Gynecology, Obstetrics and IVF Specialist Op. Dr. Seval Taşdemir mentioned that the stress caused by Covid-19 can cause menstrual irregularity.
What is menstrual bleeding?
The shedding of the inner lining of the uterus after hormonal changes is called menstrual bleeding. This shedding, in which pregnancy does not occur, repeats every 28 days. These 28 days are considered from the first day of the period to the first day of the next period. However, it is perfectly normal for this period to last between 21 days and 35 days.
What are the cycle periods?
A normal cycle is divided into two main phases, the follicular phase and the luteal phase. These phases are separated from each other by ovulation. The follicular phase until ovulation is the period when the lining of the uterus thickens. The period that starts with the first day of menstruation ends with ovulation and then the luteal phase begins.
What are the conditions for regular menstruation?
Hormones secreted from the brain play an important role in the start of the menstrual period. Hormones are also secreted from the pituitary gland following the continuation of these hormones. For menstruation to occur, there must be follicles in the ovaries and the hormonal cycle must be regular.
The menstrual cycle occurs with the thickening of the inner layer of the uterus, so the inner layer must be sensitive to hormones. In addition, the absence of any discomfort that will prevent the bleeding from flowing out creates the conditions for menstruation.
The egg cell that develops during the cycle passes through the fallopian tubes and reaches the uterus. In the absence of pregnancy, the unfertilized egg does not implant in the uterus and therefore there is no need for the thickened uterine lining. As a result, the thickened layer is shed and is excreted from the body through bleeding.
It is not certain at what age the first menstruation will appear. This process varies according to environmental and genetic conditions. Generally, the first menstrual bleeding occurs between the ages of 11 and 14. During the first two years following the bleeding, the bleeding process is irregular and it is perfectly normal to occur sometimes twice a month and in some cases every 3-4 months.
What causes period delay?
In some cases, the time between 2 cycles may be extended. There are various reasons for this. However, the recent Covid-19 epidemic and the quarantine process experienced all over the world have caused an increase in stress in women. Reasons for delay in menstruation include various diseases, extreme stress, advancing age, intense sports and sudden weight changes.
In addition to causing edema, restlessness and increased stress in women, delayed menstruation can actually cause delay in pregnancy. For this reason, regular sleep, healthy eating and regular exercise are recommended to control stress.