Uterine bleeding, or as the term sounds correct, abnormal uterine bleeding occurs in women of all ages, from adolescent to late or menopausal.
All of these abnormal bleedings have their nature, cause, and ways to stop. Today we will talk about how to stop uterine bleeding during menopause.
We list the main diseases or conditions leading to uterine bleeding in menopause:
- The period of hormonal adjustment - that is, the period of perimenopause - the transition to menopause. It cannot be said that bleeding during this period is considered the norm, however, they are most often associated with a deficiency of progesterone and are easily cured by its prescription in the form of medications.
- Endometrial pathology - various forms of endometrial hyperplasia, endometrial polyps.
- Uterine fibroids, including its submucosal, submucous or intracavitary nodes.
- Malignant diseases of the female genital organs - endometrial cancer, uterine sarcoma, cervical cancer, malignant ovarian tumors.
- Blood coagulation disorders - various thrombocytopenia, blood coagulation factor deficiencies.
- Taking certain drugs - heparins, warfarin, nonsteroidal anti-inflammatory drugs, cytostatics, and so on.
- Physiotherapy procedures on the lower back and lower abdomen.
Bleeding from the genital tract of unknown etiology is the most unexplained cause of uterine bleeding in menopause. The study does not find any objective causes of bleeding, and in women of older age sometimes there is bloody discharge.
This phenomenon is observed against the background of complete thinning or atrophy of the uterine mucosa. It becomes like parchment paper, easily injured and bleeds easily.
Bleeding during menopause has a number of features:
- The most important feature of climacteric bleeding is onconductivity. The older the woman, the more menopause she has, the more suspicious any bleeding is.
- Bleeding in the period of menopause - perimenopausal - are often very abundant, difficult to stop. But in patients with persistent menopause bleeding most often have the character of a lingering, protracted nature.
- The most important cause of perimenopausal bleeding, except for cancer, is a hormonal imbalance associated with the onset of menopause and an imbalance of sex hormones. In particular, women after 45-50 years of age suffer from a deficiency of progesterone, which stabilizes the mucous membrane of the uterus and prevents uterine bleeding.
These nuances of uterine bleeding in older women are different from teenage or reproductive age. The ways to stop such uterine bleeding are completely different.
How to stop uterine bleeding during menopause is best suggested by a doctor. Bleeding in adolescents is most often stopped by symptomatic hemostatic agents or hormonal drugs, bleeding of the reproductive period can be stopped similarly. Menopausal bleeding has several limitations and features.
Since this kind of bleeding is suggestive of concreteness, it is absolutely impossible to use hormonal agents until the true cause of the bleeding is ascertained.
The most optimal method for stopping perimenopausal bleeding is hysteroscopy followed by RFD (separate diagnostic curettage).
This method provides both hemostasis or hemostasis, and performs an important diagnostic function. The material obtained during the curettage of the uterus, is sent for histological examination. A pathologist examines endometrial tissue and makes a conclusion. It will help the attending physician to confirm or exclude cancer, as well as to orient in the alleged cause of bleeding.
Symptomatic hemostatic therapy is used in cases of non-rich spotting, but only to stop bleeding during the preparation of a woman for diagnostic procedures.
Such means include drugs that affect clotting (etamzilat, tranexam, aminocaproic acid), means to reduce the uterine wall (oxytocin, metilergometrin), herbal preparations (water pepper, nettle, shepherd's purse).
Diagnosis, which consists in taking the tissues of the mucous membrane of the uterine cavity for histological examination, in the case of bleeding in women older than 50 years is obligatory.
For this purpose, both separate diagnostic curettage and endometrial vacuum aspiration or endometrial pipeline biopsy can be used - more gentle and safe techniques.
They can be used with scant or moderate bleeding. Unfortunately, in case of heavy bleeding, separate diagnostic curettage should be carried out in order to urgently stop the bleeding.
If we talk about stopping bleeding and decide that the best way to stop them is the RFE. And now we will discuss the systematic treatment of such bleeding, as well as measures to prevent them:
- Treatment and prevention of perimenopausal bleeding must necessarily be based on a histological conclusion.
- If there is an objective cause of bleeding - endometrial polyps, myomatous nodes - they should be removed and histologically examined.
- All cancers and diseases that are dangerous for malignant degeneration should be treated by an oncologist taking into account the microscopic structure of the tumor.
- When making a diagnosis of endometrial hyperplasia, treatment should be based on the use of progestogens: Norkolut, Duphaston, Depo-Provera, and so on. Schemes and duration of admission are determined only by the attending physician.
- Often, patients are diagnosed with recurrent endometrial hyperplasia, which means that the patient has had several episodes of uterine bleeding associated with endometrial pathology. These options can be approached more radically. You can use the intrauterine hormonal system "Mirena". There is also a method of ablation or radical destruction of the endometrium with the help of electric current, laser, radio waves.
- In case of blood diseases, treatment is prescribed by a hematologist, taking into account the root cause of the deficiency of the blood coagulation system.
- In the presence of uterine bleeding on the background of endometrial atrophy, the patient should abandon physiotherapeutic procedures, taking nonsteroidal anti-inflammatory drugs.
In conclusion, we consider it our duty to remind once again - uterine bleeding in menopause is a reason to necessarily examine the endometrium and exclude possible cancers.
How to stop uterine bleeding at home
Blood discharge, which still happens in the period of menopause, rarely confuse women - they consider them to be the norm. But if this is not menstruation, if it is time for menopause, the nature of the bleeding is definitely pathological, experts say. Because it is so important to learn to recognize the causes and clearly understand whether it is possible and how to stop uterine bleeding at home.
Fortunately, there are many approaches and methods that will help a woman in these minutes to provide first aid. But in order to do this, it is advisable to get acquainted with the symptoms and causes.
Symptoms of uterine bleeding with menopause
Here it is equally important not to confuse them with abundant menses, which can be resumed during menopause. Yes, it is not easy to immediately understand whether this is the norm or pathology, but this can be done even in domestic conditions. Here the assistant at the beginning can be a usual means of hygiene, a lining or a tampon. So, urgent measures are needed if:
1) hygiene products are filled very intensively and it lasts for several hours in a row (even at night it is necessary to frequently change the hygienic means),
2) there are large clots in the discharge,
3) discharge continues longer than the previous monthly,
4) except for severe pain, lethargy, weakness and dizziness appear,
5) nausea and vomiting,
6) quickens the pulse
7) there are fainting
8) there is pain in the lumbar region, in the lower abdomen,
9) there is indifference to what is happening,
10) blood pressure decreases.
When menopause, these and similar symptoms are dangerous, because they may indicate pathologies that the woman did not even suspect and which sometimes require urgent surgical intervention. That is why it is important to consult specialists in time, as well as to know the reasons and how you can stop uterine bleeding on your own during menopause, because the situations are different.
