Uterine bleeding can occur both in physiological and pathological conditions. As a rule, a woman alone cannot establish the exact cause of this phenomenon, therefore it is better to seek advice from a gynecologist. It is considered normal if bleeding from the uterus appears during menstruation and lasts no longer than a week. Short-term spotting can also occur during ovulation, which indicates the possibility of fertilization.
Causes of Uterine Bleeding
Hemorrhage from the uterus can occur with hormonal pathologies, inflammatory processes, or disorders of the blood coagulation system . In the early stages of pregnancy, profuse spotting can provoke spontaneous abortion or ectopic fetal development. At later dates, uterine bleeding can occur as a result of the development of placental polyps, rupture of the placenta and cystic drift.
Causes of uterine bleeding can be attributed to pathological changes such as endometriosis, cancer of the uterine cavity, neck or vagina, endometrium and hyperplasia. The appearance of blood from the vagina may indicate cervicitis, atrophic vaginitis, damage to the internal genital organs or the presence of a foreign body. In middle-aged women, bleeding is often observed with uterine myoma, functional ovarian cysts, polycystosis, as well as endocrine disorders such as hyperprolactinemia and hypothyroidism. Vaginal bleeding often occurs when there is a violation of the coagulation function, hereditary diseases, liver problems and while taking certain medications, in particular hormones and contraceptives.
Treatment of uterine bleeding
When the first alarming symptoms appear, you must contact a antenatal clinic and undergo an examination. Very often, bleeding from the uterus is a sign of infertility, therefore, in addition to the examination, the gynecologist must conduct a transvaginal ultrasound to assess the changes that have occurred in the uterine cavity and ovaries. In structural pathological processes that do not have unambiguous signs, a blood test is often prescribed to detect hormonal disorders in the thyroid gland and genitals. In almost all cases, uterine bleeding requires a pregnancy test and a general blood test, which will track red blood cells, hematocrit, hemoglobin, ESR and platelets.
Treatment of uterine bleeding completely depends on the underlying cause that provoked it. Most often, conservative therapy is used using drugs that correct
hormonal imbalances and increase the ability of blood to rapidly coagulate. If the bleeding cannot be eliminated with a medication, surgical intervention is possible, which consists in
curettage of the endometrium or complete removal of the uterus. In any case, only a doctor selects methods for eliminating uterine bleeding, based on the individual characteristics of the patient’s health and the severity of the underlying disease.