Health

Abundant periods: causes and treatment

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The female body is a complex individual system. Every adult woman came across copious periods. At the same time, the concept of “abundance” is different for everyone. It can be said that this is blood loss during menstruation, which is different from previous menstruation. In order to somehow mark this phenomenon, doctors recommend measuring the amount of blood in the pads. Subject to use according to hygiene standards. Abundant is considered to be monthly, if you use more than 4 pads per day. However, there are also clarifications. If a woman constantly loses this amount of blood during menstruation, feels relatively good, rich periods are not considered.

In normal blood loss ranges from 40 to 150 ml for the entire period of menstruation. Also consider the duration. Normal monthly lasts from 3 to 7 days. In medicine, this phenomenon is called menorrhagia. It means the menstruation that comes in time, but with abnormal duration and great blood loss. Menorrhagia is observed in young girls, when menstruation is just beginning, and in adult women after 45 years of age, when they end. Women of young and middle age suffer from heavy periods due to pathological changes in the body. And the menorrhagia can be false and true. Treatment is based on eliminating the causes of the disease. In case of severe blood loss, the woman is hospitalized.

The process of formation of menstruation in the body of a woman

The menstrual cycle is a recurring event with a regular frequency. Occur every month in the central nervous system, uterus, ovaries, tubes, uterus. If the functioning of one link is disrupted, the whole chain fails. And as a result - abundant periods. Deviation of the menstrual cycle is not only a gynecology problem. The whole process coordinates the central nervous system, hormones are produced under the control of the endocrine glands, the whole situation depends on the state of immunity. Will have to understand in many ways.

In the first part of the menstrual cycle, the formation of the egg begins. Under the influence of estrogen sex hormone, the egg matures, ready for fertilization. After ovulation, the role of superiority is transmitted to the second important hormone, progesterone. Under its influence, the uterus is prepared for a fertilized egg. In parallel with this, epithelium grows. If fertilization has not occurred, the egg cell dies. Menstruation comes. The uterus is freed from all the excess that is not useful. Exfoliation of the epithelium is accompanied by blood, painful sensations. The uterus contracts, pushes everything out. After complete purification of the body, the whole process is repeated anew.

Abundant menstruation is not a diagnosis, but is considered a symptom of pathology or disease. Conventionally, the causes of heavy periods are divided into 2 groups:

  1. Hormonal imbalance with all its consequences.
  2. Pathological abnormalities in the functioning of the sexual organ.

If a large amount of progesterone is produced in the second phase of the monthly cycle, copious menstruation occurs.

Natural menorrhagia

The diagnosis of this disease is not definitive or permanent. And in some cases, it is a completely natural reaction of the body to internal transformations. For example, during puberty in teenage girls, abundant periods are equal to the norm. The situation does not require special treatment. Within 3-6 months the menstrual cycle is getting better. Sometimes menorrhagia stops with the completion of puberty. And the reason are hormonal changes and an insufficiently formed sexual organ.

The same situation can be once, due to severe stress, or great life difficulties. Since the amount of discharge depends on the state of the nervous system. If a woman tolerates heavy periods of several cycles in a row, this process cannot be called natural. It is necessary to pass an examination, find out the reason for a large amount of discharge.

Physiological causes of menorrhagia

Many women notice that abundant periods occur due to the influence of external factors and internal.

  1. Stress, overwork, nervous system disorders. Since discharge during menstruation is controlled by the nervous system, failure in this area causes heavy menses. Against this background, there may be a delay or extension of menstruation, up to 14 days.
  2. Sharp change in power. Concerns those women that prefer lactic acid products. Such nutrition causes the liver to reproduce the substance, which affects the blood clotting.
  3. Unbearable physical exertion. This applies to women who make money by physical labor. Strong loads at the beginning of menstruation entail disruption of the uterus. The body receives a load, the number of contractions of the uterus changes, the layer of epithelium is rejected incorrectly. The same applies to women who are engaged in professional sports.
  4. Abrupt climate change. The body gets stress, getting into unusual conditions. It is difficult to predict the reaction. Some have scanty discharge during menstruation, others have abundant.
  5. Disruption in the liver, thyroid gland, endocrine system. As a result, there are problems with blood clotting, hormone production.
  6. Avitaminosis. The lack of vitamins potassium, calcium, magnesium, iron leads to an increase in the amount of discharge during menstruation. It is necessary to replenish the body with vitamin B2, folic acid.
  7. Medication. Aspirin and hormonal contraceptives can provoke copious periods. Often there is a situation when gynecologists prescribe hormonal contraceptives. After 7-10 days of taking the woman begins to feel bad, the further taking of pills decides to stop. After 1-2 days, menstruation occurs, which is characterized by abundant secretions.
  8. Intrauterine device. The introduction of a foreign object in the uterus adversely affects the organ. Abundant periods are observed in the period of addiction, about 3 months. In the future, the monthly should return to normal. Spiral affects hormonal balance.
  9. Hereditary factor. This cause of menorrhagia requires careful attention to your body. Proper nutrition, a healthy lifestyle should be taken as a basis for solving the problem.