Causes of uterine bleeding
Bleeding can begin after the onset of menopause on the day of the alleged onset of menstruation. The woman, not paying attention to the appearance of discharge, will not immediately understand what happened, and even more so, she does not know how to stop uterine bleeding at home. Meanwhile, it can manifest endocrine, hormonal diseases, the presence of fibroids, polyps in the uterus, adenomyosis, or, say, cancer of the ovaries and other dangerous ailments.
What to do, how to stop uterine bleeding
A visit to a gynecologist and an uzusta is later, and immediately we need, first, knowledge of how to stop bleeding from the uterus, and, secondly, urgent measures. Having decided on the intensity of bleeding, if it is very strong, in order to avoid severe anemia or hemorrhagic shock, it is necessary to immediately stop the process. And the first aid is in the elementary things that everyone needs to know.
- Bed. First, urgently put a woman in bed. It would be better to put something under your feet, then the blood will circulate properly.
- Cold. It is applied for 1-2 hours. Wrapping a heating pad or a bag with something cold into something, put it for 10-15 minutes on the lower abdomen, taking breaks of 5 minutes.
- Drink. Since the fluid is washed out with blood, it is important to make up for its deficiency and drink water with sugar or sweet tea, say, with a dog rose. The glucose present in the drink will nourish the brain and tissues of the entire body.
- Medication. If the condition does not improve, you can take vikasol, aminocaproic acid, ditsinon, oxytocin, calcium gluconate (by coordinating a call to the ambulance what exactly can be taken).
- Folk remedies. If we talk about folk remedies, then you also need to know how to stop bleeding from the uterus on your own, and that some of the drugs become excellent emergency help for pathological bleeding, because they have a hemostatic effect. Help infusions, for example, water pepper or nettle. It is drunk 3 times a day in 100 ml. In addition, uterine bleeding can be cured with decoctions and extracts of raspberry (leaves), yarrow, viburnum, nettle, cinquefoil, string, blue cyanosis, horsetail and other medicinal plants. Some of them can instantly stop even severe pathological uterine bleeding.
Simple recipes infusions of medicinal herbs
- 2 tsp. dry grass yarrow, filled with a glass of boiling water, stand an hour. Strain, drink four times a day before eating a quarter cup.
- 1 tbsp. dry grass shepherd's bag, filled with a glass of boiling water, stand for an hour, wrapped in something. Strain, drink before meals for 1 tbsp. l 3-4 times.
- 1 tbsp. dry nettle leaves, filled with a glass of boiling water, boil for about ten minutes on a small fire. Cool and strain, drink 1 tbsp. 4-5 times a day.
- 25 gr. dried nettle leaves, leaves and flowers of yarrow brew 200 ml. boiling water. After two hours of infusion, straining, drink on an empty stomach 100 ml each.
- 50 gr. chopped dry lash of cucumbers boil in half a liter of water, insist in a thermos and, after strain through an hour, they drink 3 times a day with 120 ml.
- 1 tbsp. l Highlander pepper insist in a glass of boiling water for half an hour and drink 1 tbsp. four times a day.
- The peel of 7 oranges is boiled in a liter of water, until one third of the broth remains. Add a little sugar, drink 4 times a day, 12 st.l.
- Mint and mountain ash in equal parts are poured with boiling water (a glass for 10 grams. Of the mixture) and are drunk as tea 3 times a day.
- In 2 whites, whipped up to foam, put half a teaspoonful of citric acid and eat in one step, drinking a glass of water.
There are other tools that can stop uterine bleeding instantly and permanently at home. But folk remedies are good for the time being. We must remember that they will not get rid of the main reason that caused the bleeding, but only suspend it.
Uterine bleeding during menopause: what can not be done
First, it is important to control their nature and quantity. Secondly, one cannot ignore the advice of doctors about when menopause is how to stop uterine bleeding during menopause. Thirdly, it is impossible not to react and not to take measures in case of heavy bleeding. In addition, in such situations it is strictly prohibited:
- do douching
- apply a hot water heater to the stomach,
- take a warm bath
- move a lot
- lift weights
- drink indiscriminately drugs to reduce the uterus.
What to do in case of heavy bleeding
Yes, among other things, such bleeding can happen. What to do, how to stop profuse venous bleeding? Clearly, we urgently need an ambulance. But it is important to provide first aid immediately, otherwise due to the large blood loss a person may not wait for the doctor and not get to the hospital. So follows:
- raise the area of injury for blood flow
- apply a pressure bandage below the injury site with a dressing bag or several layers of sterile bandage, gauze,
- fasten it tightly wrapping the place several times with a bandage,
- put on top something with cold (heating pad, bottle, etc.) for 10 minutes, not more.
Whatever the bleeding of a woman who has a menopause, swift or scanty, you should always remember, trying to stop the process at home, that the delay in death is like. After all, even scanty discharge can be confusing, meanwhile, as they can become a serious bell. Taking uncontrollably some folk remedies or pills, achieving a short-term improvement, you can miss the time, and treatment will be difficult.
The most important thing in such situations is timely diagnosis, knowing how to stop uterine bleeding at home or how to stop heavy venous bleeding. After first aid at home, if the situation does not fundamentally change, you should immediately seek help from doctors who will prescribe a surgical or conservative treatment.
How to quickly stop the abundant and painful periods during menopause?
The climacteric period is characterized by the absence of blood-like discharge from the vagina, which appeared earlier each month. The disappearance of menstruation indicates the end of the reproductive period in a woman’s life. But sometimes uterine blood can appear during menopause. How to quickly stop heavy periods during menopause without harm to health?
How comes the menopause
The menstrual cycle ensures the reproductive function of women. The process of maturation of the egg and hardening of the endometrium (inner layer of the uterus) occurs monthly. Climax, which is characterized by the extinction of this function, proceeds gradually. The monthly cycle ends in several stages:
- Premenopause. This period, on average, can last 2–5 years, depending on the particular functioning of the female reproductive system. During premenopause, monthly bleeding is more abundant or, conversely, becomes scarce. Also, the cycle changes its duration in a smaller or larger direction. If a woman has no comorbidities, there is no need to treat these disorders. The main cause of heavy periods is called hormonal changes in the body.
- Menopause lasts for 1 year in the absence of menstruation. At this time, the woman completely stop menstruation, and their renewal is considered a pathological phenomenon.
- Postmenopause. This period lasts the rest of the life of a woman one year after the cessation of menstruation. The presence of any bleeding is a serious reason to consult a doctor for advice.
On average, menopause occurs in women after the age of 45 years. Although this may happen later (up to 55 years), and much earlier in 40 years.
Causes and symptoms
Menopause accompanied by aging of the hypothalamus. The process of maturation of follicles and their hormonal function is impaired. The corpus luteum is not formed, the amount of estrogen increases, and the concentration of progesterone is greatly reduced, causing a hormonal imbalance that provokes uterine endometrial hyperplasia.
There may be other causes of blood discharge during menopause:
- Primary disorders of the central nervous system.
- Neuroendocrine form of the hypothalamic syndrome.
- Endometrial hyperplastic processes: polyps, glandular hyperplasia.
- Uterine fibroids, ovarian tumor.
