The menstrual cycle tends to change under the influence of external, internal factors. Enhanced menstruation received the name "hyperpolymenorrhea." The main cause of abundant menstruation is hormonal imbalance with a predominance of estrogen. Under its influence, an excessive layer of the endometrium is growing, the contractility of the uterus muscles is changing. Changes in the menstrual cycle of a woman cause illness, physical exertion, nervous stress, medication, the use of certain contraceptives.
The concept of enhanced menstruation
Every woman in her whole life at least once, but faced with abundant menstruation. Knows what it is. By definition, increased bleeding is a menstrual pathology in which more than 150 ml of blood is released, menstruation lasts 7 or more days. A woman defines such a state in comparison with past menstruation. If the discharge is stronger, last longer, then there is an increased monthly.
Under certain circumstances, heavy bleeding may be the norm. This should warn the doctor. Contribute to a strong discharge can:
- gynecological surgery
- taking birth control pills - the first 3 months,
- when installing the intrauterine device - 3 months,
- premature cancellation of birth control pills,
- thyroid disease,
- PPP diseases,
- diseases of the reproductive system.
In addition, weight loss, heavy lifting, heavy physical exertion, nervous stress, spontaneous miscarriage, ectopic pregnancy cause excessive bleeding. Deal with the reasons in some cases, you can own. In general, it is recommended to seek advice from an experienced doctor. Especially if the bleeding is accompanied by severe pain in the lower abdomen, a sharp deterioration in health.
Since enhanced menstruation occurs due to an insufficient amount of progesterone in the woman's body, the problem is eliminated by restoring hormonal levels. Prescribe drugs containing synthetic hormone, which in its action is similar to female progesterone. Most often - Duphaston. The drug is affordable, relatively well tolerated by women. Accepted from a specific day of the cycle. The duration of treatment and the individual dose of Duphaston are prescribed by the doctor.
The indication for the use of the drug is the absence of menstruation, the problem with conception, bleeding during pregnancy, and abundant menstruation. However, often after Duphaston is just and there is a strong menstruation. It is all about the individual characteristics of the body, the reasons for the delay or constant heavy periods. The situation once again confirms - you can not use Duphaston on their own. Seek help only from qualified doctors. If the diagnosis is doubtful, it is better to double-check it with another gynecologist.
In general, the normalization of hormonal background helps to restore the cycle and eliminate the manifestations of premenstrual syndrome.
What to do in case of heavy bleeding
Initially, it is necessary to analyze the events of the past month, to determine the factors that could trigger bleeding. In a situation with strong stress, it is enough to eliminate the adverse factors, to calm the nervous system. During physical exertion - to provide bed rest, drink a tincture of water pepper. If there is severe pain, you should immediately seek help. The cause of bleeding can be a disease of the genital organs, pathology of the reproductive system, pregnancy.
The main causes of bleeding
The main causes of bleeding are: mechanical damage to the vessel, vascular diseases in which inflammation or neoplasm forms on the vascular wall; This type of bleeding is called diapedemic bleeding. Thus, all the causes of bleeding are divided into two large groups: mechanical and pathological.
What are bleeding?
If we are talking about internal bleeding of the digestive organs, their causes are usually violations of the integrity of the mucous membrane and the wall of the stomach or intestines. Ulcers of the digestive organs provoke up to fifty five percent of bleeding from the digestive organs.
In addition, the causes of bleeding from the rectum may be cancer of the cecum, colon, angiodysplasia of the large intestine, complicated diverticulum, worsening of mesenteric blood flow. Also the causes of bleeding from the rectum can be hemorrhoids in a chronic form. But not always the causes of bleeding from the rectum are so dangerous. Sometimes simple cracks in the anus area also cause bleeding. And even scratching in this area can cause bleeding.
At any localization of bleeding, pay great attention to how much blood flows, what color is the blood released during bleeding, and also whether blood is released in the form of drops or, for example, in the form of stripes. When bleeding from the anus is necessary to inform the doctor about other symptoms that you are concerned about, for example, pain syndromes, change of stool, craving for defecation that does not end with a bowel movement.
With internal bleeding, the patient may not even be aware of the presence of bleeding for a long time. Particularly dangerous in this regard, gastric bleeding, as blood accumulates in the internal cavities. The presence of such bleeding patient can guess by weakness, pallor of the skin and mucous membranes. Such patients have a very weak and frequent pulse, and their blood pressure is less than normal.
The cause of internal bleeding can also be a bruise of internal organs, such as the liver, lungs, spleen or pancreas.
If we are talking about uterine bleeding, then their causes can be quite a lot. Uterine bleeding can develop even from a strong neuropsychic tension. The cause of uterine bleeding can be intoxication of the body, inflammation of the organs of the reproductive system, as well as disruptions in the function of the endocrine glands. If you work very hard and do not rest at all, this can also trigger uterine bleeding. When uterine polyps are also often uterine bleeding. The use of certain types of drugs, blood diseases, uterine tumors, both malignant and benign, can cause this type of bleeding.
If we talk about the causes of bleeding from the nasal cavity, it could be a trauma, increased blood pressure, atherosclerosis of the nasal vessels, some blood changes, infectious diseases such as acute respiratory infections or influenza. In some people, bleeding can occur due to a sharp drop in atmospheric pressure, due to an increase in body temperature. Nose bleeding is not uncommon when overheating in the sun, with too intense physical and even sometimes emotional stress, nosebleeds can also occur.
