Causes of bleeding in women. Prevention of dyscirculatory uterine bleeding

Uterine bleeding manifests itself in the form of bloody discharge from the vagina; it can occur due to serious illnesses in women. The essence of treatment is making a diagnosis, correct and rapid therapy. After all, such a disease leads to complex consequences and even death.

What is uterine bleeding

Uterine bleeding, the discharge of blood from the uterus, differs from menstrual periods in that the amount and timing of the discharge changes.

Norms of blood loss during menstruation

Menstruation is a physiological process that on average begins at age 11 and ends at age 55. It lasts for 3-7 days and occurs every 28-35 days. During one menstrual cycle, a girl secretes from 50 to 80 ml of blood.

Regular periods stop during pregnancy and after childbirth. They may also be absent during breastfeeding.

Types and causes of vaginal bleeding

Type of hemorrhage	Causes of the disease
Organic	Fibroids;
	Polyps;
	Cancer diseases;
	Vaginal ruptures after injury; Intrauterine device;
	Medical abortion;
	Ectopic pregnancy;
	Threatened miscarriage and miscarriage; Postpartum period;
	Endometriosis.
Dysfunctional	Polycystic ovary syndrome;
	Cysts;
	Lack of ovulation;
	Pituitary gland diseases;
	Menopause,
	Puberty;
	Stress.

Also, the vagina can bleed at certain periods of a woman’s life:

Juvenile– stage of sexual development;
Reproductive– childbearing age;
Menopausal- during menopause.

Based on the nature of bleeding, they are divided into:

Main symptoms of hemorrhage

The main signs of vaginal blood loss:

Dysfunctional hemorrhage is painless;
After childbirth up to 2 months;
Prolonged discharge after abortion;
Blood loss while taking hormonal contraception;
For polyps in the uterus;
Fibroids inside the vagina;
Intrauterine pregnancy;
Bloody discharge is associated with cancer.

Why is bleeding from the uterus dangerous?

If uterine hemorrhage does not end for a long time, then it is difficult to stop, which is why this pathology is very dangerous for women’s health and has the following consequences:

Anemia may develop (if the volume of blood that comes out is more than 80 ml);
Large blood loss due to hemorrhage, which is difficult to identify, most often requires surgical intervention;
The risk of developing an underlying disease that caused hemorrhage;
Danger of hemorrhage in pregnant women or during the postpartum period

Signs of uterine bleeding during the reproductive period

During the childbearing period, there are a lot of factors that can cause pathology.

This happens due to:

Disturbances in the production of hormones after termination of pregnancy;
When under stress;
In the presence of infectious diseases;
Intoxication;
When taking medications.

During pregnancy, and especially in the early stages, the uterus may bleed due to miscarriage. In later stages, the uterus may bleed due to placenta previa. It is especially dangerous when it bleeds during and after childbirth, then the amount of blood loss can be very large.

The following diseases can also cause bleeding:

Myoma;
Endometriosis of the uterine body;
Tumors in the cervix;
Chronic inflammation of the cervix.

Bleeding during ectopic pregnancy

The symptoms of an ectopic pregnancy are exactly the same as during normal pregnancy:

Lack of menstruation;
The uterus has enlarged;
Breasts fill up;
Toxicosis;
Change of taste preferences.

Causes of bleeding during pregnancy

Hemorrhages during ectopic pregnancy are a common phenomenon, this happens due to the fact that pregnancy can become the main factor in tubal rupture or in case of termination. The intensity of discharge does not always depend on the mechanism of termination of pregnancy, although tubal ruptures are accompanied by greater blood loss than with medical termination of pregnancy.

Intrauterine hemorrhage during menopause in women

During menopause, women undergo hormonal changes in the body, so the vagina often bleeds. Great care must be taken when dealing with discharge after menstruation has stopped. It is important to immediately consult a doctor at the first signs, since treatment of tumors in the first stages is more successful.

Causes of uterine hemorrhage during menopause:

Copious bloody discharge;
Discharge with clots;
Bleeding that occurs between critical days;
The discharge lasts longer than usual.

Why does vaginal bleeding occur due to nervousness?

Dysfunctional uterine blood loss is said to occur when there is no reason for the appearance of bleeding. They can be due to strong experiences, psychological and emotional stress and nervousness. The treatment methods will be similar, perhaps the doctor will prescribe sedative medications to relieve stress.

Diagnostics

At the first suspicion of the development of the disease, it is important to see a doctor immediately.

