eisenmangel, Schwindel/Nah-Synkopen.
Wahrscheinliche Ursachen:
Hormonelles Ungleichgewicht (Östrogen/Progesteron)
Häufige Eisprünge ohne stabile Gelbkörperphase
Endometriose möglich (Hinweise: starke Dysmenorrhoe, Ovulations- und Defäkationsschmerz)
Eisenmangel verstärkt Schwäche & niedrigen Blutdruck
Was du jetzt tun solltest:
Gynecologist Abklärung
Ultraschall
Hormone (TSH, Prolaktin, LH/FSH, Progesteron)
Blood test: Hb, Ferritin (Eisen!), ggf. B12
Zyklusregulation (ärztlich):
z. B. Gestagen oder kombinierte Pille → stoppt die häufigen Blutungen
Eisen wieder einnehmen, sonst bleiben Schwindel & Schwäche
👉 Kurz gesagt: Das ist behandelbar, aber bitte nicht abwarten.
Thank you!

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menstruation kommt zu oft was kann ich dagegen machen? - #22803

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