It is easy to guess that by eliminating these causes, the menstrual cycle will improve. Difficulties may arise in restoring hormone balance. Drugs should be selected after careful research of the female body on an individual basis. Self-administration of hormonal drugs is not allowed. In the case of the physiological causes of menorrhagia, it is possible to avoid heavy periods by changing the diet and lifestyle. Pathological causes are not easily resolved.

Pathological causes of menorrhagia

This category of causes is always associated with abnormalities in the reproductive system, the presence of gynecological diseases. Abundant periods cause ectopic pregnancy, miscarriage, abortion. Such cases require an immediate request for help from specialists.

Large blood loss and internal hemorrhage is dangerous to health. A long delay of menstruation, severe pain in the lower abdomen, sudden abundant menstruation with clots indicate ectopic pregnancy. Abundant discharge after abortion suggests the presence of particles of the fetus in the uterus, its incomplete cleansing. Tightening a visit to the doctor threatens with inflammation, sepsis. Miscarriage situation is similar.

Abundant menstruation cause diseases of the reproductive system: fibroids, fibromas, polyps, cysts, ovarian dysfunction, adenomyosis. The danger of some diseases is asymptomatic flow for the first time. Detect pathology can gynecologist during the inspection, conducting ultrasound. Independently find out the cause will not succeed. So, the treatment will not be effective.

How is the treatment of menorrhagia

Methods are selected according to the cause of the disease. As well as the amount of discharge, duration of menstruation, features of pain.

  • As an effective therapy, prolonged hormone therapy is prescribed. As a rule, it is birth control pills. Estrogen prevents excessive growth of the epithelium, progesterone regulates the amount of secretions. As a result of treatment, menstruation returns to normal. Sometimes it takes a whole year. In addition, to restore the hormonal balance prescribed treatment with homeopathic medicines.
  • To avoid iron deficiency anemia, iron-prescribed drugs are prescribed. Abundant periods greatly weaken the body. In the absence of the necessary components, the situation is much more complicated. In order to strengthen the body's defenses, they prescribe a vitamin complex.
  • With abundant menstruation, hemostatic drugs are prescribed - chloride, dicine, aminocaproic acid, sodium gluconate, tincture of water pepper.
  • For the treatment of menorrhagia with the presence of a hereditary factor, it is recommended to install a special intrauterine system. The tool prevents excessive growth of the epithelium, reduces the amount of discharge.

The treatment is accompanied by rest, proper nutrition. Sleep and nervous system disorders are treated with sedatives. In critical cases, surgery is required. Treatment is carried out according to indications:

  • menorrhagia is repeated constantly,
  • there are physiological disorders
  • there are injuries to the genitals,
  • drug treatment for menorrhagia does not work,
  • there is iron deficiency anemia.

In the presence of a severe form of fibroma, polyps use the extirpation of the uterus. The organ can be removed completely. The treatment is from the simplest to the most deplorable. That is why self-treatment of menorrhagia is not recommended. In some cases, complex immediate therapy is required. Self coping with abundant menstruation, if you probably know the cause, or menorrhagia has manifested itself only once.

Abundant periods: what to do?

With the development of severe bleeding, it is necessary to stop it. To do this, reduce or completely stop any activity, reject coffee or strong tea, and also stop taking any medications, except those approved by your doctor.

It is advisable to apply ice to the lower part of the abdominal cavity several times a day. It is required to eat foods rich in ascorbic and folic acid and iron, which promote blood formation processes and improve vascular permeability. It is also worth taking vitamins PP and K, which increase clotting. Aromatherapy effects may be beneficial.

Abundant periods after childbirth

Sometimes after the birth of a child, a woman has severe bleeding. This usually indicates the development of any adverse processes in its internal sexual sphere.

If the discharge is bright red, then perhaps it is not about menstruation, but about uterine bleeding. In this case, she needs urgent medical care.

Such measures are necessary, because too abundant periods after childbirth can say that:

  • internal organs were injured
  • the hormonal background is considerably broken,
  • tissue regeneration is too slow,
  • there was an ectopia of the cervix,
  • processes of epithelialization of damaged areas suffer,
  • developed inflammation
  • the infection has joined,
  • formed adhesions, etc.

These causes provoke uterine vascular damage or impaired blood circulation in the organ. Sometimes it happens that its contractile ability or tone is reduced. In such cases, the blood is capable of simply stagnating inside, then pouring out in large portions.

