Chest pain and uterine bleeding causes. Uterine bleeding in reproductive age

- this is a condition in which blood is poured either into the natural cavity of the body (stomach, bladder, uterus, lungs, joint cavity, etc.), or into a space artificially formed by the outflow of blood (retroperitoneal, intermuscular). Symptoms of internal bleeding depend on its location and the degree of blood loss, usually include dizziness, weakness, drowsiness, loss of consciousness. Pathology is diagnosed on the basis of external examination data, the results of radiography, CT, MRI and endoscopic studies. Treatment - infusion therapy, surgical elimination of the source of bleeding.

Treatment of internal bleeding

It is necessary to ensure the delivery of the patient to the department of specialized care as soon as possible. The patient needs to be kept calm. If a hemothorax or pulmonary bleeding is suspected, the patient is given a semi-sitting position, with blood loss in other areas, they are laid on a flat surface. Cold (eg, ice pack) should be applied to the area of the suspected source of bleeding. It is strictly forbidden to heat the affected area, give enemas, give laxatives, or inject drugs into the body that stimulate cardiac activity.

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

The main tasks in this case are an urgent stop of internal bleeding, compensation for blood loss and improvement of 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 5% glucose solution, saline, blood, plasma and blood substitutes is performed.

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

Internal bleeding due to ectopic pregnancy is an indication for emergency surgery. With dysfunctional uterine bleeding, tamponade of the uterine cavity is performed, with massive bleeding due to abortion, birth trauma, and after childbirth, surgery is performed.

If blood pressure cannot be normalized despite ongoing fluid therapy, dopamine, norepinephrine, or epinephrine are administered after bleeding has stopped. For the treatment of hemorrhagic shock, pentoxifylline, dipyridamole, heparin and steroid drugs are used. After the threat to life is eliminated, the acid-base balance is corrected.

It is common for a person to face various diseases throughout his life. It is worth noting that the representatives of the weaker sex are more susceptible to diseases associated with the genitourinary system. One of the fairly common pathologies is uterine bleeding with clots. Let's figure out what are the causes of such a disease, and how to deal with it correctly.

Normal female cycle

In women, cyclic changes in the body occur throughout the reproductive age. In the first half of the menstrual cycle, the weaker sex produces a hormone called estrogen. Thanks to this substance, the follicles grow and the egg is released from the ovary.

Immediately after this, progesterone begins to gain its strength. It has a beneficial effect on the endometrium, preparing it for and supporting the vital activity of the egg.

If fertilization has occurred, then the woman notes the absence of menstruation until the very birth. When the sperm does not fuse with the egg, progesterone production decreases and the woman begins to bleed. Together with the red liquid, the sloughed endometrium comes out. With some pathologies, a woman may experience severe uterine bleeding with clots, which are unevenly exfoliated endometrium.

Dysfunctional uterine bleeding

Also untimely, similar to menstruation, can be called bleeding. If all of the above is accompanied by the release of lumps of mucus, then most likely you have uterine bleeding with blood clots.

Causes of dysfunctional bleeding

It should be said that medicine does not stand still. Despite this, doctors still do not know exactly why uterine bleeding with clots occurs. However, there are several well-known causes of this pathology. Let's consider them in detail.

Hormonal disbalance

Uterine bleeding with clots can develop as a result of malfunctioning of the pituitary gland, adrenal glands, or ovaries. As a result of a failure, there is an increased release of estrogens, under the influence of which the inner mucous membrane of the uterus grows abundantly.

Due to the premature release of the egg from the follicle, the next menstruation begins ahead of time. During it, profuse uterine bleeding appears with clots that have formed from the endometrium. This condition definitely requires competent correction. To begin with, the patient will have to undergo some examination, after which treatment will be prescribed.

endometriosis

There is another reason why uterine bleeding occurs. Reviews of "experienced" patients suggest that such an ailment can be a symptom of endometriosis.

With the development of such a pathology, menstrual blood indefinitely penetrates the fallopian tubes and settles on nearby organs. It is worth noting that these cells also undergo cyclic changes and secrete blood and clots every month. Usually such an ailment gives women a lot of discomfort. It must be diagnosed in time and corrected correctly.

Use of contraceptives

This is another reason why uterine bleeding occurs. Reviews of many women (and specialists) suggest that with clots they can be caused by the use of certain contraceptives.

If there is a spiral in the uterus, the overgrown endometrium is rejected unevenly. This phenomenon may be accompanied by an increase in body temperature and general malaise.

