Common Menstrual Disorders We’re Not Talking About

When it comes to menstrual health, we often hear about common issues like PMS and cramps. But for many people, there are other, less-talked-about conditions that can make periods especially challenging. I remember when I first learned about some of these lesser-known menstrual disorders—I felt a sense of relief but also frustration. Relief, because I realized I wasn’t alone in my struggles and frustration because I’d spent years feeling like something was wrong with me without having a name for it. It's time to shed light on these unspoken conditions, so more people can recognize their symptoms, seek proper diagnosis, and find effective management options.

Endometriosis

Endometriosis occurs when tissue similar to the lining inside the uterus grows outside of it, causing severe pain, heavy periods, and sometimes infertility. It’s estimated that 1 in 10 people with periods have endometriosis, yet it can take years to get a diagnosis. Symptoms can include debilitating cramps, pain during intercourse, and even digestive issues. If you’re experiencing severe pain that interferes with your daily life, don’t hesitate to speak to your doctor and advocate for yourself. 

For more deep dives into endometriosis and to take a free online assessment visit our besties at Somedays on the Betterdays blog. 

Adenomyosis

Similar to endometriosis, adenomyosis involves tissue growing where it shouldn’t—this time within the muscular wall of the uterus. This condition can cause heavy bleeding, severe cramping, and chronic pelvic pain. It’s often mistaken for fibroids or dismissed as just ‘bad cramps,’ but it’s crucial to get the right diagnosis to manage the pain effectively. An ultrasound or MRI can help diagnose adenomyosis, and treatment options range from anti-inflammatory medications to surgery.

PCOS (Polycystic Ovary Syndrome)

PCOS is a hormonal disorder that affects approximately 1 in 10 people with periods. It is characterized by irregular or absent periods, elevated levels of male hormones, and the presence of multiple small cysts on the ovaries. Common symptoms include weight gain, acne, excessive hair growth, and infertility. PCOS can also increase the risk of developing other health issues like diabetes and heart disease. While there is no cure for PCOS, symptoms can be managed through lifestyle changes, such as maintaining a healthy diet and regular exercise, and medical treatments like hormonal birth control or medications that regulate insulin levels.

PMDD

PMDD is often referred to as a more severe form of PMS, but for those who experience it, it can be a life-altering condition. Affecting about 5% of menstruating people, PMDD causes intense mood swings, depression, irritability, and anxiety in the days leading up to your period. It’s more than just feeling a little “off”—the emotional symptoms can be so severe that they disrupt daily life, making it difficult to focus at work or school, maintain relationships, or even get out of bed.

Fibroids

Fibroids are non-cancerous growths that develop in or around the uterus. While they are quite common—affecting up to 70-80% of people with a uterus by age 50—they are often under-discussed. Many individuals with fibroids experience little to no symptoms, but for others, they can cause significant pain, heavy bleeding, and even fertility issues.

Dysmenorrhea

Dysmenorrhea refers to the painful cramps that occur during menstruation. While some level of discomfort is normal, severe cramps that interfere with daily activities could indicate a deeper issue. Primary dysmenorrhea typically begins shortly after menstruation starts and is not associated with any other health condition. Secondary dysmenorrhea, however, is often linked to other reproductive health issues like endometriosis or fibroids. Effective pain management can include over-the-counter pain relievers, heating pads, and, in some cases, prescription medications or hormonal treatments.

Menorrhagia

Menorrhagia is characterized by heavy menstrual bleeding that lasts longer than usual or involves excessive blood loss during a typical menstrual period. If you're soaking through pads or tampons every hour, experiencing prolonged bleeding beyond a week, or passing large blood clots, you may be dealing with menorrhagia. This condition can be caused by hormonal imbalances, uterine fibroids, or even certain medications. A healthcare provider can help identify the cause and recommend treatments like hormonal therapies or surgical options.

Metrorrhagia

Metrorrhagia refers to bleeding at irregular intervals, particularly between expected menstrual periods. This condition can be alarming and is often a sign of an underlying issue such as hormonal imbalance, uterine fibroids, or even an infection. If you experience spotting or bleeding between periods, it’s important to consult a healthcare provider for a thorough evaluation.

Amenorrhea

Amenorrhea is the absence of menstruation and is considered abnormal if a person misses three or more periods in a row or has not begun menstruating by the age of 15. Primary amenorrhea refers to a delay in the start of menstruation, while secondary amenorrhea occurs when someone who has had regular periods suddenly stops menstruating. Causes can range from hormonal imbalances and stress to more serious conditions like polycystic ovary syndrome (PCOS) or thyroid disorders.

Oligomenorrhea

Oligomenorrhea refers to infrequent menstrual periods, usually defined as fewer than six to eight periods in a year. It can be a symptom of underlying health issues like PCOS, stress, or excessive exercise. While infrequent periods might seem like a relief, they can also signal a disruption in the hormonal balance and should be discussed with a healthcare provider.

Hypomenorrhea

Hypomenorrhea is characterized by light menstrual periods, which may involve minimal bleeding and a shorter duration of menstruation. This condition can be caused by hormonal imbalances, thyroid disorders, or even certain birth control methods. While it’s often not a cause for concern, persistent changes in menstrual flow should be evaluated by a healthcare provider.

Why Diagnosis Matters

Understanding and diagnosing these conditions is essential because they’re not just ‘bad periods.’ They can have significant impacts on quality of life and reproductive health. The earlier you identify and treat these conditions, the better you can manage your symptoms and prevent complications down the road.

Symptom Management and Aisle Product Recommendations

Managing symptoms often involves a combination of medical treatment and lifestyle changes. For those who experience heavy bleeding and need reliable protection, Aisle offers a range of sustainable period products that can make life a little easier. Aisle’s Reusable Pads and Period Underwear are great options for managing heavy flow days comfortably and discreetly. The high absorbency and breathable materials provide peace of mind, so you can go about your day without worrying about leaks.

For lighter days or as a backup, Aisle’s Reusable Liners are a discreet option that can be worn with a menstrual cup or tampons, providing extra protection without compromising comfort. Choosing the right period products can be a crucial part of managing symptoms and feeling more in control during your cycle.

For cramps and other period related pains we wouldn't make it through a single menstrual phase without the range of products from somedays, who have created a line of period pain management options without all of the side effects that come with painkillers. Our fav? Cramp Cream and a Heat Pad combo.

If you suspect you might have one of these conditions, don’t be afraid to advocate for yourself. Reach out to a healthcare provider, get a second opinion if needed, and explore the treatment options available to you. You deserve to have your pain taken seriously and to live your life with comfort and dignity.