Alamaat

Beqaida mahwari

Teen hafton mein do baar mahwari, phir do maheene kuch nahin. Bohat si auraton ke liye be tarteeb hota maheena perimenopause ki pehli nishani hota hai. Hidayat kya kehti hain, aur doctor ko kab dikhana hai.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Yeh kyun hota hai
  5. Hidayat mein kya likha hai
  6. Ilaaj ke baare mein hidayat kya kehti hain
  7. Doctor ko kab dikhayen
  8. Doctor se poochne ke sawal
  9. Deen aur ghar wale
  10. Is par nazar rakhein
  11. Aam sawal
  12. Milte julte mauzuaat
  13. Hawale

Pehle aap ko apni tareekhein yaad rehti thin. Aap Ramzan, kisi shaadi, ammi ke ghar jane ka programme in ke hisaab se bana leti thin. Ab mahwari jaldi aa jati hai, ya der se, ya aati hi nahin, aur phir aik maheene mein do baar. Agar yeh jana pehchana lagta hai, to aap akeli nahin: be tarteeb hota maheena aksar perimenopause (mahwari band hone ke aas paas ka waqt) ki sab se pehli nishani hota hai.

Lafz aur hidayat

English
Irregular periods
In naamon se bhi dhoonda jata hai
missed periods, irregular cycles, irregular menstrual cycle
Urdu
بے قاعدہ ماہواری
Roman Urdu
beqaida mahwari
  • NHS ki website kehti hai ke perimenopause ki pehli nishaniyon mein se aik umooman mahwari mein tabdeeli hoti hai: yeh pehle se zyada ya kam baar aa sakti hai, aur khoon zyada ya kam ho sakta hai, yahan tak ke mahwari bilkul band ho jaye.
  • NICE NG23, menopause ki woh hidayat jin par England ke doctor chalte hain, kehti hain ke 45 saal ya is se bari sehatmand auraton mein, jinhein haal hi mein hot flush ya paseene shuru hue hon aur saath mahwari mein koi tabdeeli ho, perimenopause laboratory test ke baghair pehchana ja sakta hai (sifarish 1.3.1).
  • Pakistan Menopause Society ki 2026 ki sifarishaat beqaida mahwari ko shuru ke perimenopause ki alamaat mein ginti hain (Table 1), aur kehti hain ke 45 saal ya is se bari sehatmand aurat mein, jab naye hot flush ya paseenon ke saath mahwari mein tabdeeli ho, to perimenopause ka imkaan hai (Table 3).
  • NHS ki website kehti hai ke menopause ke qareeb beqaida mahwari ka imkaan zyada hota hai, aur yeh ke koi app ya diary yeh dekhne mein madad de sakti hai ke mahwari beqaida hai ya nahin.

Yeh kya hai

Mahwari jo ab aik jaise waqfe par nahin aati. NHS ki website batati hai ke do mahwariyon ke beech aam waqfa kitna hota hai aur kis had ke baad woh ise beqaida maanti hai, aur kehti hai ke menopause ke qareeb beqaida mahwari ka imkaan zyada hota hai.

Pakistan Menopause Society isi waqfe se marhale tay karti hai. Us ki sifarishaat ke mutabiq shuru ka perimenopause tab shuru hota hai jab maheene ki lambai aik baar se doosri baar tak aik hafta ya is se zyada badalti rahe, aur aakhir ka perimenopause woh marhala hai jab do maheene ya is se zyada mahwari na aaye (section 1.2.5 aur 1.2.6).

Yeh kaisa mehsoos ho sakta hai

Yeh kuch aisa dikh sakta hai: har do teen hafte baad mahwari, ya kai kai maheene kuch nahin. Aik maheene halki, agle maheene bhaari. Aise waqt dhabbe jab kisi cheez ki tawaqqo na thi.

Rozmarra mein yeh be yaqeeni jaisa lagta hai. Har handbag mein pad, kahin zaroorat na par jaye. 46 saal ki umar mein yeh sochna ke kahin hamal to nahin.

Yeh kyun hota hai

NHS ki website menopause ke shuru hone ko beqaida mahwari ki aam wajuhaat mein ginti hai, aur Pakistan Menopause Society perimenopause ki shuruaat usi waqt se ginti hai jab maheena beqaida hone lage (section 1.2.4).

NHS ki website aur wajuhaat bhi ginti hai, aur inhein dekh lena chahiye: hamal, hormone wali family planning jaise sirf progestogen wali goli, injection ya hormone wali coil, wazan ka bohat kam hona ya bohat barhna, stress aur bechaini, bohat zyada warzish, aur PCOS (jise ab polyendocrine metabolic ovarian syndrome kehte hain) ya thyroid ke masle jaisi beemariyan.

Hidayat mein kya likha hai

  • NHS ki website kehti hai ke kisi app ya diary mein mahwari ka hisaab rakhein, taake dekh sakein ke yeh beqaida hai ya nahin. Alamaat ka record mein hai ke kaise.
  • Pakistan Menopause Society doctoron se kehti hai ke pehli appointment par aur baad ki appointment par aap ke khoon aane ka andaaz likhein (Tables 1 aur 4). Aap ka apna record yeh kaam aasaan kar deta hai.
  • NICE NG23 aur Pakistan Menopause Society donon kehte hain ke 45 saal ya is se bari sehatmand aurat mein perimenopause us ki alamaat aur us ke maheene se pehchana jata hai, khoon ke test ke baghair. 45 se kam umar mein doctor test kar sakta hai, aur hidayat batati hain ke kab.

