Normal menstrual function is realized as a result of correct, synchronous interaction of the most important links of neuroendocrine regulation, according to the Internet edition for girls and women from 14 to 35 years old Pannochka. net In this system of regulation, five levels are distinguished: the cortex of the brain; subcortical centers located mainly in the hypothalamus; appendage of the brain - pituitary gland; the sex glands are ovaries; peripheral organs (fallopian tubes, uterus and vagina). A big role in the regulation of menstrual function belongs to the thyroid gland and adrenal glands - organs that are under the influence of tropic hormones (TSH and ACTH), as well as the liver, in which the metabolism of sex hormones. Violations in this complex system of regulation can occur at different levels.
In this case, there are various in nature and severity of the disorder of the menstrual cycle - from uterine bleeding to amenorrhea (absence of menstruation). Depending on the clinical manifestations of these disorders are divided into three main groups: amenorrhea and hypomenstrual syndrome; menstruation disorders associated with bleeding; painful menstruation (algodismenorea).
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