A diagnosis of Asherman's syndrome dependent on the presence of an irregular echogenic focus with calcification, especially represents with amenorrhoea or hypomenorrhoea
. Asherman's syndrome was excluded, since our patient had no history of hypomenorrhoea
The most common menstrual pattern amongst these patients was hypomenorrhoea
: Light/scanty menstrual discharge.
Thyrotoxicosis on the other hand presents mainly as hypomenorrhoea
. Cycles may be shortened or prolonged and ultimately amenorrhoea develops.
Abnormal Menses Terminology Term Interval Duration Amount Menorrhagia Regular Prolonged Excessive Metrorrhagia Irregular Prolonged Normal Menometrorrhagia Irregular Prolonged Excessive Polymenorrhoea Regular (but Normal Excessive < 21 days) Hypomenorrhoea
Regular Normal or less Less Oligomenorrhoea Infrequent or Variable Scanty irregular Amenorrhoea Absent No menses for Absent 90 days Definition of Menorrhagia on Broader Aspect
In patients with hyperthyroidism, majority that is 3 out of 2 had oligomenorrhoea and the next most common was hypomenorrhoea
(Scanty bleed): regularly timed but scanty bleeding (<50 mL/soaked pads 1-2/day), Dysmenorrhoea: lower abdominal pain accompanying the menstrual cycle.
Quality of life significantly improved after improvement in pressure symptoms as well as menstrual symptoms, eg-Amenorrhoea, Hypomenorrhoea
and disappearances of Dyspareunia and Rectal pain.
In a study done by Singh N et al, revealed menstrual abnormalities in 30% patients in which menstrual abnormality were in the form of hypomenorrhoea
and secondary amenorrhoea.