Abundant periods with clots

Normally, a number of clots may be present in the menstrual blood. They are large conglomerations of uniform elements or individual particles of the uterine uterine epithelium that have been rejected.

Too intense menstruation with the appearance of clots from time to time occur in every woman throughout her life. They appear quite rarely, but are sometimes observed in any woman, especially in the period of premenopause or in the formation of the menstrual cycle in adolescence.

Especially often clots occur in summer, when the load on the vessels is increased and dehydration occurs. In weather-dependent women, sudden pressure drops in the off-season can also cause these symptoms.

But if there are a lot of them or they are too large, then their appearance can be provoked by pathological causes, up to the development of serious diseases.

Excessive bleeding during menstruation, accompanied by the release of clots, is a symptom of the disease. Sometimes it goes unnoticed and only this sign indicates its presence. Most often, this symptom is observed in uterine myoma. It is usually diagnosed in women between the ages of twenty and fifty. After the onset of menopause, the tumor either disappears or is no longer formed.

If the size of clots significantly exceed two and a half centimeters in volume, then it is urgently necessary to make a visit to the gynecologist. Most often, these pathological signs are a clear indication of the occurrence of endometriosis.

Usually, during its development, there are severe pains during menstruation, discomfort during intercourse, frequent urge to urinate and discomfort when walking and running.

Often, similar symptoms accompany and adenomyosis. Then there are severe bleeding during menstruation, irregular cycle and lower abdominal pain. There is a lot of discharge, and you can see quite large clots in them.

Abundant first monthly

As already mentioned, very often adolescent girls encounter pronounced manifestations of critical days. Usually at this age an increase in the amount of blood may occur due to nervous overstrain, increased obesity, enthusiasm for various diets, enhanced sports training or metabolic disorders.

In order for a child to stabilize the amount of discharge, most often a simple correction of lifestyle is needed. It is necessary to reduce overall activity, temporarily stop physical training, eat right, go swimming, do not lift weights and regularly take vitamins.

Surveys

In order to accurately establish the possible causes of excessively heavy periods, you need to contact a gynecologist. He will prescribe laboratory and instrumental examinations, and also recommend consulting with a therapist, endocrinologist, urologist, or oncologist.

After a complete differential diagnosis, it will be possible to identify with certainty the cause of heavy menstruation.

The doctor will prescribe a number of diagnostic measures needed to identify various diseases.

  • inspection in the chair,
  • histological and cytological examination,
  • ultrasound scan,
  • hysteroscopy
  • separate diagnostic curettage
  • salpingoscopy,
  • radiography
  • CT scan,
  • Magnetic resonance imaging,
  • blood test for VSC and DC,
  • smear on microflora,
  • pcr diagnostics
  • study of the hormonal spectrum,
  • clinical blood test, etc.

Such measures make it possible to exclude the development of an oncological process, identify uterine myoma or the formation of adhesions, diagnose hematological diseases, determine the presence of inflammation, analyze the hormonal composition of the blood or detect the causative agent of sexually transmitted infections.

For the most complete data collection, it is necessary to collect anamnesis, analyze the patient's complaints, establish the existing and past diseases. The doctor will also ask about the mode of work and rest, food and medications taken.

Most often during the examination revealed hormonal imbalance, which occurs in women of any age. It is usually associated with the uncontrolled intake of contraceptives, side effects of pharmacological agents, or irregular sex life. Synthesis of estrogen also changes after childbirth or medical abortion.

Therefore, it is necessary to pass an examination with a specialist once a year. Those women who suffer from any gynecological diseases are at risk or have stopped the forty-five-year mark, should be seen by a doctor once every six months.

Even a routine inspection in a chair using mirrors increases the chances of timely diagnosis of various pathologies. If in doubt, a specialist will send for ultrasound scanning, radiography or other research.

Гинеколог сумеет установить, что послужило толчком к развитию кровотечения и назначить соответствующее лечение. Будет оно консервативным или хирургическим, зависит от выявленной патологии.

Препараты и лекарства при обильных месячных

Therapy with pharmacological agents is usually aimed at eliminating the reasons for which the volume of excreted blood is exceeded during menstruation.

Depending on the main factor, appropriate treatment is prescribed. Medicines are prescribed for the detection of functional disorders, diseases of the internal female genitalia, changes in hormonal levels, or a decrease in the synthesis of platelets.

  • hemostatic agents
  • drugs that increase the tone of the uterus,
  • hormones
  • drugs that restore impaired metabolism,
  • anti-inflammatory drugs,
  • antispasmodics,
  • venotonics,
  • immunostimulators,
  • tranquilizers,
  • sedatives
  • wound healing agents
  • vitamins.