While taking oral contraceptives, which are chosen incorrectly, there is an untimely and uneven production of hormones. In this regard, a woman can detect the next menstruation, which came ahead of schedule. In most cases, such bleeding is supplemented by mucous lumps.

If this reason is the cause of the disease, then it is necessary to stop using these contraceptives as soon as possible and undergo rehabilitation treatment.

Inflammatory processes and infections

In some cases, a complication of sexually transmitted infections is uterine bleeding with clots. Treatment in such a situation should be carried out immediately. Otherwise, the woman risks getting irreparable complications.

Also, with inflammation of the ovaries, sudden spotting with lumps of mucus can be observed. In most cases, they are accompanied by pulling or cutting pains in the lower abdomen and lower back.

Ectopic pregnancy

If conception occurred, but for some reason it attached in the wrong place, we are talking about Such a pathology is always interrupted at a certain time. At the same time, the woman experiences severe pain, weakness and decreased pressure.

Also, breakthrough bleeding with lumps of mucus can occur even before the pregnancy is terminated. If at this stage a woman turns to a doctor who makes the correct diagnosis, then it will be possible to carry out timely treatment and avoid serious complications.

Risk of miscarriage

During pregnancy, for some reason, there may be a threat of its interruption. In this case, a woman may feel cramps in the lower abdomen and observe spotting.

To correct this condition, preservative drugs and hemostatic agents are prescribed for uterine bleeding. With timely therapy, as a rule, the threat recedes.

Neoplasms

In some cases, uterine bleeding with clots may occur with fibroids. With this development of events, it is necessary to immediately consult a doctor for treatment.

Also, unscheduled bleeding from the genital tract may be due to cysts on the ovaries. If a complication occurs and the tumor ruptures, then the woman discovers severe bleeding, which is accompanied by internal hemorrhage.

Uterine bleeding with clots: how to stop?

Depending on what caused the heavy bleeding, an appropriate correction is prescribed. In most cases, doctors prescribe hemostatic drugs. It should be noted that such funds can not be taken with ectopic pregnancy, ovarian apoplexy and cyst rupture.

The most commonly prescribed drugs include the following:

Medicine "Dicinon".
The drug "Vikasol".
Means "Etamzilat".
Traneksam tablets.
and others.

Medicine "Oxytocin".
The drug "Hyfototsin".
Means "Pituitrin", as well as a number of other drugs.

All of these uterine contracting drugs help stop bleeding and reduce discharge.

If you have uterine bleeding with clots, how to stop it as quickly as possible? Experts recommend using the same drugs for this, only in the form for intravenous administration. In this form, the medicine begins to act within a few minutes and brings some relief.

Conclusion

If suddenly you have uterine bleeding, which is accompanied by the release of clots or other symptoms, you must immediately call an ambulance team. While you are waiting for the doctor to arrive, you can take any sedative and lie down.

Monitor the health of the genitourinary system and do not get sick!

For each woman, the process of menstrual bleeding is absolutely individual, depending on the characteristics of the female body. The average duration of the period of menstruation is determined up to five days. At the same time, if there are any atypical discharges, then it is worth thinking about the pathology. However, bleeding should not be excluded, which can be easily confused with menstruation. Therefore, in order to provide timely assistance, it is necessary to have an understanding of the distinguishing features.

During the period of menstruation per day, a woman begins to release blood in medium quantities (about 50 ml.). The first days of menstruation are characterized by bloody discharge of a bright color, then in the following days the discharge becomes darker and is allocated in portions. The shades of outgoing blood also differ for each woman individually. Subsequent release can occur with a sharp rise or movement, physical activity.

Additionally, mucus or blood clots appear in menstrual flow. At the same time, the smell of secretions is also present. Menstrual blood is characterized by an odor reminiscent of fresh meat.

Attention! If the discharge during menstruation has an atypical brown color or the discharge is scanty, it is recommended to consult a gynecologist for advice.

Uterine bleeding and menstruation: the main differences

In order to identify pathology, a patient should be interviewed, who can easily characterize the typical menstrual flow characteristic of her. Therefore, any changes should alert the woman. The nature of menstruation can change dramatically, therefore, it is necessary to pay attention to such alarming signs:

The volume of menstrual flow increases significantly.
The release of blood does not occur in portions, but proceeds almost continuously.
Outgoing secretions are characterized by a too liquid consistency.
There are no blood clots.
The color of the discharge becomes rich red.
There is no specific odor characteristic of blood.
There are signs of anemia.
There is marked weakness.
There may be pain in the lower abdomen.
Before the onset of menstruation, sexual intercourse may cause soreness.

