Many circumstances that a woman will not pay attention to, can affect menstruation. This is also true when there is a serious ailment. Diabetes is caused by hormone deficiency. These same substances determine the nature of critical days and even their very existence.
Therefore, menstruation with diabetes also significantly differ with what happens without it. Sometimes their influence is more noticeable than the negative effect of a woman's gynecological diseases.
Diabetes mellitus in women
In addition to the fact that this ailment is found more often in women, it passes differently than in men. One important aspect is how diabetes affects the monthly, and hence reproductive, opportunities.
Nature of the disease is hormonal. There are two options for its development:
- Deficiency in the production of insulin by the body;
- Immunity of this substance by tissues.
But in any case, this hormone stops working, as before, causing an excessive amount of glucose in the blood. To maintain its functions, there are indispensable conditions in the form of the use of medicine and diet.
The main role of insulin is to regulate metabolic processes, in particular, associated with carbohydrates. But it also affects fat cells, suppressing their decay. And lipids, in turn, have an effect on sex hormones, in this list and estrogens. Because diabetes and menstrual are so closely related.
Hormones also have feedback from the organs that produce them, and also mutually affect each other. Produced pancreatic insulin, belonging to a group of peptides, is able to suppress or increase the production of steroids, including progesterone, estradiol, testosterone.
The latter regulate both the cycle and the parameters of menstruation. She, among other symptoms, can suggest the existence of diabetes. Excess of sugars in the body causes itchy mucous in the perineum, which with the arrival of menstrual increases.
Cycle length in case of
Disease Are irregular monthly and diabetes mellitus associated? The question is forced to clarify, first of all, those who have found the first type of metabolic disorder. He is diagnosed even in childhood. And with the approach of the girl to the adolescent period, the main feature of the cycle is instability, more pronounced than in peers without this disease.
Usual manifestation is irregular monthly with diabetes mellitus. A feature is observed in half of the ladies with such a disease. Than in earlier age there was a diabetes, the it is more essential caused by it hormonal malfunctions.
In men who have become ill with them teenage menstruation comes a year or two later than their healthy peers in this respect. In general, the arrival of critical days in time is possible, and their occurrence is earlier than expected. Both variants can alternate.
Deficiency affects primarily the function of the ovaries. These organs produce the substances necessary for the development of the cyclic process. A negative sign is not one delay in menstruation, diabetes mellitus can do so that not in every period ovulation happens.
Specialists for this reason are sure that it is necessary to plan a pregnancy with a girl with a similar diagnosis early enough. Because with her growing the probability of conception and the number of ovulatory cycles decreases, menopause comes much earlier.
Can there be a delay in menstruation with diabetes, is determined by the level of development of the endometrium. In order to replace the old layer of the uterine mucosa, it is necessary that it come in a certain form. Because of the deficiency of progesterone and the predominance of estrogens, its development occurs differently, and in addition, at a slower rate.
Absence of menstruation
Absence of menstruation with diabetes mellitus
The effect of diabetes on menstruation may turn out to be such that they cease to come from some time. This occurs with the development of malaise and, accordingly, the aggravation of hormonal deficiency. It concerns mainly progesterone. Estrogens are found in higher concentrations.
At the same time, an increase in ovarian production of the male hormone testosterone is recorded. It is stimulated by regularly administered insulin.
This also explains why do not go menstruating with diabetes. The appearance of a woman also changes: the voice becomes coarse, the hair grows according to the male type, but the main thing is that the reproductive function is dying. When a disease exists from adolescence, it can begin as early as 25 years.
But if there is no menstruation for diabetes, it is possible that "guilty" will be pregnancy. Despite more modest chances in comparison with healthy women, this possibility is real and at disease.
We recommend reading about the features of the menstrual cycle with a disease such as endometriosis. Learn about the symptoms and manifestations of the disease, the regularity and the number of monthly discharges in women, the methods of treatment.
The nature of menstruation for hormonal disorders
How diabetics affect the monthly in this respect depends on the degree of the disease and the level of hormonal failure. The latter can have a different character and cause additional problems directly in the reproductive system. It has already been said that the ovaries are most affected by diabetes. But it is also not the same. Endometrium is also affected by hormones, so the appearance of menstruation and accompanying sensations are manifested in different ways.