In order to determine the source from which the pathology arose, the following measures are taken:

Consultation with a gynecologist;
Blood tests;
Ultrasound of the uterus;
Vaginoscopy;
Cervical biopsy.

Accurate diagnosis is central to the healing process.

How to stop vaginal bleeding?

In order to stop it, you need to diagnose the main factor in the occurrence of blood loss, then specialists choose a way to stop it. Most often, hemostatic agents are used; if there is a large loss of blood, it is transfused. Also, another way to stop (in case of miscarriage, abortion, or childbirth) is curettage of the uterine cavity; if the bleeding has not been stopped, then doctors resort to surgical interventions.

You can stop bleeding at home by following these rules:

Peace;
Coldness in the lower abdomen;
Drink plenty of fluids;
Medicines that restore blood.

It is important to seek advice from a specialist after these measures.

Collapse

Sometimes women turn to a gynecologist due to bleeding from the uterus. Such a deviation can occur at any age, both during pregnancy and without it. There may be several reasons for this pathology, and we’ll talk about them.

Types and causes of appearance

There are several types of blood discharge. This:

Nongenital or extragenital.
Genital, which are associated with pregnancy.
Genital, which are not related to pregnancy.
Dysfunctional uterine bleeding (DUB).

You should also know the following division of bleeding:

Juvenile in nature. Occurs during puberty in girls. Severe mental overload, frequent illness, poor nutrition, etc. can contribute.
Profuse. Not accompanied by pain. Consequence of abortion or vaginal infection, side effect of contraceptives, etc.
Acyclic. Occurs between menstruation. Such bleeding occurs with erosion, endometriosis, fibroids or cysts.
Hypotonic. The reason for its appearance is low myometrial tone (after delivery or abortion).
Anovulatory. Develops in adolescence and in women during menopause. If nothing is done, a malignant neoplasm may develop.

Non-genital bleeding

Occur due to infection with certain diseases.

Bleeding can be caused by diseases such as:

measles;
typhus;
FLU;
sepsis;
liver cirrhosis;
hemophilia;
hemorrhagic vasculitis;
atherosclerosis.

Sometimes the reason lies in high blood pressure or improper functioning of the thyroid gland.

Genital bleeding (during pregnancy)

If in women bloody discharge is associated with the genitals, then it is genital.

Early in pregnancy, blood loss occurs due to:

ectopic pregnancy;
diseases of the ovum (hydatidiform mole or the presence of a malignant neoplasm).

If the cervix bleeds during pregnancy at a later stage, this may be a sign of:

placental presentation;
presence of scars on the uterus;
early placental abruption.

During delivery, bleeding is associated with:

low location of the placenta, its presentation or premature detachment;
uterine rupture;
violation of the integrity of the birth canal.

After delivery this happens due to:

endometritis;
fibroids;
trauma during the birth process;
chorionepitheliomas;
decreased uterine tone.

Genital (without pregnancy)

If the lady is not pregnant, then bleeding may also be present between menstruation. The reason lies in:

the presence of a tumor in the uterus, ovaries or fallopian tubes;
rupture of the ovary or cystic formation on it;
organ injury after sexual contact or others;
inflammation or infectious damage to the organ (cervicitis, endometritis, vaginitis, erosions, etc.).

Blood loss occurs with various dysfunctional disorders. More about this.

Dysfunctional uterine bleeding

If a woman experiences blood loss in the form of menstruation at the right time, about 50-60 ml of blood is lost - this is the norm. If there is prolonged bleeding after menstruation and there is more than 70 ml, this is a sign of dysfunction, that is, DUB.

If the bleeding is long and heavy, it is called menorrhagia. If it occurs between menstruation – metrorrhagia.

Often such dysfunction occurs in women after 30 years of age. Hormonal surges, improper functioning of the thyroid and adrenal glands, lead to ovulation disorders.

May also arise due to:

nervous overstrain, stressful situations;
overwork, both physical and mental;
harmful production;
complicated births and abortions;
inflammatory processes occurring in the pelvic organs.

In the age category from 13 to 20 years, such deviations are also possible. This is the result of mental trauma, heavy physical labor, lack of vitamins in the body, the presence of various pathologies, both chronic and acute.

Bleeding from the uterus in old age is associated with:

nervous overstrain;
chronic diseases;
hormonal changes.

Other reasons

Sometimes the cervix bleeds during examination if the gynecologist was careless and injured the organ. The same embarrassment can arise during rough sexual intercourse.

If a woman has any defects of the genital organs since birth, then blood loss, often with clots, is also possible. In this case, you will have to be fully examined and resort to radical treatment methods.

Bleeding in old age?

In older women, bloody discharge from the genital tract may be associated with:

diseases of the reproductive organs (pathologies of the ovaries, uterus, vagina);
improper metabolism;
disruption of the liver and endocrine system;
blood supply problems;
taking certain medications;
hormonal imbalance;
changes in the endometrial layer of the uterus.

Also, a common cause of blood loss in old age is the presence of tumors, inflammation and infections.

Symptoms and signs

The main sign of uterine bleeding is bloody discharge from the genital tract. If you have bleeding but not your period, there are additional symptoms:

the volume of liquid is more than 80 ml (this can be understood if a woman changes pads more often than once every two hours);
duration of blood loss more than 6 days and more often than once a month;
if the interval between menstruation is less than 21 or more than 35 days;
cervix bleeds after sex;
blood on underwear is present in the postmenopausal period.

If a woman regularly loses a large amount of blood, she will develop anemia. You will feel dizzy, weak and the skin will become pale. If cervical erosion bleeds, then you should not hesitate, as serious consequences are possible in the future.

First aid for uterine bleeding

When bleeding, a lady should be able to provide herself with first aid. Massive blood loss should not be allowed, as this can lead to loss of consciousness, anemia and other consequences.

You should not put anything hot on your stomach, take baths, steam your feet, or eat foods containing vitamin C.

To improve your well-being you need:

take a horizontal position and put your feet on a hill;
put ice or a bottle of cold water on the stomach area;
drink fluids constantly.

When should you see a doctor?

If the bleeding does not stop within a week, clots and soreness are present. A woman needs to contact a specialist who will examine her and prescribe appropriate treatment. Self-medication in this case is inappropriate, since the patient does not know the cause of the pathology.

How to get rid of uterine bleeding?

What to do if there is bleeding? In such cases, you cannot hesitate; you need to seek medical help. It is important to promptly identify the cause of the pathology and begin its treatment.

If such dysfunction occurs in adolescence, the doctor will prescribe medications that promote uterine contraction, as well as hemostatic drugs and those that strengthen blood vessels. It is important to take vitamins and take a course of herbal medicine. In some cases, hormonal treatment is indicated. This will make it possible to regulate the menstrual cycle.

Women who are of reproductive age are prescribed hormonal medications. If the cause is fibroma, the presence of a cyst or other formations, then radical treatment is possible. If cervical erosion is bleeding, cauterization will help remove the bleeding.

How to stop bleeding in old age? Here, almost always, the cause lies in oncology, so the only way to get rid of the pathology is through surgery. The entire affected organ will have to be removed.

In order not to start the disease and cure it in a conservative way. You should promptly seek help from a specialist and not self-medicate. Hemostatic agents will not get rid of the underlying disease, but will only temporarily eliminate the symptoms.

Prevention

To prevent this pathology you should:

eat well and take more vitamins;
be less nervous;
have one partner;
promptly treat all diseases associated with the sexual sphere;
do not have rash abortions;
visit a gynecologist regularly;
If any abnormalities occur, contact the hospital immediately.

Conclusion

Why does the cervix bleed and can the organ bleed without pathologies? Such questions are asked by women who have prolonged bleeding from the genital tract. There can be a lot of answers. But it is important to know that the presence of blood on underwear between periods is not the norm. Bloody discharge that remains for more than a week should also be alarming. To prevent serious complications, you should contact a gynecologist in a timely manner.

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- This is the outpouring of blood into the external environment, natural body cavities, organs and tissues. The clinical significance of the pathology depends on the magnitude and rate of blood loss. Symptoms: weakness, dizziness, pallor, tachycardia, decreased blood pressure, fainting. Detection of external bleeding is not difficult, since the source is visible to the naked eye. To diagnose internal bleeding, depending on the location, various instrumental techniques can be used: puncture, laparoscopy, X-ray contrast study, endoscopy, etc. Treatment is usually surgical.

First aid consists of anesthesia and immobilization with a splint. For open fractures, apply a sterile bandage to the wound. The patient is taken to the emergency room or trauma department. To clarify the diagnosis, radiography of the damaged segment is prescribed. For open fractures, PSO is performed; otherwise, treatment tactics depend on the type and location of the injury. For intra-articular fractures accompanied by hemarthrosis, a joint puncture is performed. In case of traumatic shock, appropriate anti-shock measures are taken.

Bleeding from other injuries

TBI can be complicated by hidden bleeding and hematoma formation in the cranial cavity. At the same time, a fracture of the skull bones is not always observed, and patients in the first hours after the injury may feel satisfactory, which complicates the diagnosis. With closed rib fractures, damage to the pleura is sometimes observed, accompanied by internal bleeding and the formation of hemothorax. With blunt trauma to the abdominal cavity, bleeding from the damaged liver, spleen or hollow organs (stomach, intestines) is possible. Bleeding from parenchymal organs is especially dangerous due to the massive blood loss. Such injuries are characterized by the rapid development of shock; without immediate qualified assistance, death usually occurs.

In case of injuries to the lumbar region, a bruise or rupture of the kidney is possible. In the first case, the blood loss is insignificant; bleeding is evidenced by the appearance of blood in the urine; in the second case, there is a picture of rapidly increasing blood loss, accompanied by pain in the lumbar region. With bruises in the lower abdomen, rupture of the urethra and bladder may occur.

First aid for all internal bleeding of a traumatic nature consists of pain relief, ensuring rest and immediate delivery of the patient to a specialized medical facility. institution. The patient is placed in a horizontal position with legs elevated. Apply cold (a bubble or heating pad with ice or cold water) to the area of suspected bleeding. If esophageal or gastric bleeding is suspected, the patient is not allowed to eat or drink.

At the prehospital stage, if possible, anti-shock measures are carried out and blood volume is replenished. Upon admission to medical school. the institution continues infusion therapy. The list of diagnostic measures depends on the nature of the injury. In case of TBI, a consultation with a neurosurgeon, radiography of the skull and EchoEG are prescribed, in case of hemothorax - a chest X-ray, in case of blunt abdominal trauma - a consultation with a surgeon and diagnostic laparoscopy, etc.

Treatment in most cases is surgical - opening the corresponding cavity, followed by ligation of the vessel, suturing, and removal of the entire damaged organ or part of it. For minor bleeding, expectant management can be used, combined with conservative measures. For hemothorax, treatment is usually conservative -

If, during the period between menstruation, a woman experiences bloody, often brownish, discharge, this may indicate that the cervix is bleeding. This is an alarming signal that indicates pathological processes, and in the future can lead to serious consequences.

No bleeding should be present. However, there are times when a woman notices a slight discharge of blood outside of menstruation.

The mucous membrane can be injured due to:

Gynecological examination.
After sexual intercourse.
Transvaginal ultrasound examination.
Installation of the spiral or after its removal.

If the bleeding after the procedures goes away on its own, then there is no need to worry.Blood discharge can be observed during abortion, curettage, or during hysterography.

The cervix may bleed due to the development of certain gynecological diseases, namely:

Cervicitis. Cervicitis is commonly understood as inflammation of the cervical mucosa. The disease can occur when a fungal or bacterial infection occurs.
Polyps of the cervical canal. classified as benign formations, their development can be asymptomatic and detected only during a gynecological examination. In appearance, it is a wart on a stalk. The tumor must be treated, as it may increase in size, resulting in increased bleeding.Polyps can appear due to hormonal imbalance, prolonged stressful situations, and age-related changes. The formation of polyps may be associated with infectious diseases.
Erosion. With erosion, the mucous epithelium of the cervix changes due to mechanical stress or infectious-inflammatory conditions.

Characteristic signs

Bloody discharge from the cervix appears outside of menstruation. They are usually spotty and brown in color. Discharges are observed periodically.In addition, the following symptoms may be observed:

Discomfort in the lower abdomen.
Menstrual irregularities.
Discharge of serous, purulent leucorrhoea.
Heavy periods.

Pain in the lower abdomen can be of different types: sharp, dull, cutting, pulling. These unpleasant sensations usually appear after sexual intercourse.

If you experience pain in the lower abdomen and spotting from the vagina between periods, then this is a serious reason to contact a gynecologist and undergo an examination.

When contacting a gynecologist with these symptoms, the doctor will conduct an examination using special mirrors. During the examination, the size and shape of the neck, the presence of deformation, ruptures, etc. are determined.The gynecologist will also perform sampling and infections.

If necessary, colposcopy is performed. This procedure allows you to study the mucous membrane of the cervix in more detail and collect material for research.The gynecologist may also refer you for an ultrasound examination to exclude or identify tumors and other formations.

Principles of treatment

To stop bleeding, drugs that stop bleeding are prescribed:

If the cervix bleeds due to infectious cervicitis, then antibiotics are used for treatment. Depending on the type of infection, the doctor prescribes the necessary antibacterial drug. The most commonly used antibiotics are: Ceftriaxone, Azithromycin, Erythromycin, Ofloxacin, etc.
For inflammation of the cervix, vaginal suppositories may be prescribed, which have antifungal, antiviral and antimicrobial effects. The following are used in the treatment of cervicitis: Metronidazole, Doxycycline, Diflucan, Terzhinan, etc.
If the cause of bleeding is cervical erosion, then various innovative methods are used: cryodestruction, laser coagulation, radio wave treatment, etc. For erosion, the drugs Hexicon, Depantol, and Suporon are also used. They have anti-inflammatory and antiseptic effects. Only a doctor should prescribe medications, as there are contraindications to their use.
For cervical polyps and associated bleeding, surgical removal is resorted to. In case of an inflammatory process in the cervix, antibacterial therapy is carried out, only after this the polyp is removed. The operation is usually performed after menstruation.

Traditional methods of treatment

When using alternative methods of treatment, you should consult your doctor.

Features of treatment:

Fresh nettle juice will help with erosion. Take a few sprigs of nettle, rinse, chop and squeeze out the juice. Soak a tampon with the resulting juice and insert it into the vagina.
Flaxseed oil also has a positive effect. Regular tampons are soaked in oil and inserted into the vagina overnight. You can use eucalyptus oil instead.
If cervical polyps bleed, it is recommended to follow the following procedure: take a little fresh cottage cheese, add aloe juice and a small spoon of honey. Stir the mixture well, prepare a tampon, and then insert it into the vagina.
To eliminate the inflammatory process and restore the cervical mucosa, it is recommended to take a decoction of St. John's wort. Pour a tablespoon of water into a glass of water and boil. Take 100 ml every morning before meals.
It is effective to douche with a solution of copper sulfate. Pour a tablespoon of vitriol into a liter of water, first grind it into powder. Next, boil for 5 minutes, let cool and strain. As a result, the water should turn blue. The solution should be stored in a dark container in the refrigerator. Dilute the resulting solution in a liter of boiled water and perform douching. The procedure should be carried out within 10 days.

If you do not take measures to eliminate bloody discharge from the cervix and do not treat the diseases that provoke the development of this pathology, then there is a possibility of developing serious complications. cervix, the following rules must be observed:

Have a gynecological examination in a timely manner. If any symptoms appear, you should definitely contact a gynecologist and do not delay the visit, as the disease can become chronic and lead to a number of serious problems.
It is important to exclude cervical injury.
You should constantly monitor the cleanliness of your genitals.
Avoid unprotected sex with strangers.
Use contraception in case of unwanted pregnancy.
Keep a calendar in which to record the duration of menstruation and the amount of discharge.

Many women's diseases are characterized by such symptoms as uterine bleeding . This condition requires immediate medical attention because it is life-threatening and can be fatal. Stopping blood loss is quite difficult due to the variety of reasons it could be caused.

The uterus consists of several layers: perimeter, myometrium and endometrium. The last layer, the endometrium, consists of two balls: the main one and the functional one. The shedding of the functional layer of the endometrium is called menstruation.

But due to a malfunction in the body’s hormonal system, part of it may remain inside along with dilated vessels and glands that begin to bleed. In medicine, this condition is called dysfunctional uterine bleeding.

Categories

There are a large number of reasons that provoke uterine bleeding, but to simplify medical diagnosis and simplify understanding, they were divided into two categories: non-genital (disturbances in the organs and systems of the body) and genital (pathologies of the genital area).

The first type includes:

Infections (measles, FLU, sepsis, typhoid fever);
Blood diseases (hemophilia, hemorrhagic vasculitis, lack of vitamin C, K, etc.);
Cirrhosis;
Disorders in the cardiovascular system (atherosclerosis, high blood pressure, etc.);
Problems with the functioning of the thyroid gland.

Causes of uterine bleeding of the second category:

Discirculatory uterine bleeding (during puberty, puberty, menopause);
Tumors of the uterus or ovaries;
Infectious and inflammatory pathologies (cervicitis, erosion, endocervicosis, vaginitis, endometritis);
Uterine trauma;
Ovarian rupture or cyst.

Dysfunctional uterine bleeding (DUB)

Normally, during menstruation, the amount of blood loss is 30-40 ml, maximum 80. With DUB - more than 100 ml. Dysfunctional bleeding can coincide with menstrual bleeding (heavy and prolonged) or occur independently of it (of varying intensity and regularity).