Carefully! If the above symptoms are observed, then you should not hesitate to visit a specialist.

Causes of bleeding

For the body, blood loss is a rather dangerous manifestation. Almost a third of all uterine bleeding is due to a pathological process that has arisen in the female reproductive system. Basically, pathologies of this kind do not pose a threat to life, however, they lead to poor health, anemia, low levels of iron in the blood, and problems with sexual life. Therefore, in order to prevent the occurrence of pathology, you need to know the main causes that provoke it.

The root causes of bleeding are as follows:

termination of pregnancy, which occurred artificially (abortion) or naturally (miscarriage);
if the delivery was by caesarean section;
frequent diets, which lead to complete intoxication of the entire female body;
problems with the general hormonal background, sudden failures;
iron deficiency or beriberi;
blood ailments;
blood clotting disorder;
prolonged depression, stressful situations;
ailments, infectious nature;
excessive physical activity and heavy lifting;
inflammatory process in the reproductive system;
gynecological pathologies;
pathological neoplasms.

Discharge classification

Specialists classify uterine bleeding into three types.

Bleeding	Short description
Normal	Every cycle a woman has menstrual flow, which is considered to be a natural norm for the body.
conditionally normal	There are discharges in the pre-ovulatory or post-ovulatory period. Implantation bleeding is also included in the conditionally normal type of bleeding.
Pathological	These bleedings can occur at any age - with menopause, during the period of reproductive activity, adolescence. They can be divided into subspecies: Functional. Bleeding occurs due to problems with the endocrine system or disruption of the pituitary gland; organic. If a woman is diagnosed with neoplasms (polyps and others) or ailments (for example, endometriosis), then bleeding often occurs; systemic. Most often provoked by autoimmune diseases or pathologies of a chronic nature

Learn more about types of bleeding

Dysfunctional

The main signs of this type of bleeding are profuse blood loss or a protracted nature. Teenage girls and menopausal women are at risk. The provoking factor of the pathology is an excessive amount of estrogen or progesterone. To eliminate this pathology, hormone therapy is used.

There are two types of dysfunctional blood loss:

ovulatory. They are characterized by manifestations of an abnormal cycle, that is, for a month a woman has slight discharge of a meager nature, or, conversely, short menstruation, which have an interval of more than one month;
anovulatory. They are distinguished by significant blood loss, disruption of the cycle, poor health, loss of appetite and a constant desire for sleep.

It is important! Primary pathology can be determined using a gynecological examination, supplemented by ultrasound.

Juvenile

May appear seasonally. This is due to the fact that the corpus luteum is not formed due to hormonal failure. If a teenage girl is diagnosed with neoplasms in the reproductive system, then juvenile bleeding is not excluded.

Breakthrough

A third of cases of breakthrough bleeding occur due to problems with the uterus, which are provoked by an intrauterine device. Also, bleeding can be provoked by the consequences of taking hormonal contraception. To prevent subsequent bleeding, it is recommended to remove the spiral and choose the correct dosage of contraceptives.

Profuse

Profuse blood loss is difficult to distinguish from monthly discharge, since they are also characterized by menstrual pain. The only symptom is increased blood loss, which is characterized by scarlet discharge. The period of occurrence is difficult to pin down because it varies.

This is dangerous! Profuse bleeding is difficult to diagnose and requires urgent hospitalization of a woman. In this case, surgical treatment in the form of curettage of the uterus is mandatory.

Video - How to distinguish menstruation from bleeding?

Bleeding and menopause

In the menopause, a woman does not exclude the risk of the appearance of neoplasms of a different nature (fibroids, polyps). This is explained by a decrease in estrogen levels, which are responsible for the normal menstrual cycle. It is significant that a woman will experience severe pain during sexual intercourse, as well as an interval between menstrual cycles of more than three months.

Blood loss during pregnancy

If after conception a woman has any bleeding, then this is a direct threat to her life and to the fetus. Having found a bright spotting of a woman, you should immediately call an ambulance. Allocations are accompanied by the following symptoms:

The occurrence of severe pain in the lower abdomen, which resemble contractions.
Nausea leading to vomiting.
Increased sweating.
The appearance of dizziness.

Note! The occurrence of spotting during pregnancy is considered a dangerous sign that threatens life.