In cases of pronounced hormonal disorders, drugs containing natural and synthetic estrogens are prescribed.

When slowing recovery processes after childbirth, abortion or gynecological operations, immunostimulants and wound healing agents are prescribed.

If an infectious process has been identified, then antibiotic or antifungal medication should be taken.

Such medicines can stabilize the synthesis of estrogens, reduce the volume of lost blood, increase its clotting, eliminate the inflammatory process, strengthen the vascular wall, strengthen the body's defenses and fill the deficit of biologically active substances.

If conservative methods of treatment do not bring the desired results and abundant periods continue to be repeated, surgical intervention is recommended.

In addition, you must comply with measures to prevent the development of heavy bleeding on critical days.

It is advisable to avoid conflicts, nervous shocks and worries. It is necessary to eat balanced and consume more fluids. Smoking and spirits should be strictly prohibited.

It is required to undergo a full routine examination of the body and, if there are any diseases, begin appropriate treatment.

Therefore, in order to avoid the development of bleeding, it is necessary to avoid the influence of all sorts of negative reasons, during the period of menopause it is necessary to take hormones, and in case of youthful bleeding strictly observe the daily regimen and lead a correct lifestyle.

If you follow all the recommendations of the doctor, to undergo gynecological examinations in time and take appropriate medications, the menstrual cycle is fully normalized. It will become regular, the amount of discharge will not exceed eighty milliliters, and the pain will completely disappear.

Causes of heavy periods

There may be a lot of reasons, but they are mainly related to:

  • hormonal disorder,
  • menopause,
  • abundant periods can be from uterine fibroids,
  • endometriosis,
  • improper diet
  • childbirth or abortion,
  • ectopic pregnancy
  • taking contraceptive drugs.

The number of periods is affected by the number of uterine contractions. If the uterus is not reduced intensively, then the monthly abundant. Here it is necessary to understand why the uterus is badly reduced.

Hormonal disorders are a common cause of heavy periods.

In the normal functioning of the female body, the ovaries during menstruation produce hormones progesterone and estrogen. The uterus under their influence thickens and acts on the mucous membrane. This process is needed to prepare the uterus for fertilization.

If fertilization of the egg does not take place, the hormonal level decreases after ovulation and leads to desquamation and detachment of the uterine mucosa.

Together with the monthly these fragments are excreted from the body.

In some women, estrogen is elevated, and progesterone is lowered - this indicates an incorrect ovulation, or even its absence. In this case, the lining of the uterus becomes very thick and so there are heavy periods.

Menopause is the cause of heavy periods

Abundant menstruation due to hormonal disorders foreshadow the approach of menopause (last menstrual period). When menopause occurs, the problem is solved. If the problem persists, the doctor prescribes progesterone therapy.

Myoma

Uterine fibroids are benign. Gynecologists find such a disease in every 5th woman after 30 years and in every 2nd woman after 45 years.

The main symptom of the appearance of fibroids is heavy periods, lasting more than 10 days. Bleeding with this disease can even lead to anemia.

Endometriosis can cause heavy menses.

When peeling off small fragments of the uterine membrane (endometrium), they grow into the ovaries, as well as the oviducts, uterine tissue and postoperative scars.

When the fragments increase under the action of hormones, they cause abnormalities, which are characterized by heavy menstruation.

Wrong diet

If a woman applied strict diets and put the body under stress - this can cause strong periods. To do this, you need to establish proper nutrition and use more vitamins to restore the body.

Abortion and childbirth is a normal phenomenon of heavy periods.

Monthly after abortion is common. During an abortion, the deeper layers of the uterus are damaged. If strong menstruation occurs during the month, then this indicates an inflammatory process, remnants of the fetus or periclopdial placenta. In this case, urgently need to run to the doctor.

After childbirth abundant periods can be if:

  • the delivery was complicated
  • Chronic diseases have not been cured before the birth
  • inflammatory processes
  • remnants of the placenta not released.

Ectopic pregnancy can cause strong periods

With ectopic pregnancy, menstruation can be both abundant and scanty. Usually bleeding brown, accompanied by sharp pain.

Abundant bleeding with ectopic talk about the rupture of the fallopian tubes or the wall of the ovum. The egg enters the abdominal cavity and causes bleeding. The pain after the appearance of heavy periods during ectopic pregnancy immediately goes away, but it is just necessary to consult a doctor to remove the remains of the deceased fetus and avoid inflammation.

Contraceptives cause heavy bleeding.

The most frequent unpleasant side effect in the form of heavy discharge contraceptive drugs cause. Blood clots with clots can be bloody, and are caused by addiction to the drug or rejection by the body.

In 30% of women, such discharges disappear in the first 3 months of administration, in 10% of women they linger for up to six months.