- Cancer of the uterus and ovary.
Typical causes of bleeding with menopause include elevated levels of estrogen or a pathological reduction of progesterone to levels not characteristic of the normal course of menopause.
From normal menstruation bleeding characterized by an increase in duration more than 7 days and abundant blood loss of more than 80 ml. When menopause bleeding is possible with delayed menstruation from 1 to 6 weeks. They are accompanied by accompanying symptoms:
- deterioration of health,
When to consult a doctor?
In menopause, a woman should visit the attending gynecologist at least once every 6 months. The appearance of bleeding during menopause is a serious reason for going to a doctor in the near future.
Emergency medical care is needed in the following cases:
Anna Ponyaeva. Graduated from Nizhny Novgorod Medical Academy (2007-2014) and Residency in Clinical Laboratory Diagnostics (2014-2016). Ask a question >>
- Abundant blood loss, accompanied by deterioration of the general condition: fainting, severe weakness, fever.
- The appearance of pain in the lower back or lower abdomen.
- Prolonged continuous bleeding with clots.
The objectives of a diagnostic study for uterine bleeding - clarifying its source and cause.
A whole range of laboratory and instrumental examinations is carried out:
- Gynecological examination: smear on flora and cytology.
- Blood tests: general, biochemical, coagulogram, hormonal status.
- Transvaginal Ultrasound.
- Ultrasonic color Doppler of the pelvic organs.
- MRI of the pelvis.
- Endometrial biopsy.
- Separate diagnostic curettage of the uterine mucosa with histology research.
Properly conducted laboratory and instrumental examination allows you to specify the diagnosis, determine the causes of uterine bleeding during menopause and treatment tactics, how to stop it.
Complications and consequences
Long-term bleeding bleeding associated with large blood losses is a danger. in the form of complications. Against the background of intense blood loss, iron deficiency anemia and hemorrhagic shock develop quickly enough.
A woman with severe anemia or hemorrhagic shock needs emergency hospitalization. These conditions are lethal. Signs of severe blood loss:
- decrease in blood pressure
- pallor of the skin,
- tachycardia - increase in heart rate,
- cold limbs.
Abundant menstruation during menopause: what to do
Climax is a normal process that marks the extinction of the body's reproductive function. During this period, a woman should treat her health with special care. Quite often, bleeding during this period can warn about the onset of the disease. We will understand in more detail what they say abundant periods during menopause and how to stop them.
What is considered normal
Bleeding can be considered a norm:
- with the onset of premenopause,
- when extending premenopause artificially,
- when installing a contraceptive coil or taking hormonal contraceptives during menopause and menopause.
Usually, menopause occurs between the ages of 40 and 45, but menstruation may continue for some time. Climacteric changes in the female body can be divided into the following stages:
- Premenopause. The duration of this period is from 2 to 5 years. Most often, the monthly continue to go, but the cycle is lost, the amount of blood released can become as scarce, so quite abundant. The reason is the hormonal alteration of the female body.
- Menopause - a period with a lack of menstruation. If the menstrual flow is no more than a year, it means that they have completely stopped. If a woman starts hormone therapy to prolong the body's youth, then menstruation may return for a while, but in a rather scanty form.
- Postmenopause is a time when any bleeding, even a small one, is a wake-up call. If unusual discharges are detected during this period, you should immediately seek medical assistance, especially if there are clots.
Types of bleeding in menopause
Bleeding during menopause can be classified as follows:
- Organic The causes are diseases of the organs of the female reproductive system, as well as metabolic disorders and endocrine system malfunction.
- Iatrogenic. Bleeding that occurs as a result of improper installation or wearing of the contraceptive coil and hormonal medication.
- DMK - dysfunctional uterine bleeding with menopause. The reason for its appearance is a violation of the hormonal background of the body, which contributes to the failure of the menstruation period.
Kinds of DMK
DMK is divided into several types depending on the duration and amount of blood released:
- Menorrhagia - menstruation lasting more than a week and with a blood volume of more than 80 ml.
- Metrorrhagia - poor discharge of blood in the period between cycles.
- Hysterorrhagia - irregular bleeding lasting more than 7 days.
- Polymenorrhea - regular menstrual flow with a cycle time of 21 days.
Causes of bleeding
To diagnose the causes of bleeding during menopause, the period of menopause, in which there was a discharge, is of great importance.
Thus, the following groups of causes can be identified:
- genital pathology,
- hormonal imbalance
- taking medications
- other diseases of the female body.
During the premenopausal period, the ovaries still have the ability to perform their function, but they do it irregularly and with some disruptions. Spotting during this period can be quite unpredictable. Therefore, you should pay careful attention to any symptoms that appear. Urgent contact with a doctor should be under these conditions:
- Abundant discharge when you have to change the gasket more often than 1 time in three hours.
- The presence of dark clots or parts of the epithelium.
- The discharge that appears after intercourse.
- Spotting, which occurs with a periodicity of 2-3 weeks.
Despite the fact that the period of the onset of menopause is characterized by hormonal disorders, it has certain regularities. If you do not pay attention to the discharge and their nature, it can lead to depletion of the body due to blood loss. The causes of bleeding during the premenopause can be:
- uterine fibroids,
- hyperplasia of the mucous membrane,
- hormone imbalance
It is very important to monitor the regularity of menstruation. Thus, it is possible to determine the onset of bleeding in time.
In the period of postmenopausal discharge with blood deserve special attention. Ovarian function has faded, so the cause of the appearance of menstruation may be hormone therapy to prolong the premenopause. If a woman did not use drugs, it means that the discharge has a pathological nature and can be caused by several reasons:
- hormonal disbalance.
- uterine fibroids,
- sound education,
- endometrial hyperplasia,
- endocrine system failure
- cervical and endometrial cancer
- ovarian tumor.
Isolation of blood, not associated with the arrival of menstruation, can be caused by atrophy of the muscles of the vagina and mucous membrane. Mucous because of an imbalance of hormones loses its elasticity and becomes very vulnerable. In such a situation, any impact can lead to injury of small vessels, which is accompanied by the appearance of spotting. To determine the exact causes, you need to visit your doctor in a timely manner.
What to do when bleeding
At the first symptoms of uterine bleeding, urgent action is needed to avoid severe anemia or hemorrhagic shock. What is the first thing to do? In order to take measures and provide first aid, you need to determine the intensity of discharge and resort to the following measures:
- Bed rest The woman should be in a supine position, legs - in a raised position.. To do this, you can put a pillow or roller. Such actions will help improve blood circulation and outflow.
- Ice. To eliminate the bruise, reduce the temperature and improve blood coagulation, you need to apply ice or something very cold for 1-2 hours. A cloth bag with several ice cubes should be placed on the lower abdomen for 10-15 minutes with a five-minute interval.
- Liquid. To prevent dehydration of the body, especially with heavy bleeding, you need to constantly replenish the reserves of fluid in the body. You can use regular water with added sugar or tea. Sugar is glucose, which will feed the body and give it strength.