So, bearing in mind that one of the causes of bleeding can be a lack of certain vitamins and minerals, take dietary supplements (dietary supplements), containing everything necessary for the body.
Blood loss rates during menstruation
Menstruation is a physiological process that, on average, starts at 11 years and ends at 55. It lasts for 3-7 days and occurs every 28-35 days. During one menstrual cycle, a girl secretes from 50 to 80 ml of blood.
Regular critical days are terminated during and after childbirth. They may also be absent during breastfeeding.
Types and causes of blood discharge from the vagina
Also, the vagina can bleed during certain periods of a woman's life:
- Juvenile - stage of sexual formation,
- Reproductive - childbearing age
- Climacteric - during menopause.
By the nature of blood discharge are divided into:
The main symptoms of hemorrhage
- Monthly go more than 8 days,
Lower abdominal pain,
- Menstrual blood loss more than 120 ml
- The skin is pale,
- Nausea, vomiting,
- Rapid pulse
- Low pressure,
The main signs of vaginal blood loss are:
- Dysfunctional hemorrhage is painless,
- After giving birth to 2 months,
- Prolonged discharge after abortion,
- Blood loss on the background of hormonal contraception,
- With polyps in the uterus,
- Myoma inside the vagina,
- Intrauterine pregnancy
- Bloody discharge associated with oncology.
How dangerous is bleeding from the uterus?
If uterine hemorrhage does not end for a long time, then it is difficult to stop, which is why this pathology is very dangerous for women's health and has the following consequences:
- Anemia may develop (if the volume of blood that came out is more than 80 ml)
- A large blood loss due to hemorrhage, which is difficult to establish, most often requires surgery,
- The danger of the development of the main disease, which was the cause of hemorrhage,
- The risk of hemorrhage in pregnant women or in after the birth period
Signs of uterine bleeding in the reproductive period
In the childbearing period, there are a lot of factors that can cause pathology.
This is due to:
- Disorders of hormone production after abortion,
- Under stress
- In the presence of infectious diseases,
- When taking medication.
While carrying a baby, and especially in the early stages, the uterus may bleed due to a miscarriage. In the later stages, the uterus may be bleeding because of placenta previa. It is especially dangerous when it bleeds during and after childbirth, then the volume of blood loss can be very large.
Also, the cause of blood discharge can be such diseases:
- Endometriosis of the uterus,
- Tumors in the cervix,
- Chronic inflammation of the cervix.
Bleeding in an ectopic pregnancy
Symptoms in ectopic pregnancy are exactly the same as in the usual childbearing:
- Lack of menstruation,
- Enlarged uterus
- Poured chest
- Changing taste preferences.
Causes of bleeding during pregnancy
Hemorrhage in ectopic pregnancy is a common phenomenon, it happens because pregnancy can be a major factor in tube rupture or abortion. The intensity of discharge does not always depend on the mechanism of termination of pregnancy, although the tube ruptures are accompanied by greater blood loss than with a medical termination of pregnancy.
Intrauterine hemorrhages in menopause in women
When menopause in women, hormonal changes occur in the body, so the vagina often bleeds. Great care should be taken to discharge in the period when menstruation stopped. It is important to immediately consult a doctor at the first signs, as the treatment of tumors in the early stages is more successful.
Causes of uterine hemorrhage with menopause:
- Abundant blood discharge,
- Discharges with clots
- Bleeding that occurs between critical days,
- Duration of discharge is longer than usual.
Why vaginal bleeding occurs on nerves
About dysfunctional uterine blood loss say when there is no reason for the appearance of blood discharge. They may be due to strong experiences, psychological and emotional stress, and on the basis of nerves. Methods of treatment will be similar, perhaps the doctor will prescribe a sedative medication to relieve stress.
At the first suspicion of the development of the disease, it is important to immediately see a doctor.
In order to determine the source from which the pathology originated, carry out the following measures:
- Consultation gynecologist,
- Blood tests,
- Ultrasound of the uterus,
- Biopsy of the cervix.
Accurate diagnosis is central to the healing process.
How to stop bleeding from the vagina?
In order to stop, you need to diagnose the main factor in the appearance of blood loss, then experts choose a way to stop it. Hemostatic agents are most often used, with a large loss of blood it is poured. Also another way to stop (with miscarriage, abortion, or childbirth) is curettage of the uterus, if the bleeding has not been stopped, then doctors resort to surgical interventions.
You can stop blood excretion at home by following these rules:
- Cold in the abdomen
- Drink plenty of water,
- Means that restore blood.
It is important after these measures seek the advice of a specialist.
Principles of therapy in the hospital:
- Receiving hemostatic drugs,
- Hormones Oxytocin,
- Hormonal contraceptives,
- Endometrial cryodestruction,
- Uterus removal.
Treatment of uterine bleeding
The main task of such therapy is to stop bleeding, eliminate the source of the disease and prevent treatment. Therapy is carried out in the hospital, first of all, specialists carry out diagnostics in order to find out what caused the pathology.
Treatment methods directly depend on the source of the disease, age, severity of the patient's condition.
Use the following medications:
- Hemostatic preparations,
- Funds that reduce the uterus,
- With low hemoglobin, drugs that contain iron,
- Vitamins and medicines that strengthen blood vessels.
After the discharge is stopped, prophylaxis is carried out.
For hemostatic means for bleeding from the vagina include:
- Calcium preparations,
- Aminocaproic acid.
In addition to these drugs, the patient can also prescribe drugs that reduce the uterus: