When there is uterine bleeding, does the stomach hurt or not. Possible signs of uterine bleeding and methods of treatment

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.

Treatment of internal bleeding

It is necessary to ensure that the patient is transported to a specialized care unit as quickly as possible. The patient needs to be kept at rest. If hemothorax or pulmonary hemorrhage is suspected, the patient is placed in a semi-sitting position; if there is blood loss in other areas, the patient is placed on a flat surface. Apply cold (such as an ice pack) to the area of suspected bleeding. It is strictly forbidden to heat the painful area, give enemas, give laxatives or introduce drugs into the body that stimulate cardiac activity.

Patients are hospitalized in a hospital. The choice of department is made taking into account the source of internal bleeding. Treatment of traumatic hemothorax is carried out by traumatologists, non-traumatic hemothorax and pulmonary hemorrhage - by thoracic surgeons, intracranial hematomas - by neurosurgeons, uterine bleeding - by gynecologists. In case of blunt abdominal trauma and gastrointestinal bleeding, hospitalization is carried out in the general surgery department.

The main tasks in this case are to urgently stop internal bleeding, compensate for blood loss and improve microcirculation. From the very beginning of treatment, to prevent empty heart syndrome (reflex cardiac arrest due to a decrease in the volume of bcc), restore the volume of circulating fluid and prevent hypovolemic shock, a jet transfusion of a 5% glucose solution, saline solution, blood, plasma and blood substitutes is performed.

Sometimes internal bleeding is stopped by tamponade or cauterization of the bleeding area. However, in most cases, emergency surgery under anesthesia is required. If there are signs of hemorrhagic shock or the threat of its occurrence at all stages (preparation for surgery, surgery, the period after surgery), transfusion measures are carried out.

Internal bleeding due to ectopic pregnancy is an indication for emergency surgery. In case of dysfunctional uterine bleeding, tamponade of the uterine cavity is performed; in case of massive bleeding due to abortion, birth trauma, and after childbirth, surgical intervention is performed.

If blood pressure cannot be normalized despite infusion therapy, dopamine, norepinephrine or adrenaline is administered after stopping the bleeding. Pentoxifylline, dipyridamole, heparin and steroid drugs are used to treat hemorrhagic shock. After eliminating the threat to life, the acid-base balance is corrected.

External bleeding is considered one of the most favorable because it is quickly and easily diagnosed. Bleeding from the uterus can also be called external, but experts classify it as a separate group. This is due to its special nature and source, which is the uterus. This organ has such a good blood supply that if the integrity of its vessels is compromised, this is manifested by profuse bleeding, which is extremely difficult to treat and often leads to severe blood loss with dangerous consequences.

Most common reasons

All women at any stage of life may experience bleeding from the uterus. They can be either organic or functional. In the first case, we are talking about a violation of the normal structure of the endometrium or the muscular layer of the uterus and its appendages, in the second, a violation of the hormonal regulation of their growth and menstrual function. Thus, all uterine bleeding can be classified in the form of a table.

Type of bleeding	Possible causes and diseases
Organic – caused by changes in the structure of the uterus	Bleeding polyps of the uterus and its cervix; Cancer diseases (cancer of the vulva, cervix, endometrium); Traumatic ruptures of the vagina, cervix and its body; Intrauterine device and medical procedures; Medical abortion; Ectopic pregnancy; Threatened miscarriage and miscarriage; Postpartum period; Endometriosis.
Dysfunctional – caused by a violation of hormonal regulation of the menstrual cycle	Polycystic ovary syndrome; Single follicular ovarian cysts; Lack of ovulation and weakness of the corpus luteum; Diseases of the pituitary gland, thyroid gland and other endocrine glands; Menopause and puberty; Stress and poor nutrition.

Uterine fibroids are one of the most common causes of uterine bleeding in women of reproductive age.

Uterine bleeding is always just a symptom. You cannot remain idle to stop it. It is imperative to determine the true causes of the occurrence in order to remove the symptom and get rid of the disease that became its source.

Variants of clinical manifestations

Bleeding from the uterus cannot be considered unambiguously. Every woman of reproductive age has menstrual ability, which can indirectly be considered a kind of bleeding. But it has its own individual differences. Some women have scanty and short periods, while others, on the contrary, have long and heavy periods. The most important thing is their regularity in any case. If this indicator is violated, this indicates uterine bleeding. In other words, uterine bleeding can rightfully be called only the appearance of bloody discharge from the genital tract outside of menstruation or its prolonged course, which has not been observed before. Otherwise, it’s just a variant of the individual norm.

Therefore, the symptoms and clinical picture of this condition are presented:

Constant spotting and spotting from the uterus that does not affect the general condition;
Bleeding from the uterus during menstruation, leading to large blood loss and moderate anemia;
Bloody discharge in the middle of the menstrual cycle for no apparent reason;
Active flow of bright or dark fresh blood with clots, general impairment and shock.

Each of these clinical options has its own origin and focus of treatment measures aimed at stopping bleeding and blood loss.

Signs of heavy uterine bleeding

It is extremely important to know the warning signs of uterine bleeding with massive blood loss. After all, they signal an impending threat to a woman’s life. These include:

Heavy bleeding in a short period of time;
General weakness and dizziness;
Severe pallor of the skin;
A decrease in blood pressure below the numbers that are usually typical for a woman;
Frequent pulse and heartbeat;
Drowsiness and apathy.

The appearance of at least some of the listed symptoms is a reason to immediately seek medical help. Otherwise, there is a risk of developing hemorrhagic shock and death of the patient.

Interesting video:

Danger of uterine bleeding

Uterine bleeding is characterized by the ability to rapidly increase, last a long time, and have relatively poor ability to stop it. In this regard, the development of different scenarios for the outcome of this condition is possible:

Regular moderate blood loss, leading to bleeding of patients and anemia of varying severity. Does not pose a direct threat to life. Characteristic of small but prolonged bleeding from the uterus;
Bleeding with massive simultaneous blood loss. As a rule, it is very difficult to stop him. Often ends in a serious condition for patients and requires surgical treatment with removal of the bleeding uterus;
Minor bleeding from the uterus, which was not paid attention to for a long time, due to its commonality for patients. They do not pose an immediate threat and do not cause severe anemia. The danger is that in this case the underlying disease progresses, which acts as the cause of bleeding. This, sooner or later, will end in profuse bleeding or the development of severe and advanced forms of primary diseases;
Bleeding during pregnancy or the postpartum period. They are characterized by high intensity and severity compared to other reasons for their development. This is due to the poor ability of the uterus to contract and stop bleeding on its own. Therefore, they often end in severe shock and the use of surgical treatment to stop.

Embolization of uterine vessels is an alternative modern method of planned treatment of uterine bleeding

How can you help?

Stopping bleeding from the uterus is not easy. Here a clear algorithm of actions must be followed, both by the specialized gynecological service and the ambulance, and even by the patients themselves. All that is required of women with signs of uterine bleeding is to seek early medical help from a gynecologist. The sooner this is done, the better the prognosis for a full recovery. Ambulance workers or nearby people should provide the following measures:

Place the patient in a horizontal position;
Carrying out constant monitoring of blood pressure and pulse parameters;
Cooling the lower abdomen and uterus with an ice pack or a cold heating pad;
Transportation to the nearest medical facility.

In a gynecological hospital, medical care should be provided step by step, which includes the following treatment:

Hemostatic and hemostatic therapy. It is carried out by intravenous administration of drugs: dicinone, etamsylate, aminocaproic acid, vikasol, tugina, novoseven (clotting factor 7), cryoprecipitate, platelet mass;
Infusion therapy. Designed to restore lost volume of circulating blood. For these purposes, the following are used: rheosorbilact, trisol, hemodez, refortan, washed red blood cells, fresh frozen plasma and other infusion media;
Vitamin preparations that help stop bleeding: ascorbic acid, calcium gluconate or chloride;
Hormonal hemostasis. Involves the use of high doses of estrogen or progesterone hormones. Indicated in case of dysfunctional bleeding from the uterus and is not effective if it is of organic origin;
Diagnostic and therapeutic curettage from the uterine cavity. It is one of the most effective techniques for quickly stopping uterine bleeding of any origin. By means of fractional curettage, the endometrium is collected from different parts of the uterus, which makes it possible to identify the exact nature and localization of the source of bleeding in the uterus under a microscope. The therapeutic goal of this event is to remove the bleeding endometrium, which causes powerful contraction of the uterus and compression of the bleeding vessels;
Temporary clipping of the uterine arteries. Indicated in cases where there is no effect from the above methods and bleeding continues. It involves the application of special soft clamps to the uterine ligaments through the vagina;
Surgical treatment. Refers to forced measures in case of ongoing bleeding from the uterus of any origin and the impossibility of stopping it using a set of conservative methods. The operation involves only one thing - removal of the uterus as a bleeding organ. Indeed, in such cases, it is not so much about preserving it, but about saving the life of a woman.

