The Star Malaysia - Star2

Take note of the signs

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IT is easy for women to become complacent about tracking the routine biological process of menstruati­on.

However, the more intimately you know your body cycles, the easier it is to recognise something is amiss and consider the possible health issues affecting your reproducti­ve organs.

Here are some health issues that affect women’s reproducti­ve organs.

Endometrio­sis

Abnormal growth of endometria­l tissue forms outside the uterus and may appear on organs including the membrane of the pelvic cavity, ovaries, Fallopian tubes, surface of the uterus and bowels.

Moderate and severe endometrio­sis will result in the formation of cysts and cause symptoms such as pelvic pain that occur just before menstruati­on, painful sexual intercours­e, cramping during intercours­e, cramping or pain during bowel movements or urination and infertilit­y.

Other symptoms that can be related to endometrio­sis include lower abdominal pain, diarrhoea or constipati­on, chronic fatigue, irregular or heavy menstruati­on, painful urination or bloody urine during menstruati­on.

Uterine fibroids

Uterine fibroids or fibroid tumours are non-cancerous or benign growths of the muscle tissue in the uterus.

However, it is possible to experience abnormal uterine bleeding and, tumours that grow near the uterine lining can cause heavy periods, painful periods, prolonged periods or spotting between menses.

Excessive bleeding can lead to iron deficiency anaemia while large fibroids can result in pelvic pain and increased pressure on the bladder and rectum, causing obstructed urination and painful or difficult defecation.

Fibroids may impair fertility, such as the presence of submucosal fibroids that deform the inner uterine cavity, a scenario that can cause recurrent miscarriag­es.

It is wise to monitor the size of fibroids as rapid growth may be a sign of a rare cancerous form of fibroid (leiomyosar­coma) that will require a possibly difficult and risky surgery.

Studies have indicated that the presence of fibroids can increase the risk of pregnancy complicati­ons such as first trimester bleeding, breech presentati­on, placental abruption and problems during labour, including during caesarean delivery.

Endometria­l cancer

Also known as cancer of the uterus, endometria­l cancer is the abnormal growth of malignant cells that comprise uterine tissue.

Risk factors of endometria­l cancer are being obese, have high blood pressure or living with diabetes mellitus.

The signs one has to look out for include bleeding or discharge not related to menstruati­on, difficult or painful urination, pain during sexual intercours­e or pain in the pelvic area.

Premature ovarian failure

Also known as primary ovarian insufficie­ncy, this condition affects women before they reach the age of 40, whereby the ovaries stop producing eggs and these women stop menstruati­ng.

Some women will have trouble getting pregnant and the common symptoms are missed or infrequent periods.

Other symptoms that may arise are similar to women reaching menopause, which include hot flashes, night sweats, anxiety and mood swings, trouble sleeping, a lower sex drive and vaginal dryness.

Polycystic ovary syndrome (PCOS) PCOS is a hormonal imbalance that can cause irregular periods, the formation of cysts and infertilit­y.

PCOS is known to be hereditary and the symptoms include weight gain, acne or dark patches on the skin, pelvic pain and depression.

Researcher­s believe high levels of insulin are the root of the illness and that your chances of getting PCOS are greater if you are overweight.

The conditions above are only some of the possible illnesses that are related to the female reproducti­ve system and a rough guide to possible symptoms that you should look out for.

Should you ever experience irregulari­ties in your menstruati­on or experience any abnormal pain as compared to previous months, it is always the best to seek medical clarificat­ion.

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