If at the first admission of contraceptive monthly lubricating, and you can do several daily pads a day, then do not worry. But if the process takes more than three months, it is worth contacting a gynecologist.

Treatment of heavy periods

Treatment of strong secretions requires a gynecologist approach.

For hormonal disorders, you must visit an obstetrician-gynecologist. He will prescribe intravaginal ultrasound and determine the thickness of the uterus. If the endometrium on the 5th day of menstruation is more than 12-13 mm, then this is a sign of endometrial hyperplasia.

To confirm the disease, you must undergo an endometrial biopsy procedure on the 10th day of the cycle. When confirming hyperplasia, your doctor will prescribe hormone treatment. Contraceptives containing progestogens will restore the balance and abundant menstruation will stop.

With uterine myoma, its development is suspended by monophasic contraceptives, but sometimes this method does not bring improvements and strong periods continue. Then the doctor creates artificial menopause.

If all these actions do not lead to a positive result, then the tumor should be removed. Laparoscopic surgery we leave small incisions, but in rare cases we need a classic operation with removal of the uterus.

If endometriosis is suspected, the doctor prescribes ultrasound and laparoscapic diagnosis. The doctor may, during laparoscapia, remove the ingrown particles of the mucous membrane.

Often, treatment of heavy menstrual periods caused by endometriosis is limited to medication. The course of treatment may be extended to 9 months.

Women who often suffer from heavy bleeding should take vitamins C, B12, folic acid and iron.

General information about heavy periods

Causes of heavy periods

Diagnosis of heavy menstruation (menorrhagia)

Treatment of heavy periods

General information about heavy periods

Abundant menstruation (menorrhagia) is a regular menstrual bleeding, characterized by increased blood loss.

Menorrhagia may be the only symptom, and may be accompanied by others, for example, pain during menstruation (dysmenorrhea).

Abundant periods do not necessarily indicate any serious illness, but can affect the physical and emotional state of a woman and interfere with a normal life.

Consult your gynecologist if you are worried about heavy bleeding during or between periods.

What is considered profuse bleeding?

The volume of blood loss during menstruation is different for each woman. On average, it is about 30-40 ml of blood per menstruation, sometimes up to 60-80 ml. Abundant blood loss is more than 80 ml.

However, it is difficult to measure the volume of menstrual flow, therefore, this method is rarely used. As a rule, women know how much blood they lose during normal menstruation, so they immediately notice when the discharge becomes too heavy or scanty.

Presume profuse menstruation is possible if:

  • it seems to you that you have to use a lot more tampons or pads than usual,
  • despite precautions, blood leaks and soils clothes or bedding,
  • you use both the pad and the pad at the same time,
  • there are monthly with clots.

What is monthly?

Monthly (menstruation) - part of the woman's menstrual cycle.

The duration of the menstrual cycle is considered from the first day of this menstruation to the first day of the next. The normal cycle time is 21-35 days, more often - 28 days.

The first periods appear in girls aged 8-16 years, usually - at the age of 12 years. Within 1-1.5 years after this, the periods should become regular once a month.

At the age of 45-55 years, women usually have menopause - the extinction of the reproductive function. By this period, menstruation becomes less frequent and gradually stops.

Causes of Menorrhagia

The exact cause of heavy discharge can not always be determined. However, there are factors that can increase the amount of monthly discharge:

  • uterine fibroids,
  • polycystic ovaries,
  • intrauterine contraceptives,
  • taking anticoagulants (drugs that worsen blood clotting).

What to do with heavy periods?

First of all, you need to contact a gynecologist. Examination usually begins with a medical survey and gynecological examination. Then the doctor may prescribe a blood test, sometimes - an ultrasound of the uterus with appendages (ultrasound of the genitals).

At your appointment, take a monthly diary with you, in which you mark the date of the beginning and end of monthly bleeding and their features.

Treatment is required only in cases where heavy periods interfere with normal life or are a sign of a disease.

Begin treatment with prescription drugs. The choice of drug depends on the individual characteristics of the woman and the cause of menorrhagia. A number of drugs used to restore the normal cycle, has a contraceptive effect.

If drug treatment is not effective, surgery may be required.

With the help of our service you can find a good gynecologist.

Diagnosis of heavy menstruation (menorrhagia)

Treatment of heavy periods

General information about heavy periods

Abundant menstruation (menorrhagia) is a regular menstrual bleeding, characterized by increased blood loss.

Menorrhagia may be the only symptom, and may be accompanied by others, for example, pain during menstruation (dysmenorrhea).

Abundant periods do not necessarily indicate any serious illness, but can affect the physical and emotional state of a woman and interfere with a normal life.

