Why does menstrual bleeding occur?

What are the causes of menstrual bleeding?

In some cases it is not nosologicalcharacter, and symptomatic. In young nulliparous girls, this may be due to disorders of the pituitary gland of the ovaries. In more mature women, uterine menstrual bleeding is caused by the inflammatory processes of the genital organs. The origin is the problem with ovulation as a result of arthresia or the persistence of follicles. Yellow body in the ovaries does not develop, as a result, this leads to a violationsecretory transformation of the endometrium. With prolonged exposure to atresia, proliferation of endometrial tissue is impaired. As a result, it can lead to glandular-cystic hyperplasia or polyposis (formation on the endometrial mucosa). The concentration of estrogens (hormones) decreases, the endometrium begins to be rejected, resulting in menstrual bleeding. Often bleeding continues for several weeks, which entails a lot of blood loss for a woman. Often in mature women, menstrual bleeding occurs with menopause if they take hormone replacement therapy. In this case, menstruation is restored, but in no case should there be clots and pain. If there are heavy and prolonged bleeding, you should immediately go to the gynecologist for an appointment.

Bleeding and contraceptives: the relationship

Many believe that taking contraceptiveshelps to reduce blood loss. In 30% of cases it is. But women suffering from iron deficiency anemia and menorrhagia often have menstrual bleeding when taking contraceptives, especially if oral contraceptives contain a large number of hormones. In such cases, you should replace the tablets with those in which a low dose of estrogen is present. The hormonal injections also exert a negative influence on the menstrual cycle.

Flow

Menstrualnopodobnoe bleeding can be differentduration and strength. With frequent and prolonged hemorrhages, posthemorrhagic anemia occurs. With gynecological examination, the uterus is enlarged, and often the doctor discovers cystic changes in the appendages. Outside the bleeding, a woman must undergo a functional diagnostic test.

Treatment

Cessation of discharge is often achieved withhelp complete curettage of the uterus with the introduction of hormonal medications. Young girls are very rarely prescribed such an operation and only in particularly severe cases. Estrogen hormones are administered at high dosages for two weeks. Progesterone is also prescribed. After this, in the next few months, combined hormone therapy is used according to a certain scheme. To prevent bleeding, hormonal regulation is required in combination with anti-inflammatory and restorative agents. Widely used symptomatic and herbal medicine. All procedures help to stop uterine bleeding and normalize the sexual sphere. With abundant climacteric and juvenile discharge, medicinal herbal preparations are prescribed in combination with injectable-haemostatic medicines.

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