Clinical signs of the phases of the menstrual cycle

In most fully the phase of the menstrual cycle could be defined with the direct study of variations in the levels of pituitary and ovarian hormones in the blood or urine of women in their minimum five-time study for one cycle. However, the complexity of the methods do not allow to widely use these methods, and the doctors resort to indirect methods of determining the phases of the cycle. In addition to the complexity of the ways to determine the level of sex hormones, lie to this significant question the fundamental nature: how the investigation of the level (amount) of sex hormones is of clinical significance. The matter is that, as observations show, the primary role is played not by the number of hormones and the body's response to their presence. It is known, for example, that women in menopause are sensitive to estrogen and to obtain from them a withdrawal bleed reactions you need to enter several times less estrogen compared to women of reproductive age. It is also known that the quantitative limit of normal for estrogen and progesterone vary significantly; the same applies to the pituitary and adrenal hormones. Thus, for every woman according to her individual reactivity, apparently, will vary with the level of hormones, which will lead to certain changes as a whole body and especially the sexual sphere. The Clinician's much more important to consider and identify the reaction than those components that lead to this reaction. Of course, the parallel detection of absolute amounts of hormones and nature of the reaction it would be ideal to clarify the mechanism of some variance, but due to the above reasons currently have in their judgments based mostly on the nature of the responses of the organism.
In accordance with the phases of the menstrual cycle in a woman's body there are certain functional changes that are easily captured either by regular clinical examination, or with special simple methods. All these changes are subject to the law on wave frequency physiological shipments of the female body, as stated in the last century, D. O. Ott.
Detail monitoring of different systems during the menstrual cycle revealed that practically there is no organ, tissue, one party or another exchange or nervous activity, which did not undergo specific, logical changes that are in full compliance with the phase of the menstrual cycle.
A number of changes in the General condition of the body and in a state of sexual sphere are studied well enough and now play the role of functional Tests, which explores the doctor can judge norm and pathology of the menstrual cycle.
Knowledge tests of functional diagnostics allows the doctor not only to establish the normal phase of the cycle, but also to properly assess these or other symptoms of pathological conditions, and on changes of certain signs to monitor the effectiveness of the therapeutic services and effective clinical supervision, based on these signs as on objective indicators.
Neuro-psychic activity through the cycle undergoes certain changes. In norm the most characteristic are the shifts in the direction of increasing emotional excitability, prone to irritability, appearing in the second phase of the menstrual cycle. This is accompanied by a slight decline in mental and physical performance, the deterioration in the development of new skills, decreased attention. When ovarian failure mental activity is lability, instability with rapid istoshchaemosti as processes of excitation and braking. Often determined predisposition of such patients to the development of depression and tearfulness. As the normalization of menstrual function is noted and a parallel improvement of neuro-psychic activity.
Vascular reactions throughout the menstrual cycle also undergo regular change, the essence of which is that blood pressure during menstrual bleeding is reduced on the average on 10-15 mm RT. century; in the small arteries in the premenstrual period develop spastic condition, and in the period of menstruation is determined by relaxation of vascular tone with the expansion of the lumen of the vessels. Capillaroscopy, held throughout the cycle, identifies changes characterized by the fact that in the phase of maturing follicles capillaries are slightly narrowed, the blood flow in them crash; in the phase of existence of the yellow body capillaries moderately dilate, blood flow is uneven (that is speeding up, slowing down); before menstruation capillaries are spastic condition, the blood flow in them watch fails; in phase bleeding capillaries sharply increased in diameter, the blood flow in them speeded up.