Consult your gynecologist if you are worried about heavy bleeding during or between periods.

What is considered profuse bleeding?

The volume of blood loss during menstruation is different for each woman. On average, it is about 30-40 ml of blood per menstruation, sometimes up to 60-80 ml. Abundant blood loss is more than 80 ml.

However, it is difficult to measure the volume of menstrual flow, therefore, this method is rarely used. As a rule, women know how much blood they lose during normal menstruation, so they immediately notice when the discharge becomes too heavy or scanty.

Presume profuse menstruation is possible if:

  • it seems to you that you have to use a lot more tampons or pads than usual,
  • despite precautions, blood leaks and soils clothes or bedding,
  • you use both the pad and the pad at the same time,
  • there are monthly with clots.

What is monthly?

Monthly (menstruation) - part of the woman's menstrual cycle.

The duration of the menstrual cycle is considered from the first day of this menstruation to the first day of the next. The normal cycle time is 21-35 days, more often - 28 days.

The first periods appear in girls aged 8-16 years, usually - at the age of 12 years. Within 1-1.5 years after this, the periods should become regular once a month.

At the age of 45-55 years, women usually have menopause - the extinction of the reproductive function. By this period, menstruation becomes less frequent and gradually stops.

Causes of Menorrhagia

The exact cause of heavy discharge can not always be determined. However, there are factors that can increase the amount of monthly discharge:

  • uterine fibroids,
  • polycystic ovaries,
  • intrauterine contraceptives,
  • taking anticoagulants (drugs that worsen blood clotting).

What to do with heavy periods?

First of all, you need to contact a gynecologist. Examination usually begins with a medical survey and gynecological examination. Then the doctor may prescribe a blood test, sometimes - an ultrasound of the uterus with appendages (ultrasound of the genitals).

At your appointment, take a monthly diary with you, in which you mark the date of the beginning and end of monthly bleeding and their features.

Treatment is required only in cases where heavy periods interfere with normal life or are a sign of a disease.

Begin treatment with prescription drugs. The choice of drug depends on the individual characteristics of the woman and the cause of menorrhagia. A number of drugs used to restore the normal cycle, has a contraceptive effect.

If drug treatment is not effective, surgery may be required.

With the help of our service you can find a good gynecologist.

Causes of heavy periods

In 40–60% of cases, the cause of heavy periods is unclear.

In other cases, the causes of large blood loss during menstruation may be as follows:

  • polyps (benign growths) in the uterus or on the cervix,
  • endometriosis is a gynecological disease when cells of the uterine lining proliferate in its muscle layer or other organs,
  • uterine fibroids - a benign lesion in the uterus that can cause pelvic pain,
  • intrauterine device - after its installation, blood loss may increase by 40–50%,
  • inflammatory diseases of the pelvic organs (PID) - infections of the uterus, fallopian tubes or ovaries, may be accompanied by pain in the pelvis, fever, bleeding after sexual intercourse, or between periods,
  • polycystic ovaries - the formation of cysts in the ovaries,
  • bleeding disorders,
  • decreased thyroid activity (hypothyroidism) - can cause fatigue, constipation, cold intolerance, as well as changes in the skin and hair,
  • liver or kidney disease
  • cancer of the uterus (very rarely).

Sometimes abundant periods can be caused by medical intervention, namely:

the appointment of drugs that prevent blood clotting (anticoagulants),

chemotherapy (cancer treatment).

Diagnosis of heavy menstruation (menorrhagia)

Consult a gynecologist if the volume of menstrual bleeding has increased compared with the usual. The doctor will examine your complaints and suggest treatment options.

At your appointment, take a calendar with you in which you record the dates of the beginning and end of your period and the characteristics of the discharge.

To determine the cause of heavy bleeding (menorrhagia), the doctor will ask about the following:

  • your illness,
  • are there any concomitant symptoms
  • are there any hereditary diseases in the family, blood diseases, etc.

He will also ask the following questions about your monthly:

  • how many days they usually last
  • how much bleeding is abundant
  • how often do you have to change a tampon or pad,
  • is it possible that blood is leaking and soiling clothes or bedding,
  • Do heavy periods interfere with your everyday life?

It is important to inform the gynecologist if you have bleeding between menstruation (uterine intermenstrual bleeding) or if you notice blood after sex and also have pain in the pelvic region.

The doctor will examine you, and also specify what method of contraception you use, whether you are planning a pregnancy, when you last visited a gynecologist and donated a cervical smear (smear on cytology).

Gynecological examination

Gynecological examination is the usual part of the examination by a gynecologist, during which the doctor examines the external genital organs, vagina and cervix with a gynecological mirror, and probes (palpates) the vagina, uterus and ovaries with the help of hands. In this case, the doctor places one hand on the skin of the lower abdomen, and two fingers of the other hand in a glove insert into the vagina.