How to help

First of all, it is necessary to minimize all physical activity. Then revise the diet and include beef meat, offal (liver), foods high in iron.

If a woman has started to have profuse blood loss, then she urgently needs to lie down in such a position that the pelvis is slightly raised. To do this, you can put a pillow or slightly raise the lower limbs. Thus, loss of consciousness can be avoided, and symptoms can be reduced.

To reduce bleeding, you will need to apply a cold compress so that the vessels of the uterus narrow and the muscular layer of the uterus contracts.

Do not ignore any pathological discharge, because they can be a sign of a serious illness. The specialist will tell about the causes of uterine bleeding in the video commentary.

Video - Why does uterine bleeding occur?

Uterine bleeding is a condition manifested by the release of blood from the internal genital organs. Menstruation is also manifested by the release of blood, but this is a natural process, genetically programmed by nature.

Distinctive features of monthly discharge from uterine bleeding in women are profusion and duration increases, there is no consistency.

What causes uterine bleeding?

The causes leading to the development of uterine bleeding are diverse, and a classification has been created to understand them.

Uterine bleeding causes, main categories:

bleeding caused by pathologies that do not affect the reproductive system or extragenital conditions. Their causes: infectious diseases (typhoid fever, sepsis, dysentery), blood diseases (genetic vasculitis, hemophilia), cirrhosis of the liver, pathology of the cardiovascular system, dysfunction of hormonal organs;
bleeding caused by genital pathologies. These can be: rupture of the ovary or cysts, tumor of the uterus or ovary, infectious diseases of the genital organs, menopause or puberty.

Genital pathologies of uterine bleeding

This group of causes is divided into two broad categories: uterine bleeding associated with the course of pregnancy and independent of it.

Uterine bleeding associated with childbearing and delivery:

Ectopic pregnancy or interrupted classic;
Premature placental abruption, violation of the integrity of the surgical scar on the uterus, violation of the integrity of its walls;
Traumatization of the external genital organs of women during actions in the delivery room, and other soft birth canals;
Incomplete allocation of the placenta, its infringement;
The muscle tissue of the uterus has lost strength, elasticity and endurance after childbirth;
Chorioepithelioma, hydatidiform drift and other diseases of the fetal egg.

Uterine bleeding that occurred regardless of pregnancy:

Discirculatory uterine discharge. Classified by age categories: juvenile (at puberty - 11-18 years), reproductive (period favorable for the birth of children - 19 - 46 years), menopausal (during menopause);
Neoplasms of the internal genital organs of women - the uterus, ovaries;
The superficial shell of the tumors is broken, as well as cysts on the genitals;
Inflammatory processes of the uterus - endometritis, cervicitis, erosive processes affecting the cervical canal, etc.

Juvenile bleeding - causes, symptoms

During the transformation of a little girl into a beautiful girl, the appearance of intermenstrual bleeding or an increase in blood volume during menstruation is often noticed. Most often, the cause of this is ovarian dysfunction, which is directly affected by frequent psychological stress, excessive physical activity, poor nutrition, and persistent colds.

When examining teenage girls with uterine bleeding, a lack of ovulation is found due to a violation of hormone production. Often, the causes are insufficiency of blood coagulation factors, tuberculosis of the internal organs of the reproductive system, tumor formations of the cervical canal and the walls of the uterus.

Regardless of the cause, uterine bleeding during puberty is dangerous to health and life, and an urgent visit to the doctor is necessary.

In this variant, the number of causes that cause bleeding is much greater.

Main reasons:

dysfunction of the hormonal system against the background of an abortion, taking a number of medications, “playing” with hormonal oral contraceptives;
in early pregnancy, bleeding is the result of spontaneous abortion;
ectopic pregnancy - after a rupture of the fallopian tube;
cystic drift, presentation and abruption of the placenta;
decreased muscle tone of the uterus;
after childbirth, bleeding due to incomplete discharge of the placenta;
fibroids, endometriosis, uterine tumors, endometritis.

Danger during menopause

Menopause is not the easiest time in a woman's life - the reorganization of the hormonal sphere, which is why bleeding is not rare. Among other reasons, neoplasms with and without malignancy should be distinguished. Particular attention of women is necessary in the post-menopausal period, when periodic periods have long ceased, and blood suddenly appeared.

If even a small amount of blood appears, urgently go to the doctor. Do not despair if the problem is a tumor, in the initial stages it is easily treatable. For a diagnostic examination during menopause, histological material is taken from the cervical canal and the body of the uterus, after which a microscopic examination of the scraping will reveal the cause of bleeding.