- Medicines. If the condition is critical, you can use Vikasol, Oxytocin, calcium gluconate, aminocaproic acid. To clarify what medicines you need and can take, you should consult a doctor.
After the discovery of heavy or spotting bleeding, the doctor prescribes medication or recommends surgery. If the reason lies in the imbalance of female hormones or hormonal failure, then drug therapy is usually prescribed for the normal production of the desired hormones. Also, such therapy may be prescribed to improve the function of blood clotting.
If the patient has uterine fibroids, surgery is performed to remove the lesions, this is resection or ultrasound ablation. The first operation is to cut out the fibroids, and the second is to evaporate the formation using ultrasound. Embolization can be used. This is an operation in which the flow of blood to the uterus is blocked by the substance. After this operation, the fibroid is deprived of its blood supply and is soon completely absorbed.
If the doctor has diagnosed endometrial hyperplasia, then most likely a surgical procedure will be performed in the form of burning or destroying endometrial tissues with a laser. To remove polyps or with a strong increase in the endometrium in the cervical canal, a curettage procedure is performed. After such an operation, the removed tissues can be sent for additional diagnostics to determine the nature of the tissues and the presence of a benign or malignant tumor.
If the patient has adenomyosis, then most often produce resection of the affected uterine tissue. In some cases, partial removal is not possible because most of the uterus is affected. If there is an option that this is a malignant formation, then to save the life of a sick uterus is completely removed. To prevent bleeding due to surgery and to speed up recovery, hormone replacement therapy is prescribed.
Abundant menstruation or bleeding during menopause can be stopped with the help of folk remedies. Traditional recipes include herbal medicine, which helps to stop and prevent the appearance of secretions. Helpers with such problems can be:
- Nettle. It has a beneficial effect on the contractility of the uterus, narrows blood vessels and improves blood clotting. Due to the presence of vitamins A, C and K, it is known as an effective remedy to stop bleeding. Four tablespoons of crushed leaves should be poured into a container, add water, bring to a boil and keep on fire for 10 minutes. The broth should be drunk with a three-hour interval of 1 spoon.
- Shepherd's purse. The recipe is identical to nettle decoction. Can be used alone or in combination with other herbs.
- Viburnum. For the manufacture of therapeutic agents, you can use the fruits, buds and bark of this tree. A decoction of viburnum helps stop menstruation, reduces uterine tone, improves the condition of blood vessels, and also eliminates pain and prevents the inflammatory process.
- Tincture of water pepper has hemostatic properties, and also improves uterine contractility. It is a storehouse of vitamin C, which helps improve the overall condition of the body.
Before using any folk remedy, you should consult with your doctor and make sure that the components are safe.
Symptoms of uterine bleeding with menopause
Very often, symptoms of uterine bleeding in menopause develop already on the background of certain changes, which are more often manifested by emotional and vegetative disorders. The woman is worried about irritability, mood swings, depression, decrease in sexual desire, insomnia, fatigue. Also, vegetative manifestations can often be bouts of sweating, fever, headache and palpitations.
If we are talking about uterine bleeding, which is caused precisely by the characteristics of menstruation, then such changes will be characteristic. Violation of the menstrual cycle with menopause has the character of irregular menstruation - one month there, and the next two do not, and later they disappear altogether. There may also be abundant periods, and the next month there will be no. Moreover, such a process takes about six months from menstruation changes to their complete disappearance, not more. Excessive bleeding during menopause, which often recur, requires urgent intervention, because it affects the condition of the woman through the development of anemia and a violation of the general condition. In this case, there will be symptoms of dizziness, fainting, the flashing of midges before the eyes are possible. All of these manifestations require immediate action.
If the cause of uterine bleeding in menopause is fibroids, then often this disease has an asymptomatic course right up to the point of occurrence of complications. If uterine fibroids begin in the premenopausal period, symptoms of a menstrual cycle may develop, which is associated with a disruption of the structure of the endometrium due to the presence of nodes or with initial changes in hormone levels. The first symptoms of uterine fibroids with menopause can also be varied - bleeding, abdominal pain or a feeling of heaviness in the pelvis, impaired sexual intercourse, decreased libido, disturbances in the normal functioning of the bladder or rectum, secondary chronic obstructive anemia. These symptoms often appear already with significant volumes of fibroids precisely because the course is asymptomatic. There are some features of the clinic of uterine fibroids with menopause, depending on the location and form of education.
When the uterus myoma is nodular, the clinical manifestations directly depend on the site of the node. With the formation of subserous nodes, the menstrual function is not impaired if it is stored in premenopause. The clinic of the acute abdomen is often observed, since such nodes are very unstable in their position and can shift, forming torsion or necrosis of the knot stem. Sometimes the pain is not sharp, but dull, aching, constant, if the node irritates the peritoneum or nerve endings, then there may also be a heaviness in the abdomen. If the subserous myomatous site is of considerable size, it can cause a syndrome of compression of neighboring organs with the difficulty of the act of defecation during compression of the rectum, with difficulty urinating or reactivity of the bladder, as well as compression can disturb the outflow of venous blood and lymph with the formation of congestion in the pelvis and development hemorrhoids. Not rarely, with the subserous location of the fibromatous node in uterine myoma during menopause, local neurological symptoms are observed due to compression of nerve structures with the development of disorders like paresthesia or osteochondrosis of the lumbar spine. Then it is very important to correctly diagnose the pathology, and not to treat these neurological disorders.
With a submucous site, the clinic is less pronounced in terms of compression symptoms, but local manifestations are more pronounced. Metracragia can be observed, even if there are no monthly periods for menopause, then such secretions may appear in case of uterine myoma during menopause. These secretions are painful, accompanied by aching pain in the lower abdomen. Discharge with uterine myoma during menopause can also be in the case of infection of the node, then an infectious inflammation develops with a yellow-green discharge with an unpleasant odor, which is also accompanied by symptoms of intoxication. But at some point there may be the development of severe bleeding from the node, which may be the first episode and the only symptom of this pathology.
If the cause of bleeding is an endometrioid cyst, then it is characterized by a slight smear discharge before and after menstruation, which may be a diagnostic sign of the disease. When the cyst is completely broken, then there is a strong uterine bleeding, which is accompanied by significant abdominal pain spasmodic in nature.
Therefore, in the event of any changes in the health of the woman, it is necessary to pay attention to this and conduct a comprehensive examination in order to diagnose it early and prevent such a complication.
Treatment of uterine bleeding with menopause
The tactics of treatment of acute bleeding from the uterus during menopause should be immediate and have a hemostatic character, as well as a preventive nature to prevent recurrent bleeding and the development of more serious symptoms. There are drug and non-drug therapies. Drug treatment methods are mainly aimed at the use of hemostatic drugs, as well as replacement therapy for hormone deficiency in menopause and uterine myoma. Non-drug treatment is aimed at correcting hormonal imbalances on the one hand and on the preventive effect on the other. You can also use herbs and infusions that help restore the body after bleeding. Therefore, the use of folk remedies is a priority only in complex treatment during remission.