DMC are often observed in women of reproductive age 30-40 years. The main cause of the pathology is expressed in disruption of the ovulation process, when the endometrium is not completely rejected.

DMC are often quite abundant, since hormonal imbalance reduces the function of platelets (cells of the coagulation system), as a result of which the blood thins.

A fairly large number of reasons can lead to hormone imbalance:

In the puberty period, from 12 to 18 years: infections (acute, chronic), hypovitaminosis, physical stress, mental trauma;
In reproductive age: stress, complicated childbirth and abortion, disruption of the endocrine glands, inflammation of the genital organs;
During menopause: acute/chronic infections, neuropsychic injuries.

However, it is worth noting that DMK often appears due to a number of other reasons: excess weight, blood diseases, taking certain medications, strict diets, climate change. But they never occur due to pregnancy or neoplasm.

Symptoms of uterine bleeding

Dizziness, fainting, general weakness;
Pale skin;
Nausea, vomiting;
Rapid or weak pulse;
Decreased blood pressure;
Discharge of blood from the vagina;
A large number of blood clots during menstruation. A pad or tampon gets wet quickly and has to be changed every hour or two;
Menstruation lasts more than 7-8 days (the norm is 3-8);
Bleeding after sex;
Discharge most often does not coincide with menstrual discharge.

During puberty, they are usually long-lasting, lasting longer than the established norm, the interval is less than 21 days, and blood loss is profuse (more than 100-120 ml per day).

Bleeding that appears after a delay in menstruation usually indicates its functional nature.

Fibroids, adenomyosis and blood diseases are characterized by cyclical and very heavy discharge.

What to do if there is uterine bleeding?

The first thing to do is call an ambulance. This is especially true for pregnant women and in cases where the condition worsens very quickly. It is necessary to call an ambulance as soon as possible, because every minute can be decisive.

Secondly, consult a doctor yourself, because only a specialist will be able to give an adequate assessment, assessing the woman’s condition and find out the cause.

You cannot: apply warm heating pads, douche, take warm baths, use medications that contract the uterus.

How to stop uterine bleeding:

Maintain bed rest. The legs should be kept in an elevated position, for example, by placing a bolster or pillow under them. This will allow blood to function in vital organs (kidneys, liver, brain). In case of significant blood loss, it will reduce the risk of fainting and severe complications;
Coldness on the lower abdomen. This could be an ice pack wrapped in a cloth to prevent frostbite, or a heating pad filled with cold water. Keep the ice for 10-15 minutes, then take a 5-minute break. Repeat the manipulations for 1-2 hours. Cold constricts blood vessels, thereby reducing bleeding;
Replenish the body's water balance. If it is not possible to put in an IV, drinking plenty of fluids will help, for example, sweet tea, rosehip decoction, water, etc. In this case, water will replenish the loss of fluid that came out along with the blood. Glucose will nourish the tissues and, most importantly, the nerve cells of the brain;
Medicines. They should be taken only after consultation with a doctor or in an emergency: Dicinone (0.25 g orally 4 times a day), Calcium gluconate (1 tablet 4 times a day), Aminocaproic acid (30 ml 5 times a day), Vikasol (0.015 g 3 times a day), tincture of nettle or water pepper (100 ml 3 times a day). The above remedies increase the activity of the muscles of the uterus, but it is not recommended to take them during pregnancy.

Measures taken in a hospital setting

Some hemostatic agents used for uterine bleeding have already been listed above, for example, Aminocaproic acid, Dicinone. However, in a medical institution they are administered either intravenously or intramuscularly. These procedures are not performed at home. Everything must be carried out under the supervision of doctors and medical staff.

To stop blood loss, hormonal drugs, for example, combined oral contraceptives (monophasic) or gestogens, can be used. This method is suitable for nulliparous young women who are not at risk of developing tumors in the endometrium.

Hormonal agents are also used when a woman had curettage for diagnostic purposes less than 3 months ago, and no pathology was detected in her endometrium.

The second option is hemostatic drugs. In addition to the above, Tranexam is used, as well as Ascorutin to strengthen the walls of blood vessels, and Ergotal and Oxytocin to tone the uterus.

Methods of surgical stopping of bleeding are also used. The main and most effective of them is the cervical canal. It is performed for women of reproductive age and during menopause.

For the same purposes, cold treatment, or cryodestruction, is prescribed. Using liquid nitrogen, the upper modified layer of the uterus is destroyed. This procedure has no contraindications and gives a lasting positive result.