Diabetes mellitus and monthly connects also the fact that in this phase the body's need for insulin increases. Increasing the dosage is vital. But this circumstance can affect the whole process unpredictably, as well as the further functioning of the reproductive system.
Why is there a lot of excreta?
Abundant monthly for diabetes mellitus happen for several reasons:
- The appearance of concomitant diseases of the mucous membrane of the uterus. This is hyperplasia and endometriosis. With them, the number of tissues and their thickness increase under the influence of increased estrogen and low progesterone. They provoke its bulk at the end of the cycle, when it comes time to replace the old layer with a new layer.
- Increased secretory function of the vagina and cervix. Allocations, which on other days of the menstrual period are transparent, increase and join the menstrual period. In fact, such whites increase quantitatively beyond the critical days. But they make it much more plentiful for any type of diabetes.
- Vessels become brittle when they become sick, blood coagulates more slowly. It, too, will constitute a significant proportion of allotments. For the same reason, diabetes mellitus makes not only more intense, but also prolonged. It is known that the disease is characterized by a decrease in the ability of the body to heal tissues. In order for the vessels to "close", it takes more time.
The last reason is also painful on critical days. And with the wrong dose of insulin, which in this period is required more, itching of the perineum and even vaginosis may occur.
When menstruation is almost invisible
Lean monthly with diabetes is due to hormonal disorders of a different nature. They have already been mentioned, this is a deficiency of progesterone and an excess of estrogens. They interfere with the full operation of the ovaries. The follicle does not stand out in them, there is no mature egg. Consequently, in the cycle there will be no yellow body producing the hormone responsible for thickening of the uterine mucosa.
Endometrium remains delicate at all stages of the cycle. Even more, it decreases at the end, when it should make room for new cells. Therefore, menstruation with diabetes mellitus is small in volume and short in time.
How to streamline the work of the reproductive system?
When the disease is overtaken at a young age, naturally, not only therapy for the normalization of carbohydrate metabolism will be required. There is a question, how to cause a monthly with diabetes. If you do not pay proper attention to it at once, the reproductive system degrades to such a level that it will not be possible to return its work to the right track.
Preparation for restoring the reproductive system
At the onset of the disease, all that is needed to restore the regularity of the cycle is a sufficient dose of insulin. Especially they are important in adolescents and young women. But over time additional funds are required. First of all, this hormonal contraceptives, normalizing the work of the ovaries:
- Jeanine;
- Marvelon;
- Yarina;
- Regulon;
- Triziston.
Preparations artificially increase estrogens and progestins, and also counterbalance their volume relative to each other. That is, they model that picture, which is normal. Drugs drink the entire cycle, to which they are calculated, and the abolition causes a sharp drop in hormones in the blood and the removal of obsolete endometrial tissue.
But these agents are shown with a stable glucose index in the blood, provided by the intake of insulin. Dosage is chosen by the doctor, since there is a danger of harm to blood vessels and the heart.
In the absence of menstruation for diabetes mellitus, treatment is usually supplemented with preparations containing artificial progesterone:
- Dufaston. The main substance is dydrogesterone. Dosage is prescribed, bearing in mind the nature of the disorders, which in diabetes can be different;
- Utrojestan. The gestagenic agent of plant origin. Stimulates stabilization in the development of the endometrium;
- Norkolut. The active ingredient is norethisterone. The agent prevents an abnormal increase in the endometrium, reducing the secretory part of the cycle.
It is also possible to administer progesterone injections on the same conditions.
Of folk remedies for the diagnosis of "diabetes" menstruation will help to produce a decoction of bay leaf. This tool also has a hypoglycemic effect, so there is no need to fear an adverse side reaction from it.
We recommend to read an article about the features of the menstrual cycle in the ovarian cyst. You will learn about the course of the disease and its symptoms, the consequences and methods of treatment, as well as on the restoration of the reproductive function of women. Monthly for any type of diabetes will inevitably change, the impact of insulin deficiency and resistance to it on the entire body is too great. If you give enough attention and strength not only to treatment of the basic malaise, but also caused by difficulties in the reproductive sphere, you can avoid early aging and extinction of sexual functions.
It is important not to show self-activity, but to do this, periodically examining, following the recommendations of the endocrinologist and gynecologist. The last specialist should go more often than before the diagnosis.