The means of stopping such bleeding must be accurately known in order to determine tactics. This question should be a priority in the case of acute uterine bleeding and hemostatic drugs are used for this.
- Tranexam - one of the most widely used hemostatic agents in gynecology. This drug affects the external mechanism of coagulation by inhibiting the formation of plasmin from plasminogen. Due to this effect, its antifibrinolytic property is revealed. The drug is available in pharmacological form of tablets and solution in ampoules for injection. For acute uterine bleeding, tranexamic acid is used intravenously. The dosage in this case is about ten to fifteen milligrams per kilogram of body weight with intravenous drip at a rate of about one drop per minute. Indications for the use of the drug is acute bleeding, mainly in the postoperative period or those that are accompanied by an increased amount of fibrinolysin. Also, the drug has anti-inflammatory and anti-allergic properties, which removes the severity of symptoms in uterine myoma or endometrioid cyst. Contraindications to the use of Tranexam are hypersensitivity to the containing elements of the drug, as well as vascular pathology in the form of a history of thrombosis, stroke or heart attack. Side effects are possible in the form of allergic manifestations, as well as changes in the digestive system - anorexia, heartburn, abdominal pain, nausea. Possible manifestations of the vascular system in the form of hypotension with the rapid introduction of the drug, as well as increased heart rate, increased thrombotic activity with the threat of thrombosis or thromboembolism.
- Dicynon is an additional tool for the treatment of acute uterine bleeding during menopause, since the drug has an effect mainly on the vascular platelet hemostasis. The drug increases the permeability of the vascular cell, as well as increases the rate of formation of thromboplastin, which increases the response to the formation of the primary thrombus during bleeding. The drug begins to act within a few minutes after administration, and the duration of action is about five hours. The drug is available in pharmacological form of tablets and solution for intravenous injection. In the case of acute uterine bleeding, the drug is administered in a dose of 500 milligrams intramuscularly. Contraindications to the use of the drug are hypersensitivity to the components of the drug, as well as vascular pathology in the form of a history of thrombosis, stroke or heart attack, overdosing of drugs from the group of anticoagulants. Side effects are possible in the form of allergic manifestations, as well as changes in the gastrointestinal tract - nausea, heartburn, abdominal pain, loss of appetite. Possible manifestations of the nervous system in the form of dizziness, drowsiness, sleep disturbances, headaches.
Hormone therapy with concomitant uterine myoma, if it is the etiological factor of bleeding, is mandatory, as well as a correction for hormonal imbalance during menopause. In this case, hormone replacement therapy is used.
Hormone therapy for uterine fibroids may include several groups of drugs:
- Gonadotroping-releasing agonists of which the representative is Diferelin or Triptorelin - the drug is used from 3 days of the menstrual cycle for six months to 3.75 milligrams.
- Goserelin - applied for six months to 3.6 milligrams percutaneously
- Buserelin - 200 micrograms per nose twice a day, six months course
- Zoladex - from the 1st to the 5th day of the injection cycle.
- Antagonists of gonadotropic hormones, the representative of which is the drug Danazol - it is used 400-800 milligrams per day, also with a course of treatment for six months.
- Progesterin drugs are various drugs that are able to regulate the ovariomenstrual cycle in case of insufficiency of its second luteal phase. The main representatives of this series:
- Noretisterone acetate - used from the fifth day of the menstrual cycle, 5-10 milligrams twice a day for six months.
- Medroxyprogesterone acetate is used in the same dose and the same course.
- The Mirena system is an intrauterine device, which is placed for five years with condition monitoring.
- Norkolut and Primolut - drugs that are used from 16 to 25 days of the menstrual cycle for three to six months.
You can also use dual-phase oral hormones with a lot of progesterone.
- Triziston - complex hormone replacement. This drug is released in the pharmacological form of three-colored dragees, which are applied according to a special scheme for three weeks, then a break for a week. The course of treatment for at least three to six months. Contraindications for the purpose of the drug are malignant tumors of any localization, vascular pathology in the form of a history of thrombosis, hepatitis. It should be used with caution in diabetes mellitus, because the drug can change glucose tolerance, as well as in hypertension. Side effects can occur in the form of cholestasis, abnormal liver function, embolism, as well as allergic and dyspeptic reactions.
- Logest - it is a drug containing estradiol and gestagen, is a high-dose drug, due to which its preventive role is manifested not only in the correction of hormonal background, but also in the prevention of cancer of the female reproductive system. The drug contributes to the alignment of hormonal inconsistencies and due to this violation in menopause are less pronounced, especially with regard to heavy bleeding. Logest is available in pharmacological form of capsules contained in 21 pieces per pack. Reception must start from the first day of the cycle. You can start taking and the fifth day of the menstrual cycle in the case of menopause in women. The course of administration is one capsule for a day of three weeks, then a break of seven days, then you need to resume the administration. Side effects are possible from the gastrointestinal tract in the form of a violation of the chair, nausea, feeling of bitterness in the mouth, vomiting. There may also be asthenovegetative reactions, manifestations of hormonal treatment on the part of the breast in the form of a feeling of heaviness, pain, and discharge, as well as an increase in the secretion of vaginal secretions. Contraindications to the use of the drug for treatment are problems with blood clotting and a heart attack or stroke in history, malignant neoplasms, severe liver damage, damage to the pancreas, and diabetes.
Surgical treatment acute bleeding from the uterus during menopause is performed if the cause of bleeding is a myoma node. In this case, after a simple preoperative preparation, surgical treatment is carried out. It is necessary to stop the bleeding, confirm the presence of the node and only after that surgical treatment is carried out. Surgical treatment can be carried out in the amount of organ-sparing intervention and radical intervention. Tactics depend on the type of fibroids, its size, location, and the duration of the operation. Organ-preserving operations are myomectomy — removal of the myoma node itself within healthy tissue — and uterine artery embolization, which disrupts the blood supply to the node and it regresses.
Radical surgery is a supravaginal amputation of the uterus, Subtotal hysterectomy and extirpation of the uterus, which also depends on the size and location of the fibroids and the age of the woman, as well as the ability to quickly stop uterine bleeding.
Folk treatment of uterine bleeding with menopause
People's treatment of uterine bleeding, because of its risk of complications, is carried out in remission. Methods of folk treatment, which are used, are aimed at correcting hormonal homeostasis and the main ones are:
- Honey has the properties to increase local immunity and stimulates regeneration. To create a medicine from honey, it is necessary to take the core of the bulb and place it in a glass of honey so that it is completely filled with it. Insist this solution overnight and in the morning moisten a tampon in this solution and inject into the vagina for the night, what to repeat for 10 days, after which the fibroid, if it caused bleeding, should decrease.
- Honey, as a natural source of nutrients and trace elements that enhance local immunity and stimulate regeneration, is widely used to treat the pathology of the female genital organs, including during climax. To create a medicine from honey, it is necessary to make a solution of three tablespoons of honey, five drops of linseed oil and three tablespoons of boiled water and take a teaspoon twice a day, a course of 10 days. This tool helps to normalize the hormonal background, which is also aimed at preventing violations of the local immunity.
