What causes menstrual bleeding?
In some cases, it is not nosological in nature, but symptomatic. In young nulliparous girls, this may be due to disorders of the ovarian pituitary gland. In more mature women, uterine menstrual-like bleeding is due to inflammatory processes in the genital organs. The origin is based on problems with ovulation as a result of artresia or persistence of follicles. The corpus luteum does not develop in the ovaries, as a result, this leads to a violation of the secretory transformation of the endometrium. With prolonged exposure to atresia, the proliferation of endometrial tissues is disrupted. As a result, this can result in glandular cystic hyperplasia or polyposis (formation on the endometrial mucosa). The concentration of estrogens (hormones) decreases, the endometrium begins to be rejected, resulting inmenstrual bleeding. Often, bleeding continues for several weeks, which entails a large blood loss for a woman. Often, mature women experience menstrual-like bleeding during menopause if they are taking hormone replacement therapy. In this case, menstruation is restored, but in no case should there be clots and pain. If you experience heavy and prolonged bleeding, you should immediately go to an appointment with a gynecologist.
Bleeding and contraceptives: the relationship
Many believe that taking contraceptives helps to reduce blood loss. In 30% of cases it is. But women who suffer from iron deficiency anemia and menorrhagia often experience menstrual-like bleeding when taking contraceptives, especially if oral contraceptives contain a large amount of hormones. In such cases, tablets should be replaced with those in which a low dose of estrogen is present. Hormonal injections also have a negative effect on the menstrual cycle.
Current
Menstrual-like bleeding comes in varying lengths and strengths. With frequent and prolonged blood loss, posthemorrhagic anemia occurs. During a gynecological examination, the uterus is enlarged, and often the doctor detects cystic changes in the appendages. Outside of bleeding, the woman should have a functional diagnostic test.
Treatment
Terminationssecretions are often achieved with the help of complete curettage of the uterus with the introduction of hormonal medications. For young girls, such an operation is prescribed extremely rarely and only in especially severe cases. The hormones estrogens are administered in large doses for two weeks. Progesterone is also prescribed. After that, in the next few months, combined hormone therapy is used according to a certain scheme. To prevent bleeding, hormonal regulation is required in combination with anti-inflammatory and restorative agents. Symptomatic and phytotherapy are widely used. All procedures contribute to the cessation of uterine bleeding and normalize the functioning of the genital area. With abundant menopausal and juvenile discharge, medicinal herbal preparations are prescribed in combination with injectable hemostatic medicines.