Uterine bleeding has been, is and will be one of the most difficult problems in emergency gynecology. Given this fact, you should not push yourself to an extreme state if you discover their symptoms. Early seeking medical help is the only key to successfully solving the most difficult situations.

Uterine bleeding can occur in both physiological and pathological conditions. As a rule, a woman cannot independently determine the exact cause of this phenomenon, so it is better to seek advice from a gynecologist. It is considered normal if bleeding from the uterus occurs during menstruation and lasts no longer than a week. Also, short-term spotting can be observed during the period of ovulation, which indicates the possibility of fertilization.

Causes of uterine bleeding

Bleeding from the uterus can be observed due to hormonal pathologies, inflammatory processes or system disorders. In the early stages of pregnancy, heavy bleeding can provoke spontaneous abortion or ectopic development of the fetus. At later stages, uterine bleeding may occur as a result of the development of placental polyps, placental rupture and hydatidiform mole.

The causes of bleeding from the uterus may lie in pathological changes such as endometriosis, cancer of the uterine cavity, cervix 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, uteri, functional ovarian cysts, polycystic disease, as well as endocrine disorders such as hyperprolactinemia and hypothyroidism are often observed. Vaginal bleeding often occurs when blood clotting is impaired, 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 should contact an antenatal clinic and undergo an examination. Very often, bleeding from the uterus is a sign of infertility, so in addition to the examination, the gynecologist must perform a transvaginal ultrasound to assess the changes that have occurred in the uterine cavity and ovaries. In case of structural pathological processes that do not have clear signs, a blood test is often prescribed to detect hormonal disorders in the thyroid gland and genital organs. In almost all cases, bleeding from the uterus requires a pregnancy test and a complete blood count, which will monitor the indicators of red blood cells, hematocrit, hemoglobin, ESR and platelets.

Treatment of uterine bleeding depends entirely on the underlying cause that provoked it. Most often, conservative therapy is used using drugs that correct and increase the blood’s ability to rapidly clot. If bleeding cannot be eliminated with medication, surgical intervention may be performed, which consists of curative or complete removal of the uterus. In any case, only the doctor selects methods for eliminating uterine bleeding, based on the individual health characteristics of the patient and the severity of the underlying disease.

Uterine bleeding a formidable symptom of various diseases of the female body. Failure to provide adequate assistance can lead to tragic consequences. Stopping uterine bleeding is not an easy task due to the many causes. So what are the causes of bleeding and how to properly provide help?

Anatomy of the uterus

The uterus consists of 3 main layers:

1) perimetry– a layer that covers the outside of the uterus and passes into the wall of the abdominal cavity;

2)myometrium– the most massive layer of the uterus, consisting of muscle fibers, containing a large number of vessels feeding the uterus;

3)endometrium- the membrane lining the inside of the uterine cavity. It is the endometrium that thickens during the menstrual cycle and prepares for the implantation of the fertilized egg.

The endometrium is divided into 2 layers: main (basal) and functional, which is rejected monthly if fertilization of the egg does not occur. The rejection of the functional layer of the endometrium is what we call menstruation. However, if there is a failure in the hormonal system, the rejection of the functional layer may not be effective. As a result, part of the endometrium remains, and with it many dilated glands and vessels that begin to bleed. This is how they arise dysfunctional uterine bleeding.

Types and causes of uterine bleeding

There are many reasons that can lead to uterine bleeding. Therefore, for ease of understanding and to simplify the diagnosis of bleeding, the causes are divided into certain categories. And so the first two large categories are:

1) bleeding as a result of disorders in various organs and systems, 2) bleeding associated with disorders in the sexual sphere.

Nongenital causes of bleeding (extragenital)

Infectious diseases (influenza, measles, typhoid fever, sepsis);
Blood diseases (hemorrhagic vasculitis, hemophilia, deficiency of vitamin K and C, etc.;
Liver disease (cirrhosis);
Diseases of the cardiovascular system (high blood pressure, atherosclerosis, etc.);
Decreased thyroid function.

Uterine bleeding as a result of disorders in the sexual sphere (genital).

Genital reasons bleeding may or may not be related to pregnancy.

