What causes menstrual bleeding?
In some cases, it is not of a nosological nature, but symptomatic. In young nulliparous girls, this may be due to violations of the pituitary gland of the ovaries. In more mature women, uterine menstrual bleeding is due to inflammatory processes of the genital organs. The origin is based on problems with ovulation as a result of arthresia or
persistence of follicles. The corpus luteum in the ovaries does not develop, as a result, this leads to a violation of the secretory transformation of the endometrium. With prolonged exposure to atresia, the proliferation of endometrial tissue is impaired. 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, as a result of which menstrual bleeding occurs. Often, bleeding lasts several weeks, which entails great blood loss for a woman. Often, mature women experience menstrual bleeding with menopause if they are taking
hormone replacement therapy. At the same time, 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: relationship
Many believe that taking contraceptives helps to reduce blood loss. In 30% of cases it is. But in women suffering from iron deficiency anemia and menorrhagia, menstrual bleeding is often observed 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 .
Flow
Menstrual bleeding is of varying duration and strength. With frequent and prolonged blood loss, posthemorrhagic anemia occurs. With a gynecological examination, the uterus is enlarged, and often the doctor detects cystic changes in the appendages. Outside of bleeding, a woman should pass a functional diagnosis test .
Treatment
Cessation of secretions is often achieved by 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. 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 in combination with anti-inflammatory and restorative agents is required. Widely used symptomatic and herbal medicine. All procedures contribute to the cessation of uterine bleeding and normalize the work of the genital area. With abundant menopause and juvenile secretions, herbal medicines are prescribed in combination with injection-hemostatic medicines.