Gynecological examination allows you to identify areas of pain, signs of infection, external bleeding, etc. This study is carried out only with the consent of the woman. The physician must answer in detail all the questions regarding his manipulations.

In some cases, a biopsy may be required to determine the cause of menorrhagia. This is the taking of pieces of the mucous membrane of the cervix or uterine mucosa for subsequent analysis under a microscope. A biopsy is taken by a gynecologist.

Blood tests

Usually, all women with heavy menses are given a complete blood count. It helps to detect iron deficiency anemia, often caused by loss of iron as a result of prolonged heavy bleeding.

For the treatment of iron deficiency anemia, there are special medications. They are prescribed by a gynecologist, in more complicated cases you may be referred for consultation to a hematologist, which can be found here.

If the doctor suspects that the cause of heavy menstruation is a disorder of the endocrine system, blood tests for sex or thyroid hormones can be prescribed.

Pelvic ultrasound

Ultrasound of the pelvic organs (or uterus with appendages, genitalia) is prescribed to identify such causes of heavy periods such as uterine fibroids, polyps, cancer of the uterus, and others.

Ultrasound examination of the uterus with appendages is carried out as an abdominal sensor - through the abdominal wall, and vaginal - through the vagina. Transvaginal ultrasound allows you to explore the female genital organs at close range.

Tranexamic acid

Tranexamic acid is often recommended for shortening menstruation and reducing blood loss. This tool speeds up blood clotting, so the period becomes less abundant. Blood loss is reduced by 29–58%.

Tranexamic acid can be taken in the form of tablets or injections. The regimen and dosage selects a doctor. If there is no improvement within three months, treatment is stopped.

Tranexamic acid tablets do not affect fertility, that is, during treatment, the ability to become pregnant remains. If necessary, tranexamic acid can be combined with nonsteroidal anti-inflammatory drugs (see below).

Possible side effects: indigestion and diarrhea.

Intrauterine device "Mirena"

Intrauterine contraceptives with a constant release of the hormone - levonorgestrel are suitable for the treatment of heavy periods. In Russia, the only registered system with such an action is Mirena.

This is a small plastic device that is inserted into the uterus for several years and slowly releases the hormone progestogen.

This substance inhibits the growth of the endometrial mucous membrane of the uterus and has a contraceptive effect. After removal of the intrauterine device, the chances of getting pregnant are restored.

Possible side effects:

  • irregular bleeding for six months or more,
  • breast pain
  • acne (acne),
  • absence of menstruation (amenorrhea).

The levonorgestrel-releasing intrauterine device reduces blood loss by 71–96% and is the preferred treatment for menorrhagia for women who have given birth to women who need long-term contraception.

Combined oral contraceptives

Combined oral contraceptives (COCs) contain estrogen and progestogen - two sex hormones. KOK take one tablet per day for 21 days. Then make a break for seven days. During this break, begin monthly. Then the cycle repeats.

COCs do not allow eggs to mature, that is, they block ovulation. At observance of the mode of reception of tablets the reliable contraceptive effect is provided. Also, oral contraceptives reduce the pain of menstruation.

Unlike the intrauterine device, oral contraceptives give more freedom when planning pregnancy: they can be easily stopped without visiting a gynecologist. In addition, oral contraceptives are more preferable for non-giving women and girls than intrauterine devices.

Common side effects of oral contraceptives:

  • mood swings
  • nausea,
  • fluid retention - edema,
  • pain in the mammary glands.

In addition, other hormonal agents are used in the treatment of heavy periods. Some of them reduce the thickness of the uterine mucosa, thereby reducing the amount of blood loss during menstruation. Others cause artificial menopause when menstruation temporarily stops. Any hormonal treatment should be strictly under the supervision of a gynecologist.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs (NSAIDs) can also be used to treat heavy menses. They reduce blood loss by 20–49% and are prescribed in pill form with the onset of menstruation (or just before they begin) and until the bleeding stops.

The following NSAIDs are recommended for the treatment of menorrhagia:

  • mefenamic acid
  • naproxen
  • ibuprofen.

Usually they are taken 3-4 times a day.

NSAIDs reduce the production of prostaglandin, which increases blood loss during menstruation. These tools have an analgesic effect. They do not have a contraceptive effect, but if necessary they can be combined with a combined oral contraceptive.

Common side effects: indigestion and diarrhea.

NSAIDs can be used an unlimited number of menstrual cycles, if they alleviate the symptoms of heavy periods and do not cause severe side effects. However, if NSAIDs do not give results within three months, they are stopped.