Ilaaj ke baare mein hidayat kya kehti hain

Beqaida mahwari ka apne aap mein hamesha ilaaj zaroori nahin hota. NHS ki website kehti hai ke jab ilaaj ki zaroorat ho, to woh wajah par munhasir hai.

Agar wajah perimenopause hai aur aap ko doosri alamaat bhi hain, to NHS ka menopause wala safha likhta hai ke perimenopause mein HRT (hormone ki dawa) lene se mahwari zyada baqaida ho sakti hai. Woh yeh bhi kehta hai ke shuru mein kuch beqaida khoon ya dhabbe aa sakte hain, jo 6 maheene ke andar theek ho jane chahiyen, aur agar na hon to GP se baat karein. HRT aap ke liye theek hai ya nahin, yeh faisla doctor aap ke saath mil kar kare ga.

Doctor ko kab dikhayen

NHS ki website kehti hai ke GP ko dikhayen agar aap ki mahwari beqaida hai, 7 din se zyada chalti hai, do mahwariyon ke beech khoon aata hai, ya saath aisi alamaat hain jaise wazan barhna, thakawat, chehre par baal, ya khushk ya chikni jild.

Pakistan Menopause Society do mahwariyon ke beech bilawajah khoon, jinsi taalluq ke baad khoon, aur achanak bohat zyada ya lambe arse tak khoon aane ko khatre ki nishaniyon mein ginti hai (section 2.3). Aur agar poora aik saal mahwari na aaye aur phir khoon aa jaye, to yeh menopause ke baad khoon aana hai, jise hamesha check karwana zaroori hai.

Doctor se poochne ke sawal

  1. Meri mahwari ka andaaz badal gaya hai. Kya yeh perimenopause ho sakta hai, aur kya humein kisi aur cheez ko bhi dekhna chahiye?
  2. Kya mujhe koi test chahiye, ya perimenopause meri alamaat se pehchana ja sakta hai?
  3. Kya mujhe abhi bhi family planning ki zaroorat hai, aur kab tak?
  4. Kya HRT se meri mahwari baqaida ho jaye gi, aur agar shuru karoon to kaisa khoon aane ki tawaqqo rakhoon?
  5. Kis tarah ka khoon aaye to mujhe jaldi wapas aana chahiye?

Deen aur ghar wale

Jab mahwari ka andaza hi na ho sake, to sawal jama hote jate hain. Yeh khoon mahwari hai ya kuch aur? Namaz dobara kab shuru karein? Jo roze chhoote, woh waise hi gine jayen ge? Auratein har Ramzan yeh sawal poochti hain aur unhein saaf jawab kam hi milta hai. Yeh sawal kisi mustanad aalim se poochne ke hain, aur Roshara in par koi faisla nahin deta. Aap jis se bhi poochein, apni tareekhon aur har baar kitna khoon aaya, is ka record saath ho to madad milti hai.

Ghar mein bhi, likha hua record ho to baat sirf aik baar samjhani parti hai.

Is par nazar rakhein

  • Yeh Roshara ke alamaat ke score ki 27 alamaat mein se aik hai. Chand minute mein sab ko number dein, account ke baghair, aur kul number apni appointment par le jayen. Alamaat ka score shuru karein
  • “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
  • Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein

Aam sawal

Kya yeh jaanne ke liye ke main perimenopause mein hoon, mujhe khoon ka test chahiye?
Umooman nahin, agar aap 45 saal ya is se bari hain. NICE NG23 kehta hai ke 45 saal ya is se bari sehatmand auraton mein, jinhein haal hi mein hot flush ya paseene shuru hue hon aur mahwari mein tabdeeli ho, perimenopause laboratory test ke baghair pehchana ja sakta hai (sifarish 1.3.1). Pakistan Menopause Society bhi yahi kehti hai (Table 3). (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))
Agar mahwari beqaida hai to kya main ab bhi hamila ho sakti hoon?
Ji haan. NHS ki website kehti hai ke perimenopause mein hamal ho sakta hai, aur yeh ke agar aap 50 saal ya is se bari hain to aakhri mahwari ke baad 1 saal tak, aur agar 40 se 49 saal ki hain to 2 saal tak family planning ki zaroorat rehti hai. (Hawala: NHS website, Symptoms of menopause and perimenopause (reviewed 19 May 2026))
Beqaida mahwari kab doctor ko dikhane ki wajah hai?
NHS ki website kehti hai ke GP ko dikhayen agar aap ki mahwari beqaida hai, 7 din se zyada chalti hai, do mahwariyon ke beech khoon aata hai, ya saath doosri alamaat hain jaise wazan barhna, thakawat, chehre par baal aana, ya khushk ya chikni jild. (Hawala: NHS website, Irregular periods (reviewed 26 June 2026))

Milte julte mauzuaat

Hawale

  1. NHS website, Irregular periods (reviewed 26 June 2026)Hissa: What are irregular periods; Keeping track of your periods; Causes; See a GP if · 1 October 2026 ko khola gaya
  2. NHS website, Symptoms of menopause and perimenopause (reviewed 19 May 2026)Hissa: Changes to your periods; Hormonal contraception; Bleeding before menopause · 1 October 2026 ko khola gaya
  3. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.3.1, Identifying perimenopause and menopause · 1 October 2026 ko khola gaya
  4. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 1.2.4 to 1.2.6; 2.1, Table 1; 2.3 Red flags; 3.1, Table 3; 3.3, Table 4 · 1 October 2026 ko khola gaya
  5. NHS inform, Signs and symptoms of menopause (last updated 15 September 2026)Hissa: What to expect · 1 October 2026 ko khola gaya