Menstruation disorders are problems that affect a woman's normal menstrual cycle. They are common during adolescence and can include heavy bleeding, painful cramps, and infrequent or absent menstruation.

Recommendations include the following:

# Care should be a collaborative effort between oncologists and gynecologists.

# Treatment for menstrual suppression or during an episode of severe heavy bleeding should be tailored to the individual patient, her cancer diagnosis and treatment plan, and her wishes for contraception and fertility.

# Menstrual suppression treatments include combined hormonal contraceptives, progestin-only therapy, and gonadotropin-releasing hormone agonists.

# Treatment for severe uterine bleeding may include hormonal therapy, antifibrinolytics, or surgical management and should take into account current platelet count, course of treatment, time to expected nadir, risk of thromboembolism, and the patient’s contraception needs.

Signs and symptoms
The existing broad classification for menstruation disorders is as follows:

# Amenorrhea and oligomenorrhea (lack of bleeding or too little bleeding)

# Dysmenorrhea (painful menstruation)

# Menorrhagia (excessive bleeding)