Dysfunctional uterine bleeding

This group of bleeding cannot be separated strictly at any age. They can be both during puberty and during menopause.

Dysfunctional uterine bleeding is a popular variety, and is characterized by disruption of the endocrine system, from the hypothalamus and pituitary gland to the ovaries and adrenal glands.

Gynecology highlights the main causes of dysfunctional uterine bleeding:

endocrine disorders associated with the thyroid gland,
pancreas, as well as against the background of obesity;
overwork - emotional and physical;
climate change;
artificial termination of pregnancy, often independent.

According to the time of appearance of blood in periods of the menstrual cycle:

ovulatory - depend on menstruation, the period of maturation of the egg and its release from the follicle;
anovulatory - intermenstrual bleeding that is not associated with the menstrual cycle. As a rule, with anovulatory bleeding, the duration and volume of the menstruation itself changes.

Breakthrough bleeding

They cannot be attributed to any category, as they appear against the background of the initial intake of oral hormonal contraceptives. A small amount of bloody discharge is a manifestation of the adaptation of the body of women to a new drug. But to further prevent their occurrence, contact your gynecologist for dosage adjustment.

This phenomenon is rare, but you should take it seriously and consult a gynecologist

Symptoms and first signs

All clinical symptoms are divided into general and local.

General symptoms:

weakness throughout the body, dizziness;
skin is pale;
nausea, urge to vomit;
loss of consciousness;
weakened thready pulse;
lowering blood pressure.

Local symptoms of uterine bleeding:

The appearance of bloody discharge from the vagina;
With menstruation, you notice an increase in the number of clots, the total volume of secretions has become larger, one hygiene product quickly becomes unusable;
After intercourse in women, there may be a slight tint;
Given the fact that bleeding can be profuse and not very, pain does not appear;
Signs of uterine bleeding appear regardless of menstruation.

Regularly occurring symptoms of heavy uterine bleeding indicate tumors (eg, fibroids), adenomyosis, or disorders of the body's blood system.

Treatment and first aid

It is impossible to figure out the causes of uterine bleeding on your own, for sure the gynecology department will cope with this faster and better, and therefore, if you notice strange symptoms and unplanned spotting, immediately call an ambulance. Signs of uterine bleeding are a serious signal from the body of women about global problems, and every minute can be decisive.

Treating uterine bleeding in women at home is an absurdity of the highest degree, but there are certain rules, the implementation and non-observance of which will help save a life.

Forbidden:

apply a warm compress, a heating pad on the abdomen;
do douching;
forget about a warm bath;
take medications that affect uterine contractions.

Uterine bleeding in women - first aid at home:

Strict bed rest with raised legs. The roller under the lower extremities will not make it possible to suffer from blood loss to vital organs - the brain, kidneys, liver, which means that the probability of loss of consciousness is excluded;
Cold. Try to stop the bleeding yourself. Place a bubble, heating pad or bottle of cold water or ice on the lower abdomen, pre-wrap it with a towel to prevent frostbite. 10-15 minutes of cold compress, after a five-minute break, continue for two hours. Such an unpretentious method of treatment will narrow the vessels and reduce the percentage of blood loss;
We replenish the volume of circulating blood. At home, in emergency situations, it is difficult to come up with an alternative to droppers, but plentiful warm sweet drinks can restore blood loss. Glucose will feed the brain cells;
Emergency help - medicines. Once again, we point out that taking medications should be performed only in extreme cases or after consulting a doctor. In a home medicine cabinet, the presence of aminocaproic acid, calcium gluconate, and dicynone will not be superfluous.

24 April 2017 56106 0

Bleeding from the uterus is a serious health problem for women. It is very important to establish the cause of such symptoms, since this may be the first sign of such serious diseases as fibroids, endometriosis, polyps. These diseases require immediate consultation with a specialist and the appointment of treatment. Sometimes you can take bleeding in gynecology for heavy periods and miss important symptoms of the disease that a woman does not even know about. This leads to untimely diagnosis and the development of complications that pose a serious threat to the life and health of the female body. To avoid such situations, it is important to be attentive to your health and consult a doctor in time.

Please note that this text was prepared without the support of our.

Abundant periods and their causes

The release of a large amount of blood during menstruation should alert the girl, especially if they continue for several cycles in a row. In gynecology, this condition, bordering on pathology, is called menorrhagia or hypermenorrhea. It is characterized by the appearance of a large amount of blood during menstruation. This condition is accompanied by the presence of pain in the lower abdomen and significantly complicates the usual rhythm of life.