Genital causes associated with pregnancy (early periods)

Disturbed pregnancy (uterine, ectopic)
Disease of the ovum (hydatidiform mole, chorionepithelioma-malignant tumor)

Genital reasons pregnancy-related (late pregnancy, childbirth, half-birth period):

Causes in late pregnancy
- Placenta previa
- Scar on the uterus
- Processes of tissue destruction on the cervix
- Other obstetric causes
Causes during childbirth
- Premature placental abruption
- Placenta previa
- Low-lying placenta
- Uterine rupture
- Injuries to the vagina and vulva
- Delay in discharge of separated placenta
- Strangulation of the placenta
- Violation of placenta attachment
- Injuries of the soft birth canal
Causes after childbirth
- Decreased uterine tone
- Injuries of the soft genital tract
- Retention of parts of the placenta
- Chorionepithelioma

Genital causes not related to pregnancy

Discirculatory uterine bleeding

Juvenile (during puberty 12-18 years);
Reproductive (during puberty 18-45 years);
Menopause (period of menopause);

Tumors

Uterus
Ovarian

Ovarian rupture, ovarian cyst rupture
Uterine injuries
Infectious and inflammatory diseases

Dysfunctional uterine bleeding (DUB)

Bleeding that occurs during normal menstruation is a consequence of rejection of the functional layer of the endometrium, as a result of a decrease in the level of female sex hormones (estrogens, gestagens).

Normally, the amount of blood loss is 30-40 ml, the upper limit of normal is 80 ml. With DUB, heavy bleeding of more than 100 ml occurs, which may or may not coincide with the time of menstruation.

There are bleedings that coincide in time with menstruation - menorrhagia, abundant and long-lasting. As well as bleeding that occurs between periods - metrorrhagia, they have varying intensity and are irregular.

Dysfunctional uterine bleeding widespread among women, especially between the ages of 30 and 40. The main cause of DUB is a disruption of the ovulation process.

The impossibility of the ovulation process is caused by a malfunction in the woman’s hormonal system (changes in the level and rhythm of secretion of luteinizing and follicle-stimulating hormone). As a result, the mucous membrane of the uterus (endometrium) grows with insufficient development of glands and blood vessels, accumulation and stagnation of blood occurs, blood circulation is impaired, and the permeability of blood vessels changes. This creates favorable conditions for bleeding to occur. And when the endometrium is rejected, it is not rejected evenly, which results in bleeding of varying severity and duration.

In addition, during such hormonal disorders at the level of the uterus, the function of platelets (the main cells of the coagulation system) decreases and blood thinning processes increase, which further increases bleeding.

Factors causing disruption of the hormonal system

At puberty (12-18 years):

Chronic and acute infectious diseases
Reduced amount of vitamins (hypovitaminosis)
Physical overload
Mental trauma

During reproductive age:

Emotional and mental stress
Complicated abortions and childbirth
Diseases of the endocrine glands (thyroid gland, etc.)
Inflammatory diseases of the genital organs

During menopause:

Acute and chronic infectious diseases
Neuropsychic trauma

Symptoms of uterine bleeding

General symptoms:

Weakness, dizziness
Pale skin
Possible nausea, vomiting
Fainting
Rapid and weak pulse
Lower blood pressure

Local symptoms:

Discharge of blood from the vagina
During menstruation, discharge of a large number of blood clots. The pad or tampon gets wet quickly and abundantly. Frequently change the gasket at night (every 1-2 hours).
Increased duration of bleeding (more than 7-8 days). Normally, menstrual bleeding lasts 3-8 days.
Possible bleeding after intercourse
Dysfunctional uterine bleeding is almost painless
Bleeding often does not coincide with the period of menstruation

The main symptoms of uterine bleeding during puberty: prolonged, bloody vaginal discharge (more than 7-8 days); bleeding, the interval between which is less than 21 days; blood loss more than 100-120 ml per day.

Uterine bleeding that appears after a delay in menstruation, as a rule, indicates their functional nature.

Cyclic, abundant bleeding more often occurs with fibroids, adenomyosis and blood diseases.

First aid for uterine bleeding

Do I need to call an ambulance?
Yes, it is necessary and as soon as possible! Especially if bleeding occurs for the first time, the woman is pregnant and the condition quickly worsens. Don’t put off calling an ambulance; every minute can be decisive.

