Hysterectomy treatment for heavy menstrual bleeding

Uterine bleeding is the discharge of blood from the vagina, characterized by profusion and duration. This pathological condition is dangerous for the life and health of a woman, is a sign of serious diseases of the reproductive system.To save the patient, it is important to immediately give her first aid, find out the cause of the outpouring of blood.Natural blood discharge from the vagina is called menstruation. Menstrual bleeding is characterized by cyclicity, repeated at regular intervals. The period between menstruation usually lasts 25-30 days.Blood from the vagina should not be released for longer than 8 days, otherwise we can talk about pathology. Violation of the menstrual cycle is an occasion to immediately contact a gynecologist. The doctor will find out the cause of the pathological phenomenon, help get rid of the disease at an early stage, before complications arise.

Causes of uterine bleeding

The probability of uterine bleeding depends on the age of the patient. In girls from 12 to 18 years of age, copious discharge of blood from the vagina is a consequence of hormonal disorders. And hormonal failures at a young age occur due to:

  • physical injuries or emotional shocks;
  • deterioration of the endocrine glands;
  • improper nutrition, vitamin deficiency in the body;
  • pregnancies with complications, difficult childbirth;
  • genital tuberculosis;
  • blood clotting disorders;
  • suffered from severe infectious diseases.

In mature women, uterine bleeding is a rare phenomenon, usually associated with ovarian dysfunction. In this case , the provocateurs of the pathological condition are:

  • stress, fatigue, nervous overstrain, mental disorders;
  • uterine fibroids;
  • endometriosis;
  • advanced endometritis;
  • uterine polyps;
  • oncology of the uterus or cervix;
  • tumor formations in the ovaries;
  • ectopic pregnancy, miscarriage, medical or instrumental abortion;
  • infectious diseases of the reproductive organs;
  • climate change, unfavorable environmental situation in the place of residence, harmful working conditions;
  • taking medications that can disrupt the systemic work of the hypothalamus and pituitary gland.

Uterine bleeding is often observed in women during menopause. This is due to a decrease in the synthesis of gonadotropin by the pituitary gland.As a result, the level of sex hormones in the female body begins to jump, the menstrual cycle is disrupted, the formation of follicles in the ovaries is disrupted. Common causes of bleeding from the uterus at the age of extinction of reproductive function are:

Symptoms of uterine bleeding

  • weakness;
  • fainting condition;
  • dizziness;
  • paleness of the skin;
  • tachycardia of the heart;
  • lowering blood pressure.
  • copious outflow of blood from the vagina;
  • the presence of clots in blood secretions;
  • changing the gasket every 2 hours, even more often;
  • the duration of bleeding is more than 8 days;
  • increased bleeding after sexual intercourse;
  • painless discharge of blood with a dysfunctional origin of pathology;
  • the discrepancy between the onset of bleeding and the period of menstruation.

The duration of menstruation normally does not exceed 8 days, and blood secretions that persist longer than the normal period are pathological. Vaginal bleeding, the period between which is less than 21 days, should be considered unhealthy.During menstruation, 80 – 120 ml of blood flows out per day, with uterine bleeding, the daily volume of blood is more than 120 ml.

Types of uterine bleeding

Bleeding from the uterus, depending on the age of the patients, is divided into five types.

  1. During infancy. In the first week of life, a newborn girl may have minor blood discharge from the vagina. This is not a pathological phenomenon, medical intervention is not required for the child. Infant bleeding is caused by a sharp change in the hormonal background of the girl who was born, they disappear on their own.
  2. In the period before puberty. During this period, vaginal bleeding in girls is rare. The cause of the pathological condition is most often a hormone-dependent ovarian tumor, due to which the sex gland synthesizes too many hormones. As a result, the girl has a false maturation of the reproductive system.
  3. During puberty. Uterine bleeding during puberty, occurring at 12-18 years, is called juvenile.
  4. During the reproductive period. Bleeding from the uterus, observed in the period of 18-45 years, are organic, dysfunctional, breakthrough, as well as due to pregnancy and childbirth.
  5. In the menopausal period. During the period of extinction of the reproductive function, bleeding from the vagina is most often associated with pathologies of the genital organs or with a decrease in hormone synthesis.

Dysfunctional bleeding

This type of uterine bleeding, observed during the reproductive period, is the most common. The pathological condition is diagnosed in both girls and elderly women during menopause. The cause of dysfunctional blood secretions is a failure of the synthesis of sex hormones by the endocrine glands.The endocrine system, including the pituitary gland, hypothalamus, ovaries and adrenal glands, controls the production of sex hormones. If the operation of this complex system fails, then the menstrual cycle is disrupted, the duration and abundance of menstruation changes, the likelihood of infertility and spontaneous abortion increases. Therefore, with any changes in the menstrual cycle, you should immediately contact a gynecologist.Dysfunctional uterine bleeding can be ovulatory and anovulatory. Ovulatory bleeding is manifested by a change in the duration and abundance of blood flow during menstruation. Anovulatory bleeding is observed more often, caused by the absence of ovulation due to a violation of the synthesis of sex hormones.