Sometimes hypermenorrhea is provoked by some factors:

Taking combined oral contraceptives;
Setting a hormonal intrauterine device the day before;
The presence of diseases requiring the use of anticoagulants and antiplatelet agents in order to thin the blood and prevent thrombosis;
Correction of hormone levels with the help of drug therapy;
A heavy physical regime of training and loads shortly before menstruation;
Severe stressful situation;
Change of climatic conditions.

If heavy bleeding lasts the entire period of menstruation, this indicates the presence of a gynecological disease that requires diagnosis and treatment. To do this, you need to consult a doctor who will identify the cause of heavy menstruation.

Some conditions of the body can provoke heavy menstrual flow, but in such cases, menorrhagia is considered physiological:

The formation of menstrual function in adolescents within two years after the onset of the first menstruation;
Abortion;
Operations on the uterus or ovaries;
The beginning of the menopause;
The presence of concomitant diseases (diabetes mellitus, hypothyroidism, disorders in the work of the hypothalamic-pituitary system).

Diseases that lead to heavy menstruation

Even a slight change in the hormonal background, namely progesterone, causes overproduction of the endometrium. This leads to increased rejection during menstruation. Accordingly, this is accompanied by severe bleeding from the uterus. Most often, heavy bleeding is caused by the following pathological conditions:

endometriosis;
uterine fibroids;
Benign tumors and polyps;
neck bend;
Inflammatory diseases of the reproductive system;
Malignant diseases of the pelvic organs.

The sooner an existing pathology is identified, the more chances there are for a full recovery. All diseases that lead to heavy bleeding cause quite serious harm to a woman's health, so timely seeking medical help is the right decision.

Menstrual bleeding is sometimes combined with discharge outside the cycle. This is called menometrorrhagia. They are a sign of inflammatory processes, mechanical or traumatic injuries, dysplasia of the epithelium lining the uterine or vaginal cavity. Sometimes the manifestation of bleeding can be a symptom of several pathologies, so it is important to pay close attention to health.

Bleeding during menstruation

Heavy bleeding during menstruation is characterized by the following symptoms:

Premature onset of bleeding;
The onset of menstruation later than usual;
Profuse bleeding, requiring hay a large amount of hygiene products;
The presence of blood clots, which was not previously observed;
Abundant periods are accompanied by initial signs of anemia, weakness, loss of appetite, pallor;
The presence of cramping pain in the lower abdomen of a pressing or aching nature of medium and high intensity.

With heavy monthly bleeding, it knocks down the menstrual cycle, so it is impossible to guess when the next menstruation will come.

Heavy menstrual symptoms

The general condition of the woman also changes - a feeling of unmotivated fatigue, lethargy, apathy appears. Sometimes women note complete impotence and the inability to get out of bed. This is due to a decrease in the level of red blood cells and hemoglobin, which the body loses along with spotting. If you do not pay attention to the existing problem and do not consult a doctor in time, hair loss, deterioration of the skin and hair are added. The skin of such girls acquires a marble-gray hue and becomes moist.

Sometimes normal menstruation has the character of profuse bleeding. They can be mistaken for bleeding from the uterus, but the main difference is the regularity and cyclical discharge, taking into account the menstrual cycle. Any change in the nature or number of periods should be alert and taken into account. It happens that a lack of vitamins leads to heavy menstruation. In such cases, the normalization of nutrition and a course of vitamin therapy will help eliminate this condition.

The following situations can help in determining the change in the nature of menstruation:

Is there a need to change hygiene products at night;
How does heavy menstruation affect the general condition of a woman;
Do you have to change your usual rhythm of life during menstruation;
Whether visible blood clots are determined;
Whether anemia or general symptoms of malaise have been identified;
Do you experience pain during heavy menstruation?

These simple questions will help the woman independently determine what new signs have appeared along with the bleeding. If the answers to the questions are yes and symptoms of malaise are identified, you need to make an appointment with a gynecologist.

Very heavy bleeding can be life threatening, so with such manifestations you need to react quickly, try to stop the bleeding by taking a certain position and call an ambulance, since self-medication can lead to more serious consequences.

Some medicinal herbs and medicines can cause heavy bleeding. Among them:

Sage leaf;
Ginseng root;
Prutnyak ordinary;
antidepressants;
antipsychotic drugs;
Glucocorticosteroids.

