World Diabetes Day: Can diabetes affect your menstrual cycle? Know from expert

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World Diabetes Day 2021: Diabetes can change a lot in our body and one of the changes that women suffer from type 2 diabetes may notice irregular periods. They can make you irritable or depressed, but our periods can tell a lot about our overall health. Women with diabetes are at risk of developing a condition called anovulation. This indicates that ovulation, the process by which the ovary releases an egg into the fallopian tube does not occur.

Every woman has a unique menstrual cycle, usually 25 to 35 days, due to the finely tuned balance of hormones in their body. Ovulation, or the release of an egg or egg, occurs as a result of this hormonal orchestra and plays a critical role in ensuring regular menstruation.

“Women with diabetes tend to have irregular and delayed menstrual cycles, usually because they don’t ovulate regularly. Women with diabetes tend to be obese, and this is a major contributor to hormonal imbalances that lead to anovulation, ”says Dr. Sunita. Varma, Director of Obs & Gynae, Fortis Shalimar Bagh Hospital.

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Women with diabetes may develop fertility complications due to anovulation. In addition, they are not only at risk of anemia, fatigue and loss of energy, but they can also develop uterine cancer later in life.

“Anovulation also causes an increase in estrogen, a hormone responsible for preparing the lining of the uterus (called the endometrium), making it favorable for embryo implantation if fertilization occurs. Increased estrogen levels due to anovulation can lead to thickening of the endometrium, leading to heavy and prolonged bleeding during menstruation. This can affect overall health and lead to anemia with associated fatigue and loss of energy. Continuously elevated estrogen levels over the years can also increase your risk of developing uterine cancer in the future. says Dr. Varma.

There is also an important link between polycystic ovary disease (PCOD) and type 2 diabetes. “Women with PCOD in adolescence and early adulthood have hyperinsulinemia or increased blood insulin levels… This triggers a cascade of hormonal events leading to insulin resistance, which prevents their bodies from using insulin to control their blood sugar levels. The end result of this cascade leads to obesity and delayed menstrual periods. According to Dr. Varma, these women with PCOD usually develop type 2 diabetes at the age of forty and still have irregular periods, especially if they are overweight.

To avoid these problems, women with diabetes are advised to make certain lifestyle changes, such as eating a healthy diet and exercising regularly, to keep their blood sugar levels in check and also to streamline their menstrual cycles.

It is important to see your gynecologist if you have diabetes and have any of the following symptoms:

* Skipping periods of more than 3 months

* Heavy or prolonged bleeding with clot discharge during menstruation.

* Erratic bleeding between cycles.

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