Uterine bleeding a formidable signal about a violation in a woman’s body. And accordingly, you should respond to it very seriously. First of all, you need to call an ambulance or see a doctor. Only a doctor is able to adequately assess the situation, since there are many reasons that can cause uterine bleeding and only medical experience allows you to take a holistic look at the problem.

Step by step guide:

What not to do

Apply a warm heating pad
Do douching
Take a warm bath
Take medications that contract the uterus without consulting a doctor.

What to do

Help steps, what to do?	How to do it?	For what?
What can you do yourself at home?
Bed rest	Lay on the bed (lying on your back), raise your legs, place a bolster or pillow under your feet.	This will allow blood to wash vital organs (brain, liver, kidneys) and in case of significant blood loss, the risk of loss of consciousness and severe complications is reduced.
Coldness in the lower abdomen	You can use an ice pack only after wrapping it in cloth to avoid frostbite. Or you can put a heating pad, a bottle filled with cold water, etc. Place the ice for 10-15 minutes, then take a 5-minute break, repeat for 1-2 hours.	Cold constricts blood vessels, thereby reducing bleeding.
Replenish fluid loss from the body	In case of blood loss, it is necessary to replace the lost volume of fluid from the bloodstream. Without the ability to put in an IV, drinking plenty of fluids will do. Water, sweet tea, rosehip tea, etc.	Water will reduce the amount of fluid lost along with blood. Glucose will nourish the tissues and mainly the nerve cells of the brain. Tea with rose hips (which contains a large amount of vitamin C) helps to protect the walls of blood vessels, which also reduces bleeding.
Medicines(hemostatic drugs) Drug treatment should be resorted to only after consultation with a specialist doctor or in emergency situations.	Dicynone inside 0.25 g. 4 times a day Calcium gluconate 3-4 times a day, 1 tablet. inside. Aminocaproic acid- 30 ml orally 3-5 times a day; Ascorbic acid up to 1 gr. per day. Vikasol - orally 0.015 g 3 times a day Nettle, water pepper in the form of tinctures orally, 100 ml 3 times a day. The products increase the tone and activity of the uterine muscles.	Taking hemostatic drugs requires consultation with a specialist doctor, especially if the woman is pregnant. In addition to the hemostatic effect, drugs can cause various side effects.
Medical care used in the hospital:
Stopping bleeding with hormonal drugs(with DMK)	Monophasic combined oral contraceptives (COCs) are used as hormonal agents: Regulon, Janine, Non-ovlon, etc. Mode of application: On the first day, use 3-6 tablets until bleeding stops. Then, every subsequent day, the dose is reduced by 1 tablet from the original amount. So if on the first day you take 5 tablets, then the next day you take 4. And so they reduce it to 1 tablet per day, which should be taken for 21 days. Also, gestogens (noethistirone 5 mg, linestrenol 10 mg, dydrogesterone 10 mg) can be used as a hormonal stop of bleeding. But this type of bleeding control is slower and is not used in women with severe anemia. Mode of application: 3-5 tablets per day until bleeding stops. Then every 2-3 days the dose is reduced by 1 tablet. The total period of use is no more than 10 tablets, 2 tablets per day.	To whom and under what conditions can uterine bleeding be stopped using hormonal drugs: Young women who have not given birth and are not at risk for the development of tumor processes in the endometrium. If curettage for diagnostic purposes was carried out no more than 3 months ago, and no pathological processes in the endometrium were detected.
Hemostatic drugs	Aminocaproic acid: Application: 30 ml orally 3-5 times a day or 100 ml 5% solution intravenously. Dicynone(sodium etamsylate) intramuscularly 2 ml 1-4 times a day for 7 days or orally 0.25 g. 4 times a day; Tranexam: for profuse bleeding 1000-1500 mg, 3-4 times a day, 3-4 days. Vikasol IM 1% -1 ml or orally 0.015 g 3 times a day, for 3 days; Askorutin 0.25 g orally 3 times a day, for 7 days, strengthens the vascular wall; Drugs that increase uterine tone: Oxytocin(pituitrin) – 5 units – 1 ml, IM; 1 ml intravenously in 500 ml of 5% glucose solution per day, up to 7 days; Ergotal– 0.05% -1 ml IM Not for uterine fibroids!	