Uterine bleeding with clots

The appearance of uterine bleeding with clots occurs if women have a special structure of the internal genital organs. With a pathology of the structure of the uterus, the blood in it stagnates with the further formation of clots. With an increased content of the female sex hormone progesterone in the blood, the endometrium tends to actively grow and rapidly detach.

There are a number of reasons that contribute to the formation of blood clots:

The pathology of the blood coagulation system enhances the formation of blood clots and clots;
Violation of the pituitary gland, accompanied by hyperproduction of the hormone estrogen, which leads to stimulation of the maturation of follicles and accelerated menstruation;
Inflammatory process of the pelvic organs in the stage of exacerbation or unstable remission;
Growth of the inner layer of the uterine cavity with the further formation of endometriosis;
The presence of a tumor in the uterine cavity;
Placental abruption during pregnancy.

Each case of blood clots during heavy menstruation requires special attention. Diseases manifested by uterine bleeding with clots need a full diagnosis and treatment.

How to stop severe uterine bleeding

The discharge of copious amounts of blood from the uterus may continue for a long time. This is accompanied by the loss of formed elements and can lead to serious consequences in the form of hemorrhagic shock. If you do not provide assistance in time and do not try to stop the bleeding, the woman may die from blood loss.

To stop bleeding, you need to follow a few rules:

Put a cold compress or ice on the lower abdomen;
When bleeding, complete rest and strict bed rest are recommended, so the woman needs to lie on her back;
Raise the legs above the head to ensure the outflow of blood to the head;
If you lose a large amount of blood, it is recommended to drink plenty of fluids to replenish the volume of circulating blood. Sweet tea, compote or water will do.

It is not necessary to take medications at home on your own, as this can lead to undesirable effects and worsening of the general condition. It's better to call an ambulance.

Bleeding with uterine fibroids

Bleeding with uterine fibroids can occur suddenly outside the cycle. Abundant discharge poses a real threat to human health and life.

Bleeding with uterine fibroids occurs in the following cases:

Increasing the level of estrogen in the blood serum;
Uneven growth of the mucous layer of the uterus;
The presence of a large node in the submucosa;
Rapid tumor growth.

Nodules less than three centimeters are most often asymptomatic. Sometimes uterine fibroids are combined with endometriosis. In this case, it aggravates the condition and increases the likelihood of bleeding from the uterus.

Causes of bleeding in uterine fibroids

Among the many reasons for the development of bleeding from the uterus with fibroids, the main ones can be distinguished:

Rapid growth of the endometrium and an increase in the size of the uterine cavity;
Decreased contractility of the muscle layer;
Active growth of vessels feeding the uterus, and a large number of venous plexuses;
Decreased elasticity and vascular tone;
Hyperplasia of the muscle layer.

Bleeding with fibroids can be different: from spotting discharge in the middle of the cycle to heavy bleeding, which is accompanied by a large number of clots. In addition to the symptoms of bleeding, aching or cramping pain with localization in the lower abdomen, radiating to the sacrum or perineal region, joins.

Bleeding with uterine fibroids during menopause

As women age, their hormone levels decrease and they enter menopause. Monthly bleeding from the uterine cavity decreases in duration, and subsequently completely disappears. With a combination of fibroids and menopause, spotting can appear spontaneously and unexpectedly against the background of a complete absence of menstruation during the year. In this case, this is an alarming signal for a woman and a reason to immediately consult a doctor. If bleeding increases every month in terms of the length of days and the amount of blood, this is also a reason to consult a gynecologist.

Symptoms of bleeding in myoma

Due to incomplete rejection of the endometrium, the uterus cannot fully contract. This leads to bleeding. The main features are:

Abundant bleeding from the vagina;
General weakness, pallor;
Dizziness;
Weak pulse;
Brief loss of consciousness.

Abundant periods or bleeding - how to identify and distinguish

In order to determine whether bleeding or menstruation has occurred, it is important to keep a diary of observations and a calendar of the menstrual cycle. By the date of the onset of menstruation, you can understand whether this bleeding is regular or extraordinary. There are some other diagnostic methods:

A large amount of blood released most often indicates bleeding. As a rule, during menstruation, the volume of blood that leaves the body is up to 80 ml. With bleeding, bloody discharge is released in larger quantities;
The consistency of menstrual blood is thicker and denser. And with bleeding, the blood is more often with clots and has a liquid consistency;
By duration, menstrual bleeding disappears in 5-7 days. In the event of bleeding, the duration of such a condition is unpredictable;
The color of uterine bleeding is very different from the dark cherry color of menstruation. It becomes scarlet, rich red or crimson due to the presence of a large number of red blood cells;
When bleeding, the specific smell that is observed during menstruation disappears.

