Uterine bleeding is one of the main dangers a woman. And the encounter with them is likely in women absolutely any age. However, the observation of doctors - gynecologists and dry medical statistics show that the most likely to develop uterine bleeding is the girls who are in their teens or women who have now - to begin menopause.
Doctors - gynecologists abundant and long flowing uterine bleeding define such terms as "menorrhagia". Before we talk about, what are the types of uterine bleeding, and about the reasons that cause them, you need to understand what is considered the norm, and that all the pathology.
As you know, after the onset of puberty, and up until the menopause, a woman's monthly menstrual period observed, accompanied by the release of blood from the vagina. Such bleeding occurs due to the fact that the inner lining of the uterus, called the endometrium, monthly, on certain days of the menstrual cycle, exfoliate, endometrium vessels burst. As a result of all these factors together, and menstruation occurs.
Typically, onset of menstruation occurs every 23 - 34 days, depending on the characteristics of the menstrual cycle, each woman. Continue menstruation average of three to seven days. Typically, the average daily blood loss during normal menstruation is not more than 40 ml. However, much depends on the individual characteristics of each woman. Some women are "lucky" to less than the others - they have menstruation can be particularly long and that the most unpleasant, heavy - blood loss may exceed 80 ml. per day.
Of course, to measure blood loss almost impossible. That is why doctors - gynecologists developed a fairly simple test that can easily hold any woman completely independently. For this purpose it is necessary to simply watch the ball or pad. In the event that they are completely soaked through with blood less than one hour, a woman should alert and seek help from a doctor - a gynecologist.
As a rule, this is the amount of bleeding occurs when uterine bleeding or too heavy menstruation, which is also quite serious pathology that requires immediate medical attention. A woman in any case should not ignore such phenomena, because they can lead to quite serious negative consequences for the female body.
There is also a special test, which is designed to help women assess their real condition. A woman should see a doctor if:
- Pad or tampon soak completely in less than one hour, as a result of the woman has to use a much larger number of pads than usual.
- Women have to wake up repeatedly during the night to replace the gasket.
- During menstruation secretions present in a large number of blood clots.
- As a result, a menstruating woman for some time almost completely "drop out" of the traditional way of life - can not go to work, do the usual chores, and most of the time had to spend lying in bed.
- The woman does not feel just tired and really exhausted and weak.
- In the study of a general analysis of the blood of women diagnosed iron deficiency anemia, for which the occurrence of other reasons do not exist.
- During menstruation a woman is constantly experiencing intense pain in the lower back and lower abdomen.
The more questions the woman gave a positive answer, the more likely it is necessary to seek help from a doctor - a gynecologist.
The causes of uterine bleeding
Strange as it may seem, but the reasons are unknown especially heavy menstruation doctors - gynecologists still. That is why these menses in gynecology are called dysfunctional uterine bleeding. However, apart from these menstruation there are quite a number of uterine bleeding, the causes of which are known for certain. Thus, such factors may include:
- Violation of hormonal female body
In that case, if a woman hormones is normal, it is observed by such an optimum balance between the female hormones, estrogen and progesterone. And because of that menstruation begins in a timely manner, and blood loss are minimal.
Due to these above-mentioned hormones there is a natural alteration monthly endometrium - building and the subsequent detachment of the endometrium. And if a woman's body there is a hormonal imbalance, the endometrium is growing particularly strongly. And its rejection occurs unnatural manner, not simultaneously, but over time. As a result of this and begins uterine bleeding.
It is this hormonal imbalance and leads to frequent uterine bleeding in adolescent girls and women who are here - to begin menopause. The highest risk for such bleeding in the mother during the first year and a half after the beginning of the menstrual cycle girls - teenagers. This can be explained simply enough - during adolescence hormonal system girl - a teenager is not yet sufficiently established, as only "turned on" to the overall work of the body. And women who are waiting for the onset of menopause, the hormonal system, on the other hand, already ceases to be a full-fledged operation. And then, the other situation arises very often sufficiently strong hormonal imbalance, which subsequently can lead to uterine bleeding chtomozhet occur.
