· Hormonal imbalance
· Abnormal menstrual cycle
· Amenorrhea
· Frequent menstruation
Intervention for causative factors such as birth control pills (estrogen/progesterone preparations), hormonal preparations (thyroid hormone preparations or prolactin suppressants, etc.), stress, and weight gain
Avoidance of aggravating factors – stress, weight gain, etc. – Periodic ultrasound and hormone evaluation for prevention and early detection of endometrial disease caused by long-term amenorrhea
· Menorrhagia
· Uterine fibroids
· Adenomyosis
Induce reduction of menstrual flow with LNG-IUD (Mirena), birth control pills , etc., and refer to tertiary medical institution if surgical treatment is required
Secondary health problems due to excessive menstruation – anemia, cardiovascular disease, fatigue, etc. – Efforts to resolve them, counseling to preserve fertility
· Menstrual cramps
· Endometriosis
· Adenomyosis
If painkillers/contraceptives are required/surgical treatment is required, referral to a tertiary medical institution
Prevention of secondary problems caused by severe menstrual pain – depression, etc. – regular checkups to detect disease progression early, and counseling to preserve fertility