Our expert says:
The intermitted stopping prior to the actual menstrual flow may be indicative of a number of possible pathologies. In essence it may be due to irregular and erratic shedding of a part of the endometrium (lining of the womb), which may be secondary to some form of anatomical disturbance of the lining due to fibroids or adenomyomas (endometriosis of the muscle of the womb). In other cases it may be indicative of some form of obstruction either due to a tight cervix or due positional changes in the womb (uterus) as in acute retroversion. A thorough gynaecological evaluation is important to rule out or confirm any abnormal findings.
Answered by: Dr M.I. Cassim
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