Accurate diagnosis and subsequent treatment are important for further therapy of such pathological conditions.

It is important to carefully study the nature of bleeding in order to understand its cause and localization. To do this, it is most correct, at the slightest suspicion of bleeding, to contact a clinic that specializes in gynecological problems, has an extensive diagnostic base for detecting uterine fibroids and highly qualified specialists. Doctors working on the basis of the European Clinic and the Center for Family Planning and Reproduction carefully study the problems of the female reproductive system and individually approach such delicate issues. Specialists have been working since 2002. During this time, more than 6,000 successful uterine artery embolization surgeries have been performed.

How to Stop or Reduce Period Bleeding

Treatment of heavy menstrual bleeding should be comprehensive. The main principles of therapy are:

Prevent bleeding and development of hemorrhagic shock;
Eliminate signs of an anemic condition;
To prevent the development of heavy uterine bleeding in the future.

Sometimes it is possible to prevent increased bleeding during menstruation. To do this, you need to follow simple recommendations:

Refuse to take a hot bath;
Avoid visiting the sauna or bath;
Avoid heavy lifting and strenuous physical labor;
Do not take anticoagulants and antiplatelet agents;
Include herbal teas in your diet.

It is important to help the woman with bleeding as soon as possible. To do this, you need to lay her down, calm her down and put a cold on her stomach.

The sooner qualified assistance is provided, the fewer complications will cause heavy uterine bleeding.

If the bleeding is not very heavy, you can prepare herbal infusions. Of these, a decoction of nettle or shepherd's purse is used. To prepare a drink, 20 grams of dry grass must be poured with a glass of boiling water, let it brew and be taken daily on an empty stomach. Decoctions of herbs will not stop completely uterine bleeding, but they can reduce its intensity.

Medical therapy

Among medicines, medicines from two groups are used: vasoconstrictor and hemostatic. These include dicynone, vikasol, tranexam and others. In addition, drugs are used that restore the volume of circulating blood, iron preparations to eliminate signs of anemia, vitamins and non-steroidal anti-inflammatory drugs.

The whole range of drugs has its own indications and contraindications, so you cannot prescribe them on your own. The doctor also chooses the dose of the drug, based on the degree of blood loss and the cause of the bleeding. Self-medication will lead to aggravation of the condition and the development of complications. Therefore, it is very important to choose the right specialist who will carefully collect complaints and anamnesis of the disease and prescribe all the necessary diagnostic measures for making a diagnosis.

If all of the above methods in the fight against heavy uterine bleeding are ineffective, they resort to surgical treatment. Among them:

Diagnostic curettage of the uterine cavity and endometrium;
Method of uterine artery embolization;
Excision of the myomatous node;
polypectomy;
Ablation of the endometrium;
Hysterectomy.

For such operations, you need to seriously approach the choice of clinic.

The European Clinic and the Center for Family Planning and Reproduction specialize in solving gynecological problems, studying the problems of uterine fibroids and introducing world-class treatment methods. Many women with fibroids dream of becoming pregnant. This will be possible after contacting the clinic. Experienced doctors will select the appropriate treatment protocol. A treatment method such as uterine artery embolization has been introduced into practice. This minimally invasive procedure will help get rid of the problem of heavy uterine bleeding. The procedure is carried out with the help of a certified innovative drug Embosin. The endovascular surgeon performing UAE operations, together with 14 doctors from the clinic, were awarded the highest medical award of Russia "Vocation".

Treatment of heavy menstruation and uterine bleeding in Moscow

A wide range of diseases that are accompanied by heavy uterine bleeding requires careful diagnosis and treatment. We perform UAE and apply other methods for the removal and treatment of uterine fibroids at two main clinical bases in Moscow: the European Clinic and the Center for Family Planning and Reproduction. Consultation of leading gynecologists can be obtained online or by phone. The attending physician will get acquainted with the problem and make an appointment at any convenient time. The price for a consultation in Moscow can also be obtained by phone. High-tech equipment will help to see the problem, and experienced candidates of medical sciences, using all their experience in gynecological surgery, will save a woman from problems with heavy bleeding from the uterus. Operating physicians perform up to 600 operations per year for uterine artery embolization and are among the top five doctors in Europe.