Aminocaproic acid: has a hemostatic effect mainly due to the inhibition of processes that provide blood thinning. The drug can dramatically increase blood clotting due to the massive release of substances that activate the coagulation system from the tissues. Therefore, the drug is contraindicated in DIC syndrome. Dicynone (etamsylate): has a rapid hemostatic effect. Increases platelet activity and number. Does not cause increased blood clotting and can be used for a long time. It is effective both when administered intravenously and when taken orally. Oxytocin: a hormonal drug obtained from the brain gland (pituitary gland) of cattle. It has a direct stimulating effect on the muscle tone of the uterus, causing it to contract. It also constricts blood vessels and reduces diuresis. In obstetric practice, it is usually used for decreased uterine tone, bleeding in the early postpartum period and to stimulate labor. The drug is contraindicated for myocarditis, high blood pressure, malpositioned fetus, thrombophlebitis, kidney pathology in pregnant women, etc. Tranexam– a drug that has a pronounced hemostatic effect, and also has anti-inflammatory, anti-allergic, anti-infectious and anti-tumor effects. When used simultaneously with other hemostatic drugs, the risk of blood clots increases.
Surgical methods to stop bleeding	- Scraping uterine cavity and cervical canal. -Cold treatment (cryosurgery), use special devices with liquid nitrogen to destroy the upper modified layer of the uterus. - Endometrial ablation, removal of the endometrium using a laser, loop or ball electrode, as well as using electromagnetic energy. When exposed to various types of energy, the endometrium “evaporates.”	Scraping is the most effective and main method of stopping bleeding in women of the reproductive and menopausal periods. Cryotherapy- The procedure has no contraindications. Gives a lasting healing effect. Endometrial ablation – performed on patients who are not interested in having children.
Traditional recipes for stopping bleeding Important! Traditional medicine recipes should be used as an addition to the main treatment and should be discussed with a specialist doctor.
Compound:	Method of preparation and use	Effect
Nettle	1 tbsp. dried leaves, pour 200 ml of boiling water, leave for 30 minutes. Take half a glass 3 times a day.	Contains large doses of vitamin C, which helps strengthen blood vessels. Increases blood clotting, increases uterine tone.
Viburnum bark	1 tbsp. crushed bark, pour 200 ml of boiling water, heat for 10 minutes. over heat, strain. Take 3-4 times a day, 2 tbsp.	It has a vasoconstrictor, analgesic and antiseptic effect.
Horsetail	Prepare the infusion: 2 tsp. for 200 ml. boiling water 1 table each. take a spoon every 2 hours.	It has hemostatic, anti-inflammatory, wound healing, and diuretic effects.
water pepper	1 tbsp. chopped herbs pour 200 ml of boiling water. Leave for 60 minutes. 1 tbsp. take 3 times a day.	Accelerates blood clotting processes, reduces the permeability and fragility of blood vessels, has an analgesic and wound-healing effect. A good antiseptic.
Highlander	3-4 tsp. herbs pour 200 ml of boiling water. Leave for 60 minutes. 1 tbsp. take 3 times a day half an hour before meals.	Has a strong hemostatic effect.
Shepherd's Purse	10 gr. herbs pour 200 ml of boiling water. Take 3 times a day, 1 tbsp.	Used for decreased uterine tone and bleeding. Increases the tone of the uterine muscles and promotes contraction of the uterine muscles.
Yarrow	1 des.l. herbs pour 200 ml of boiling water, leave for 60 minutes. Take 3-4 times a day, 1/3 cup half an hour before meals.	Drink tea after bleeding stops, for prevention.

Prevention of dyscirculatory uterine bleeding

General restorative measures: proper work and rest schedule, healthy eating, avoidance of stressful situations and negative emotions.
Taking anti-inflammatory drugs for the first time for 1-2 months (mefenamic acid 50 mg, 3 times a day; nimesulide 100 mg 2 times a day).
For the first time 1-2 months, taking hemostatic drugs (aminocaproic acid and its derivatives).
Treatment with hormones (estrogen-gestagen drugs, progestin drugs). The average duration of treatment is 3-6 months. The ineffectiveness of hormonal therapy may indicate an incorrectly identified cause of bleeding, or incorrect selection of the drug or its dose, individual sensitivity, or premature termination of the course.
Vitamins: vitamin C 1 g. per day from the 16th day of the cycle, for 10 days; folic acid 1 tablet. knocking from the 5th day of the cycle for 10 days; tocopherol acetate for 2 months, multivitamin and mineral preparations containing iron and zinc.
Drugs that calm and stabilize the nervous system (tincture, valerian, novopassit, etc.).
Physical education, fitness, swimming, jogging, yoga, dancing, etc. are useful.