- The leaves of aloe, which has a pronounced anti-inflammatory and regenerating effect, are squeezed into a glass and, wetting a tampon, are inserted into the vagina, repeating the procedure once a day for a month.
- Burdock juice perfectly relieves irritation, swelling and has antiproliferative effect, which enhances the ability of the endometriotic cyst to dissolve. To do this, from the leaves of burdock previously washed, you need to squeeze the juice and take five days, one teaspoon three times a day, and then one teaspoon two times a day for another five days.
- The leaves of barberry, valerian, linden, coriander, motherwort and oregano must be poured with a liter of hot water and after insisting drink 2 teaspoons in the morning and evening. Such a solution soothes the nervous system and reduces bleeding by stabilizing the hemostatic system. It prophylactically disrupts the nervous system during menopause, which relieves the symptoms of vegetative-emotional manifestations and prevents vascular tone disorders.
Homeopathic remedies can not only correct hormonal imbalances, but also can be taken to restore the body after bleeding.
- Klimaktkhel is a homeopathic remedy that has a composition similar to phytoestrogen preparations and contributes to the normalization of hormonal levels during climax. The drug also reduces proliferative processes at the cell level. Klimaktkhel is applied in tablets, one tablet before meals or one hour after it three times a day. The duration of drug treatment is about two months. Side effects not identified. Contraindications to taking Klimaktkhelya - this is an increased sensitivity to the components of Klimakthelya.
- Dysmenorm is a homeopathic remedy that regulates hormones and affects the benign formation of the uterus in the form of a cyst or fibroid. Dysmenfe is used for treatment in tablets in a dose of one tablet three times a day one hour after a meal.
- Remens is a homeopathic medicine that contributes to the regulation of hormonal imbalance in menopause due to its effect on the hypothalamic-pituitary zone, and also has protective properties on the endometrium. This prevents the development of repeated bleeding and restores the functional layer of the uterus. The drug is available in the form of a solution and tablets. The medicine is applied on the first and second day in an increased dose - one tablet or ten drops eight times a day, and further for three months at the same dose, but only three times a day. Side effects not identified. Contraindications to receive Remens is an increased sensitivity to the individual contents of the drug.
- Ginecohel is a combined homeopathic remedy that has an effect on menopausal disorders by normalizing the synthesis of estrogen and progesterone, which helps reduce the effect of deficiency of these hormones. The drug is available in drops and dosed ten drops three times a day, can be dissolved in water or take a clean solution. Side effects are not common, but there may be abnormal stools, dyspeptic symptoms and allergic reactions. Contraindications not identified.
Thus, the main thing in the treatment of uterine bleeding in menopause is to stop it immediately, and only then additional methods of investigation are carried out, the diagnosis is clarified and the tactics of further treatment is decided - operative or conservative. Such a wide range of drugs, not only drugs, but also folk remedies, as well as homeopathic drugs, allows you to select the necessary treatment and successfully correct hormonal changes during menopause with the prevention of further disorders, but these methods are possible in remission.
What is menopause and why does menstruation stop?
In medicine, menopause is denoted by the term "menopause." This condition does not occur immediately, it is characterized by several successive stages: premenopause, menopause, perimenopause, postmenopause. The key event is the cessation of ovarian-regulated menstruation.
Climax can be physiological, developing by virtue of age. It also happens artificially menopausal period, which occurs earlier and is iatrogenic. Its cause is a pronounced suppression of ovarian function with drugs, chemotherapy or radiation therapy, removal of the ovaries.
All manifestations of menopause are associated with the growing estrogen deficiency in the woman’s body. It arises from a progressive decline in ovarian and endogenous ovarian function.
From about 35 years old begins the process of sclerosis of the ovarian stroma. It increases the percentage of connective tissue, follicles dissolve or undergo hyalinosis. As a result, the ovaries shrink and shrink in size, and their production of sex hormones (mainly estradiol and progesterone) decreases more and more. At first, this is partially compensated by the synthesis of estrogen (estrone) from testosterone and androstenedione in the skin and subcutaneous tissue.
There is not only a decrease in the number of functioning follicles. Already at the very beginning of the premenopausal stage, the severity of the response of the ovarian tissue to follicle-stimulating (FSH) and luteinizing (LH) hormones, which have a regulating effect on the functioning of the female reproductive system, decreases. A violation of feedback in the ovarian-pituitary chain leads to a secondary decrease in the synthesis of these hormones.
Because of this hormonal imbalance, most cycles become anovulatory, their duration changes. Menstruation becomes irregular, scanty. At the same time periods of prolonged bleeding may occur, even uterine bleeding in menopause may develop. This is due to a pronounced violation of the ratio of estrogen and progesterone.
Complete cessation of menstruation is called menopause, the premenopausal period goes into perimenopause. And about six months after that, the onset of postmenopausal is diagnosed. At the same time, cardiovascular, somatovegetative and psychoemotional disorders arising at earlier stages are reversed.
Bleeding with menopause is this normal?
Возобновление кровянистых выделений из половых путей после прекращения менструальной функции, а также увеличение объема выделяемой крови в пременопаузальный период – настораживающий симптом. При его появлении женщине необходимо как можно раньше обратиться к врачу для обследования и выявления причины кровотечения. Even scant spotting is a reason for consulting a gynecologist.
Menopausal uterine bleeding can be caused by local causes (associated with pathology of the external or internal genital organs) and extragenital.
The latter include coagulation disorders, systemic atherosclerosis with vascular lesion of atrophied endometrium, uncontrolled arterial hypertension.
Local causes of uterine bleeding with menopause:
- malignant tumors of the body and cervix, endometrial cancer,
- benign tumors of the uterus, subjected to ulceration or necrosis (fibroids, polyps and endometrial hyperplasia),
- hormone-active (feminizing) tumors of the ovaries of different sizes, which can be represented by combs, granulosa cell tumors, arrhenoblastomas, cilioepithelial and pseudomucinous cystomas, Brenner's tumors,
- tekomatoz of the ovaries - extensive proliferation of a particular tissue that is of mesodermal origin, has hormonal activity, and is rather related to the parenchyma,
- ovarian cancer
- the functioning of the ovarian tissue even after the cessation of menstruation, with the acyclic resumption of growth of the remaining follicles and inadequate functional changes in the endometrium.
There is also a not so terrible cause of bleeding in the menopausal period - the holding of hormone replacement therapy for the pathologically flowing menopausal syndrome. In some women, even small doses of hormones lead to menstrual-like or acyclic spotting from the genital tract.
Do not forget that bleeding in the menopausal period may have not only the uterine origin. They are often caused by changes in the mucous membrane of the vulvovaginal area, and sometimes they are caused by bleeding from varicose veins of the vagina.
What provokes metrorrhagia?
