Uterine Bleeding: Causes, Symptoms
Uterine bleeding is one of the mostthe 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 indicate that the most likely to develop uterine bleeding is the girls who are in their teens or in women who have now - about to start menopause.
Doctors - gynecologists profuse and longflowing uterine bleeding define such terms as "menorrhagia". Before we talk about, what are the types of uterine bleeding, and on the reasons which cause them, you need to understand what is considered normal, and that all the pathology.
As is known, after the onset of sexualmaturation, and right up to the menopause in women are observed monthly menstruation, accompanied by release of blood from the vagina. Such bleeding occurs as a result of 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 occursevery 23 - 34 days, depending on the characteristics of each woman's menstrual cycle. 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 the body of each individual 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, practical to measure blood lossunreal. That is why doctors - gynecologists developed a fairly simple test that is easily able to 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, the woman should be alert and seek help from a doctor - a gynecologist.
Typically, this amount of bleedingit 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 actual condition. A woman should see a doctor if:
- Laying or soak a tampon in full in less than one hour, as a result of the woman has to use a much larger number of pads than usual.
- A woman has to wake up repeatedly during the night in order to replace the gasket.
- During menstruation, a large number of blood clots present in secretions.
- As a result, a woman menstrual period for awhile almost completely "falls out" of the traditional way of life - can not go to work, do the usual chores, but most of the time had to spend lying in bed.
- The woman feels is not just tired, but really exhausted and weak.
- In the study of blood count in women diagnosed with iron-deficiency anemia, in 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 reasonsespecially heavy menstruation known physicians - gynecologists still. That is why such 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:
- Hormonal disorders of the female body
In that case, if a woman hormonesIt is normal, 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 hormonesthere is a natural monthly modification of the uterine lining - 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. Yes rejection occurs and unnatural manner, not simultaneously, but over time. As a result of this and begins uterine bleeding.
It is similar to a hormone imbalance and leadsrise 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 start of the menstrual cycle, girls - teenagers. This is simple enough - in adolescence hormonal system girl - a teenager is not yet sufficiently established, as only "turned on" in 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, in the other situation arises very often sufficiently powerful hormonal imbalance, which can subsequently lead to uterine bleeding chtomozhet occur.
- Thyroid disease
Another factor that increases the risk of developinguterine bleeding, is a violation of the thyroid gland to function properly. The reasons for such violations can be diseases such as hyperthyroidism and hypothyroidism.
- Diseases of the circulatory system
Sometimes doctors - gynecologists facecases 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 case uterine bleeding caused byavailable to women with uterine myoma, no menstruation in women is much more abundant and prolonged. The strongest uterine bleeding occur in submikoznoy - internal - uterine myoma. 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: fusion occurs and the internal muscular layer of the uterus. Because of this surface area menstruating uterus increases greatly. But the contractile ability of the uterus is much worse. Menstruating women have become very lengthy, heavy and painful.
Quite often the cause heavy painfulmenstruation, 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 operational surgery - scraping the uterine cavity.
- Fetomaternal disease
How sad not to talk about it, but enoughoften the cause of uterine bleeding is a complication of pregnancy - a miscarriage in early pregnancy or ectopic pregnancy, or altogether 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".
- Oncological diseases of genitals
Cancers such as malignantthe formation of ovaries, cervix and uterine body, and often lead to the development of sufficiently strong uterine bleeding. In such cases, the cost of delay can be a woman's life.
- Intrauterine contraceptives
The occurrence of uterine bleeding canbe one of the side effects of the use of such non-hormonal intrauterine bleeding as IUDs. And, besides, if the woman is receiving such contraceptive, take drugs such as aspirin and other anticoagulants, the risk of uterine bleeding increases significantly.
A visit to the gynecologist
In that case, if the woman noticed that hermenstruation became 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 where it says all the features of your menstrual cycle - beginning, end, abundant - it necessarily need to take with you.
Such information will greatlyhelp the doctor in such an important matter as the diagnosis of disorders and a selection of the optimal treatment strategy. The doctor will make a classical gynecological examination, take a swab from the throat of the uterus. Usually, the doctor prescribes the woman several additional studies, including uterine cavity ultrasound. Ultrasound will exclude or confirm the presence of certain gynecological diseases.
When a woman suffers from the fallopianbleeding, the doctor prescribe a mandatory blood test. general blood test results will help determine if the body of a woman some - any inflammatory process, and then, if not developed as a result of regular blood loss, iron deficiency anemia.
Also, be sure to be made:blood research aimed at studying the state of hormonal diseased women. As mentioned above, hormonal disorders often enough to become perpetrators of uterine bleeding. It is on the basis of the blood of this research data and the doctor will appoint a woman needs to study.
In some cases, an accurate diagnosisthe cause of the development of uterine bleeding, your doctor may prescribe a special woman diagnostic curettage of the uterus. It was on the condition of the endometrium of women depends on the treatment that the physician chooses. The study also allows the endometrium 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 forever leave a woman.
In this article are described methods for treatinguterine bleeding, on a number of quite understandable 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 - in due time to see a doctor - a gynecologist. But everything else - is to take care doctor.</ P>