Another factor that increases the risk of uterine bleeding is a violation of the right of the thyroid gland. The reasons for such violations can be diseases such as hyperthyroidism and hypothyroidism.
- Diseases of the circulatory system
Sometimes doctors - gynecologists confronted with cases in which the main culprits of occurrence of uterine bleeding are various blood diseases, accompanied by a significant decrease in the level of platelets in the blood. Platelets are needed to stop any bleeding, including uterine.
In that case, if the uterine bleeding caused by fibroids in women's uterus, not menstruating women are much more abundant and prolonged. The strongest uterine bleeding occur in submikoznoy - internal - uterine cancer. In such cases, drug therapy does not bring absolutely no benefit. In order to alleviate the condition of women, it is shown operative surgery, the aim of which is to remove uterine fibroids.
In this disease, the following occurs: there is a fusion of the inner and the muscle layer of the uterus. Because this greatly increases the surface area of a menstruating uterus. But uterine contractility deteriorates significantly. Menstruating women have become extremely protracted, heavy and painful.
Quite often the cause of heavy painful periods, as well as the development of acyclic uterine bleeding. Typically, these uterine polyps are most often seen in women of reproductive age. In order to remove them, a woman in need of an operational surgical intervention - scraping the uterine cavity.
How sad not to talk about it, but very often the cause of uterine bleeding is a complication of pregnancy - a miscarriage in early pregnancy or ectopic pregnancy, or at all, and premature detachment of the placenta. In these cases, the woman should as soon as possible to seek medical help in the nearest medical institution in which there is a doctor - a gynecologist, or else call the brigade "first aid".
These cancers, like malignant tumors of the ovaries, cervix and uterus, also often lead to the development of sufficiently strong uterine bleeding. In such cases, the cost of delay may be a woman's life.
- Intrauterine contraceptives
The occurrence of uterine bleeding can be one of the side effects of using such non-hormonal intrauterine bleeding as the Navy. And, besides, if a woman is receiving such contraceptive, takes drugs such as aspirin or other anticoagulants, the risk of uterine bleeding increases significantly.
A visit to the gynecologist
In that case, if the woman noticed that her menses have become extremely painful, long or too heavy, it should be as soon as possible to seek help from a doctor - a gynecologist. If a woman has a special calendar, in which it notes all the features of your menstrual cycle - beginning, end, abundant - it absolutely necessary to bring.
Such information is to a large extent will assist the doctor in such an important matter as the diagnosis of disorders and selection of the optimal treatment strategy. The doctor will make a classical gynecological examination, take a swab from the cervix. Usually, the doctor prescribes the woman several additional studies, including ultrasound of the uterine cavity. Ultrasound will exclude or confirm the presence of certain gynecological diseases.
In cases when a woman is suffering from uterine bleeding, the doctor will prescribe a mandatory blood tests. The general results of a blood test to help determine whether there is in the body of a woman - or inflammation, and is not developed there as a result of a regular bleeding iron deficiency anemia.
Also, be sure blood tests will be performed, aimed at examining the status of women hormonal diseased. As mentioned above, hormonal disorders often become perpetrators of uterine bleeding. It is on the basis of such a study, and blood doctor prescribe a woman needs to study.
In some cases, an accurate diagnosis of the cause of the development of uterine bleeding, your doctor may prescribe a special woman diagnostic curettage. It is from the condition of the endometrium of women depends on the treatment that the physician chooses. The study also will allow the endometrial certainly determine whether the woman malignant tumors in the uterus. And, besides, like scraping often it is an excellent therapeutic agent. And after the meeting uterine bleeding ever leave a woman.
This article will not be described methods for the treatment of uterine bleeding, for some very obvious reasons: the causes of uterine bleeding, can be very different. And the treatment that will greatly facilitate the state of a woman who can hurt the other. The main task of the women - promptly see a doctor - a gynecologist. But everything else - is to take care of the doctor.