Uterine bleeding can occur without obvious provoking factors. But often, with careful medical history, it is possible to identify the previous stressful situation, hypertensive crisis, severe physical exertion. It is also possible acute mental disorders, infectious diseases, the use of hepatotoxic or blood-thinning drugs. And in some patients, the onset of menorrhagia is provoked by sexual intercourse, an increase in intra-abdominal pressure with a strong cough, straining because of constipation.
Signs of uterine bleeding with menopause
Uterine bleeding is difficult not to notice. The uterus cavity is communicated through the cervical canal to the vagina, it is a natural way to remove blood, mucus and other biological fluids. It is the appearance of bloody discharge from the genital tract with the appearance of characteristic marks on underwear and becomes a reason for seeking medical attention.
The volume and rate of blood loss in uterine bleeding is different. When copious secretions appear clots, they are associated with intrauterine coagulation of blood. Sometimes bleeding appears suddenly, as if breaking through the cervix. Most often, this condition is noted after sexual intercourse, if the patient has a hematometer (accumulation of blood in the uterine cavity).
Bleeding may be accompanied by pains in the lower abdomen or in the lower back, of a pulling, cramping or aching nature. But often women do not notice obvious physical discomfort. Possible increase in the volume of the abdomen, its bloating and feeling of overflow. In some cases, there is discomfort during urination and defecation, which may be due to the effect of the existing tumor on the adjacent organs, catarrhal pelvioperitonitis, or swelling of the surrounding tissues.
With repeated or heavy bleeding, a woman often suffers from general weakness, fatigue, headaches, palpitations and shortness of breath with little exertion. It is associated with the development of post-hemorrhagic iron deficiency anemia. In cancer of the ovaries or the body of the uterus, a persistent decrease in hemoglobin may also be due to intoxication. It is also possible to increase body temperature to subfebrile numbers, worsening of the general condition, fainting.
Why is bleeding in menopause?
As a rule, climacteric changes in the body begin after the age of forty. Discharges can appear at any stage: premenopausal, menopausal, postmenopausal. There are 4 types of uterine bleeding with menopause for the reasons of their occurrence:
- caused by diseases of the reproductive organs,
- triggered by hormonal disruptions
- iatrogenic (while taking certain medications),
- caused by diseases of non-reproductive organs.
By the type and intensity of discharge, their volume there are such types of bleeding:
- Menorrhagia. Blood with mucus appears longer than a week regularly.
- Metrorrhagia. Allocations are irregular, but often. Their volume is not too large.
- Manometrorragia. Uterine bleeding is long and abundant, occurs irregularly.
- Polymenorrhea. There are regular excretions, the interval between them does not exceed more than three weeks. Reminds ordinary monthly.
A woman's body is preparing for the complete cessation of menstruation and the stopping of childbearing function. Until it is completed, the monthly will go, but not regularly, can be abundant, then scarce. All this is considered normal. The following signs indicate that you have abnormal bleeding or other pathologies:
- the discharge is too abundant, one gasket lasts an hour or less,
- blood clots come out
- menstruation no more than three months
- after sex you are bleeding
- monthly lasts for three or more days longer than before
- discharge between menstruation,
- cycles have become shorter than three weeks.
Pathologies for menopause can be caused by the following reasons:
- Hormonal failure. The balance of sex hormones is disturbed, ovulation does not occur. Endometrium grows, blood begins to flow.
- Myoma of the uterus. This tumor is characterized by severe uterine bleeding.
- Endometrial polyps. Spotting goes irregularly, long.
- Endometrial hyperplasia. Sometimes this condition is recognized as precancerous. With it, the inner lining of the uterus is growing rapidly.
- Oral contraceptive use. Such tablets are often the cause of blood discharge between menstruation.
- Diseases of the thyroid gland. The phenomenon is caused by the lack of certain hormones.
- Violation of blood clotting.
- Pregnancy. Fertilization is still possible during the premenopausal period. Discharge may indicate ectopic pregnancy, the threat of miscarriage, placenta previa.
- Polycystic ovary. In this syndrome, ovulation is absent, therefore menstruation is rare, but very abundant and long.
The reasons for which bleeding occurs after the completion of menstruation, less, but they are more serious, and therefore require immediate treatment to the doctor. Only those that are caused by hormonal medication are considered normal. In other cases, you need to look for the cause in any disease. The first thing to do is to examine in detail for oncology. In most cases, postmenopausal bleeding causes endometrial or cervical cancer. In addition, the phenomenon can be caused by such diseases:
- atrophic vaginitis,
- endometrial atrophy,
- submucous myomas
- endometrial hyperplasia or polyps,
- hormone-producing ovarian tumors.
How to stop bleeding during menopause
In the first stage, the most important thing is to prevent discharge. Then you should contact a specialist in the field of gynecology, who will determine the cause of uterine bleeding and prescribe treatment. To stop the blood from the uterus, apply the means of both traditional and alternative medicine. The doctor, depending on the diagnosis, may prescribe drugs or even surgery to stop the blood.
Emergency care for uterine bleeding
If you find that blood has gone from the vagina, lie down and put something under your legs. Place a cold heating pad on the lower abdomen. As soon as possible, consult a doctor immediately. To determine the cause of bleeding, he will perform diagnostic curettage or hysteroscopy in the hospital. If a polyp is found, it will be removed. In the presence of endometrial hyperplasia, they will prescribe cleaning. These operations will help stop the blood.
Hemostatic agents with heavy menstrual periods with menopause
To normalize the condition can be prescribed such drugs:
- Ditsinon. The drug, whose components make the walls of the capillaries less fragile. Acts very quickly, does not cause thrombosis.
- Oxytocin. Hormonal agent that stimulates the tone of the uterus.
- Tranexam. Uterine bleeding with menopause is often stopped with these pills. They relieve inflammation, kill infections, prevent the appearance of tumors.
A woman with menopausal bleeding should be carefully examined. With heavy bleeding, it begins simultaneously with the treatment. And in mild cases, preference is given to the primary identification of the cause of metrorrhagia.
The survey program may include:
- gynecological examination (in mirrors and a bimanual method),
- aspiration of the contents of the uterus and smear from the cervix for subsequent oncocytological examination of the material obtained,
- study of the hormonal background of the patient with the determination of the level of estrogen, progesterone, LH, FSH, 17-ketosteroids,
- Ultrasound with abdominal and vaginal transducer,
- when free fluid is detected in the pelvic cavity, a puncture of the posterior vault for oncocytological examination,
- general clinical examination with an assessment of the blood coagulation system, liver function and the detection of signs of anemia,
- study on tumor markers: CA 125, CA 199,
- therapeutic and diagnostic separate curettage of the uterus and cervical canal,
- MRI of the pelvic organs.
The scope of a comprehensive examination depends on the patient's condition, data of a gynecological examination. Some invasive diagnostic procedures are performed only in a gynecological hospital.
How to stop uterine bleeding at home?
Bleeding of moderate intensity, not leading to a significant deterioration of health, rarely serves as a cause of emergency treatment to the doctor. Such patients usually resort to self-treatment using alternative medicine methods.