Organic bleeding

Such bleeding is caused either by severe pathologies of the reproductive organs, or by blood diseases, or by serious disorders of the internal organs.

Breakthrough bleeding

Such uterine bleeding is also called iatrogenic. They are diagnosed after exceeding the dosage and course of taking certain medications, frequent use of hormonal contraceptives, as well as after surgery to install a spiral and after other surgical manipulations on the organs of the reproductive system.When taking hormonal drugs, there are usually scant blood secretions, meaning that the body adapts to synthetic hormones. In this situation, it is recommended to consult a doctor about changing the dosage of the medication.In most cases, with breakthrough bleeding, gynecologists advise patients to increase the dosage of the hormonal agent for a certain time. If after this measure, the amount of blood released does not decrease, but increases, then you need to urgently undergo a medical examination. In this case, the cause of the pathological condition may be a serious disease of the reproductive system.If uterine bleeding occurred after the installation of the spiral, then the contraceptive device most likely injured the walls of the uterus. In this situation, you should immediately remove the spiral and wait for the healing of the uterine walls.

Bleeding caused by pregnancy and childbirth

In the first months of pregnancy, bleeding from the uterus is a sign of either a threat of spontaneous abortion or an ectopic finding of the fetus. With these pathological conditions, there are pronounced pains in the lower abdomen.A pregnant woman who has started uterine bleeding should immediately contact an observant doctor.When spontaneous abortion begins, the fetus can be saved if proper treatment is started in time. In the last stages of miscarriage, pregnancy will have to say goodbye, in this case, curettage is prescribed.In ectopic pregnancy, the embryo develops in the fallopian tube or cervix. Menstruation is delayed, some pregnancy symptoms are noted, but the embryo is not detected in the uterus. When the embryo reaches a certain stage of development, bleeding occurs. In this situation, a woman needs urgent medical care.

In the third trimester of pregnancy, uterine bleeding is deadly for both the mother and the child developing in the womb.

The causes of the pathological condition in the late stages of fetal gestation are presentation or detachment of the placenta, rupture of the uterine walls. In these cases, a woman urgently needs medical help, usually a cesarean section is performed. Patients who have a high risk of the above pathologies should be kept.Uterine bleeding can also occur during childbirth. In this case, its causes may be the following pathological conditions:

  • placenta previa;
  • blood clotting disorder;
  • low contractility of the uterus;
  • placental abruption;
  • the afterbirth stuck in the uterus.

If bleeding from the uterus occurs a few days after giving birth, then you need to call an ambulance immediately. A young mother will need emergency hospitalization.

First aid before the arrival of doctors

Copious bleeding from the vagina should be stopped or at least reduced before the arrival of doctors. It’s a matter of a woman’s life and death. In most cases, with competent first aid, bleeding stops, but in 15% of cases, the pathological process ends fatally.

Every woman should know how to help herself before the arrival of doctors, what can and cannot be done.

  • A sick woman, waiting for doctors at home, should do the following:
  • lie on your back, remove the pillow from under your head;
  • put a high roller made of towels or blankets under the shins;
  • put a bottle of cold water or an ice-filled hot water bottle on your stomach;
  • drink cold still water.

It is strictly forbidden:

  • be in a standing and sitting position;
  • lie with your legs pressed to your stomach;
  • take a hot bath;
  • do douching;
  • put a hot water bottle on your stomach;
  • drink hot drinks;
  • take any medications.

Treatment with folk remedies

To stop and prevent uterine bleeding, decoctions and infusions of medicinal plants can be used. The most popular and effective folk recipes for stopping blood are listed below.

Yarrow infusion – You need to take 2 teaspoons of dried vegetable raw materials, pour a glass of boiling water. The solution is infused for about an hour, then filtered. The infusion is taken a quarter of a glass 4 times a day before meals.
Decoction of nettle – Take a tablespoon of dried nettle leaves, pour a glass of boiling water. The solution is boiled over low heat for 10 minutes, then filtered. The finished broth is taken by a tablespoon 3 times a day before meals.
Shepherd’s bag infusion – A tablespoon of dried vegetable raw materials is taken, poured with a glass of boiling water. The container with the solution is wrapped with a warm towel, left for an hour to infuse. The finished infusion is filtered, taken a tablespoon 3 times a day before meals.

It must be remembered that folk remedies cannot be a full-fledged replacement for medicines, they are used only as an addition to the main therapy.Before using herbal remedies, it is necessary to consult with a medical specialist in order to exclude intolerance to the medicinal plant and other contraindications.

Hysterectomy treatment for heavy menstrual bleeding

Leave a Reply

Scroll to top