For more sexually active women in their reproductive years, the absence of periods is a clear signal of pregnancy. And in older non-pregnant women, amenorrhoea may mean that menopause is approaching or has arrived. In both groups of women, amenorrhoea is perfectly normal. However, in some cases amenorrhoea can indicate an underlying medical problem.

              Primary amenorrhoea is present when a young girl has not started to menstruate even at age 16. This may be because she has some hormonal imbalance or developmental problem, which can often be treated with Homoeopathic medicines.  Amenorrhoea, more commonly affects women who have previously had regular menstrual cycles. A variety of reasons can cause secondary amenorrhoea such as hormonal imbalance, excessive exercise, underweight loss or weight gain, stress or discontinuation of the birth control pill.

              A hormone imbalance and amenorrhoea can also result from :-

Ovarian cysts
Problems with the adrenal glands
Thyroid conditions.
Anorexia
Other medical conditions

              There are probably few women who can truthfully claim they never had dysmenorrhoea, the painful menstruation or menstrual cramps. The majority of women are thought to experience some degree of dysmenorrhoea.

There are two types of dysmenorrhoea:-

Primary dysmenorrhoea.
Secondary dysmenorrhoea.

Primary dymenorrhoea
              In primary dysmenorrhea, no disease or other medical cause can be found for the pain and other symptoms, which may include backache, diarrhoea, dizziness, headache, nausea, vomiting and a feeling of tenseness. Primary dysmenorrhoea frequently affects women in their teens and early twenties, who have never had a baby.

Cause
              The symptoms are caused by prostaglandin, a natural hormone produced by cells in the uterine lining. The level of prostaglandin increases in the second half of the menstrual cycle. When a woman’s period begins, the cells in the uterine lining release prostaglandin as they are shed. Women with severe primary dysmenorrhoea have significantly higher prostaglandin levels in their menstrual fluid than do other women. The only good thing can be said about primary dysmenorrhoea is that usually the symptoms don’t last very long. Some women have pain for about two days, but rarely longer.

Secondary dysmenorrhoea
              It is caused by a physical condition. Women who suffer from it tend to be older than those with primary dysmenorrhoea. Some conditions that may be responsible for secondary dysmenorrhoea are :
 

Adenomyosis -uterine tissue growing into the uterine wall.
Endometrial polyps -growths in the uterine lining.
Endometriosis -uterine tissue that grows outside the uterus, in the ovaries and other locations. Endometriosis is the most common reason.
Fibroids (growths in the uterus).
Narrowing of the cervix (the entrance to the uterus) as it opens into the vagina.
Pelvic Inflammatory Disease (PID).
Use of an intrauterine device (IUD).

              Any one who experience heavy prolonged menstrual bleeding soaking through at least a pad an hour for several consecutive hours, knows how unpleasant, disabling and frightening it can be. Sometimes, the bleeding is so heavy that it is necessary to skip off work, school and other social activities.

              Menorrhagia is abnormal uterine bleeding, which may be caused by medical problems like hormone imbalance. The most common cause is dysfunctional uterine bleeding, another frequent cause of menorrhagia is uterine fibroids.  Together, hormone imbalances and fibroids account for about 80% of  menorrhagia cases. Other causes include endometrial cancer, polyps, thyroid conditions and the blood  diseases.

              This abnormal uterine bleeding is a problem that often affects women as they start to get periods and in puberty as they get closer to menopause. The main symptoms are prolonged and irregular menstrual bleeding. The bleeding may be irregular spotting during the cycle, but sometimes the bleeding is so heavy that a woman can't participate in her normal day-to-day activities, such as work and exercise. Many who have suffered from dysfunctional uterine bleeding  probably remember embarrassing incidents with stained clothing or bed sheets.

              Dysfunctional uterine bleeding occurs because of a hormone imbalance in the body. There will not be any specific medical condition such as polyps or uterine fibroids, cancer or complications of pregnancy.

              A woman's normal hormonal cycle depends upon a delicate balance between a number of hormones. There are many possible causes for hormone imbalance that may result in dysfunctional uterine bleeding. For example, if a woman fails to ovulate her ovary won't receive a cue to produce a hormone called progesterone. Progesterone is needed to regulate the uterine lining called endometrium, which is discarded during menstruation. Without progesterone, the endometrium keeps growing until it starts to break down and is shed as a very heavy uterine bleeding. The endometrium may also shed incompletely and irregularly, and bleeding becomes irregular or prolonged. Lack of ovulation is a major cause of dysfunctional uterine bleeding in women resulting in excessive bleeding and infertility. Very heavy periods may cause anaemia; you feel physically drained and horn out extremely.

              Pre menstrual tension or PMS consists of various physical and emotional symptoms that occur in the second half of the menstrual cycle, after ovulation. The symptoms begin at about the midcycle and are generally most intense during the last seven days before menstruation. Fortunately, a woman obtains relief when her mensturation begins. Another feature of PMS is a symptom of free time for several days every month, in the first half of the menstrual cycle.

Physical symptoms

Acne.
Backache.
Bloating.
Fatigue.
Headache.
Sore breasts.

Emotional symptoms

Changes in sexual desire.
Depression.
Difficulty in concentrating.
Difficulty in handling stress.
Irritability.
Tearfulness or weeping.

              You'll be surprised to learn that few women experience all these symptoms! Most have a few that recur every month. The symptoms of certain medical conditions can resemble PMS. These conditions include allergies, depression, diabetes, simple dysmenorrhoea , endometriosis, fibrocystic breast disease and thyroid problems. Generally, PMS is recognizable because it comes and goes at the same time  each month. The primary cause is  Hormonal Imbalance.

              Evaluation of Abnormal Menstrual Bleeding is carried out well  with the help of case history, physical and pelvic examination. You may also have your blood, urine and stool investigated in similar conditions of the gastrointestinal and urinary systems. A pregnancy test is necessary if you are sexually active. You may also have investigations to determine whether you are ovulating or have any sexually transmitted diseases. They’re very helpful to evaluate anaemia, hormonal imbalance related to thyroid pituitary, adrenal and ovary, should  be carried out relevant to the disease conditions. Your doctor may remove a small amount of tissue from the endometrium for testing.

              Ultrasonography, CT scan and MRI are needed to arrive at diagnosis.

              Normally the patients are put on "Hormone Therapy". The preparations in material doses are the combination of hormones. It can control bleeding or produce a withdrawl bleeding. But these are not helpful for longtime treatment. In such situation they produce enormous side effects. There is no permanent cure with hormonal preparations though it is very helpful only in emergencies.

              The best way to treat it is the natural way by eliminating the causative factors. Mentrual problems are usually associated with other problems such as obesity, hypothyroidism and other pathological lesions commonly. They should be considered as an single entity to achieve the goal. Homoeopathy treats the patient as a whole and look deeper into the problems.

              Homoeopathy gives the best treatment to your problems. You may have hormonal imbalance or other pathological lesions which are amenable to our treatment. Homoeopathy eliminates your complaints based on the natural law of treatment without side effects.We do not administer any hormone preparations. We treat you as a complete entity and help regularising the hormonal inbalance to normal. Homoeopathy medicines act on the proliferative cells to bring normalcy as I had observed in many diseased conditions. I have come across many cases such as Amenorrhoea, Menorrhagia, Dysmenorrhoea with definite success. Homoeopathy finds permanent solution for the irregular periods, premenstrual tension, migraine and anxiety neurosis are also quite amenable to our treatment.