Surgery

Surgical treatment methods can be offered in those cases if the cause of heavy menstrual periods are certain diseases, such as uterine fibroids, endometriosis, polycystic ovarian cancer, uterine cancer, etc. You can read more about the operations in each case by clicking on the links.

If the reason for heavy periods is not clear, and the problem cannot be treated with medication, the doctor may suggest a minimally invasive intervention: curettage of the uterus or ablation of the endometrium. Another indication for this treatment is polyps of the cervix or body of the uterus.

Scraping the uterus

Scraping the uterus and cervix is ​​the removal of the upper layer of the endometrium (mucous membrane) using a special surgical instrument inserted into the uterus.

First, as a rule, the mucous membrane is removed from the cervix, then - from the body. As a result, monthly bleeding stops. After scraping, the resulting material is sent to the laboratory to study and exclude benign and malignant tumors.

Scraping can be done "blindly" when the doctor inserts a surgical instrument into the uterus and removes the mucous membrane according to a certain pattern. Lack of visual control can lead to various complications or incomplete curettage.

More modern manipulation - curettage of the uterus during hysteroscopy. In this case, the gynecologist is able to visually control the removal of the endometrium with the help of an optical endoscope - a hysteroscope, which is gently held through the cervix.

Scraping is carried out more often under general anesthesia (anesthesia), but other methods of pain relief are possible, which should be discussed with a doctor in advance.

Endometrial ablation

Endometrial ablation is prescribed as an extreme measure for the treatment of heavy periods, more often in women aged 45-50 years or more. With this intervention, the entire mucous layer of the uterus is removed.

There are various endometrial ablation techniques, namely:

  • endometrial microwave ablation - a probe is inserted into the uterus, using microwave energy (type of radiation) to heat and destroy the uterine lining,
  • thermal balloon ablation - a balloon is introduced into the uterus, then it is inflated and heated to destroy the uterine membrane.

For anesthesia during ablation, both local and general anesthesia (anesthesia) is used. The intervention lasts about 20 minutes. Usually allowed to return home the same day.

Within a few days after curettage or ablation of the endometrium, small bleeding from the vagina may persist. In some women, bleeding lasts up to 3-4 weeks.

How to stop heavy periods

There are some recipes for traditional medicine, which says that you can stop heavy periods with less fluid and reduce pain by putting cold on your stomach.

Broths of calendula, shepherd's purse, cloves, horsetail and yarrow will help to stop strong periods. Of these herbs make teas and infusions that need to be consumed before the start of the menstrual cycle.

To prepare the broth, you must take equal proportions of herbs and pour boiling water.

In no case can not put a warm heating pad or drink painkillers containing acetylsalicylic acid. It is also not recommended to drink coffee and smoke on critical days.

An old and proven means to stop the copious periods is pepper tincture. It is necessary to add a spoonful of pepper to a glass of red wine. Taking the tincture from the first day, 10 drops three times a day, you will get rid of severe bleeding, headaches and fatigue.

There are drugs that can stop heavy periods:

Dear women, watch carefully for their women's health, because abundant periods can be a sign of serious diseases that are better to begin to treat earlier. But also do not panic and remember that sometimes heavy bleeding is the norm for the female body.

Aries - a horoscope for today

Today will be marked by an extraordinary rise in your creative potential. Unfortunately, it does not follow from this that you will be very lucky in business. It is better not to make decisions related to financial matters.

Arrange for yourself today Freedom Day from Care. Set aside all your problems of personal and not only life for an uncertain future: let them somehow decide themselves and live a little for your pleasure. Fortunately, on this day you will be able to indulge in laziness without any tragic consequences.

Today, Aries should pay your partner all the sexual debts that you have had, and may be. Do not skimp: all your actions will return you a hundredfold - with enthusiastic sighs and the actions of your tireless lover. It will be worth all your efforts.

Start preparing for rest. First of all, discuss where you would like to go. After running into a conversation around the globe, you can touch the issue of equipment and consider it accordingly to any geographic zone, season and weather conditions. Then you can always touch on the topic of fellow travelers, and finally leave a burning transport issue.

Today Aries should be as confident as possible. Do not question what you are trying to convince your opponent, otherwise he will read everything on your face and present you as an objection. If you do not believe in the success of a certain business, then they should not be dealt with.

The basis of today's menu should serve as root vegetables. As a snack, a salad made of radish with sour cream or spicy carrot is suitable, order borsch at first (there, after all, beetroot stuffs everyone). Potatoes will naturally serve as a garnish, but aesthetes may require roasted celery root or, for example, tapinambur. On the meatballs of moles, the stars do not insist, but truffles fully meet the requirements of today to eat what is closer to the ground.

Today you should fulfill your promise to yourself and be sure to bring what you want to the logical end. If you, of course, did not decide that your plan is not at all advisable.

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