But a variety of folk remedies for uterine bleeding during menopause act only on the effect, without eliminating the root causes. In addition, they have not so powerful and quick effect as the medicine prescribed by the doctor. Therefore, their use is permissible only in consultation with the gynecologist as an adjunct to hemostatic drugs.
Typically, various herbal remedies are used in the form of decoctions or infusions that have an indirect effect on the blood coagulation system and the tone of the uterine wall. It can be nettle, water pepper, viburnum bark, shepherd's purse, yarrow, field horsetail and some other plants.
Self-treatment of uterine bleeding is fraught with the progression of the primary pathological process and can lead to late diagnosis of life-threatening gynecological diseases. In addition, some measures may even increase bleeding or cause complications, which significantly aggravates the condition of the woman. That is why inadmissible douching, the introduction of vaginal absorbent tampons, the imposition of hot water bottles on the stomach.
Climacteric uterine bleeding is always a sign of any existing pathology and requires mandatory treatment to the doctor.
Changes in the body of a woman
Sex hormones take part in the processes of the cardiovascular and skeletal systems, influence the work of the brain, immunity, participate in the processes of digestion, fat and carbohydrate metabolism. From hormones depends on the condition of the skin, hair and nails.
About hormonal failure in menopause, also read in this article.
With the onset of menopause, the following changes appear:
- happens cessation of ovarian intrasecretory activity, their arteries and veins are sclerosed, they become smaller in size - they shrink,
- monthly menstrual flow gradually stops,
- the muscular layers of the fallopian tubes become thinner, atrophy of mucous folds and narrowing of the tube lumen occurs,
- the endometrial rate in the uterus changes,
- at the beginning of the pre-climatic period, the uterus increases in size, but gradually the replacement of muscle fibers with connective tissue and the reduction of the organ in volume,
- glandular tissues in the mammary glands atrophy and become dense,
- urological changes are expressed in the form of painful, frequent urination. Often there is urinary incontinence,
- are observed changes in the thyroid glandthat provoke hyperthyroidism, bazedovizm,
- a change in the adrenal cortex leads to hypertension, an increase in blood sugar,
- happens weakening of immunity, the risk of developing infectious and viral diseases increases,
- fat metabolism is broken,
- blood clotting increases.
Also read how to delay climax.
How menstruation changes during menopause
Menopause occurs in three stages:
Initially, the menstrual cycle begins to break, menstruation becomes irregular. The reason for this is the fluctuating level of estrogen. Its deficiency prevents the maturation of the egg and the monthly retention, but in the next cycle the level of estrogen can rise and then menstruation begins again.
Also read about the rate of FSH and LH with menopause.
When menopause occurs, not only the change in periodicity occurs, but also monthly duration - they can last for 1-2 days or 1-2 weeks, alternating with each other.
Accordingly, the amount of menstrual flow changes as well - their volume can be scarce or abundant.
For 2-3 years, menstruation will come randomly, with scant or heavy bleeding, and then menstruation will suddenly stop.
How to distinguish menstruation from bleeding
In some cases, menstruation with intense discharge indicates abnormal uterine blood loss.
About bleeding during menopause, also read here.
The alarming symptoms are:
- large amount of dischargeforcing to replace shims in less than every hour
- menstrual flow does not tend to decrease,
- discharge with blood clots,
- menstruation more often than once a month
- pain syndromeaccompanying hatching bleeding,
- low blood pressure.
If uterine bleeding is accompanied by dizziness, fainting, persistent weakness, nausea and vomiting, this is evidence of pathology.
The aching, cramping and pulling pains in the lower abdomen warn about gynecological disorders.
With existing benign tumors in the uterus arise painful urination and frequent constipation due to pressure on the intestines and bladder.
Types of uterine bleeding and their causes
Pathological uterine bleeding in menopause:
- menorrhagia - intense and cyclic uterine bleeding, lasting more than a week,
- metrorrhagia - sparse irregular discharge between cycles,
- menometerorrhagia - combines the signs of menorrhagia and metrorrhagia, uterine discharge arbitrary or frequent with a large amount of discharge,
- polymenorrhea - with her menstruation occurs at short intervals, less than three weeks. The uterine discharge while abundant or prolonged.
In the premenopausal period, menometorrhagia is more often diagnosed, and in menopause, metrorrhagia is observed.
Uterine bleeding can indicate a variety of pathologies:
- The causes of dysfunctional uterine bleeding are hormonal shifts, blood diseases, infections, overweight, and a hard diet. Dysfunctional uterine bleeding are ovular, associated with menstruation, and anovulatory, occurring between menstruation,
- uterine bleeding with menopause due to hormonal imbalance and pathologies of the sexual sphere,
- in oncology, uterine bleeding is the main symptom of the disease,
- bleeding after abortion is considered normal if lasts no more than two days,
- postpartum uterine bleeding should not be abundant and long, and the obstetric bleeding that occurred after childbirth is considered the most dangerous. Pathology develops due to the absence of uterine contractions and blood clotting.
Causes of bleeding:
- disturbed balance of female hormonesimpeding the process of ovulation. Abnormal growth of the endometrial layers causes blood loss,
- myoma in the uterus in premenopause, it tends to increase in size. As a result, the contractile ability of the uterine muscles is disturbed, which causes intense bleeding,
- polyps in the endometrial layers provoke irregular bleeding,
- abundant uterine secretions may occur due to hormonal contraceptives or intrauterine device,
- at polycystic ovary there are non-cyclic periods with intense bleeding,
- pathology can be caused by diseases endocrine system, hypothyroidism or hypeteriosis,
- impaired blood clotting increases the risk of uterine blood loss,
- hormonal failure can be caused exhaustion and frequent stress,
- not excluded risk of miscarriage, because in the premenopausal time women are able to become pregnant.
The causes of uterine bleeding in the postmenopausal period are:
- hormonal drugs
- endometrial hyperplastic processes,
- malignant tumors in the uterus or appendages.
A gynecological examination is performed, making it possible to determine the type of bleeding.
It is also necessary to conduct laboratory and instrumental research methods:
- a coagulogram is performed to determine blood clotting,
- general and biochemical blood tests specify the stage of anemia,
- determined by the general hormones,
- With the help of ultrasound, a neoplasm in the uterus and appendages, as well as a possible pregnancy, is excluded.
- Doppler methods evaluate blood flow to the arteries of the uterus,
- the curettage of the cervix and uterine cavity is performed with further histological examination,
- MRI of the genitals if necessary.
Modern diagnostics allows you to quickly determine the cause of bleedingand start a proper course of therapy.
How to urgently stop blood loss
Abundant uterine blood loss require medical care.
Before the arrival of the doctors, you should take a horizontal position, put a pillow under the waist. Apply cold - ice or a container with cold water to the lower abdomen. Every 15 minutes clean the ice for 5 minutes.
You should drink warm sweetened liquid, you can take a decoction of nettle leaves and raspberries. Do not use drugs yourself.
Intensive blood loss can cause a number of serious complications, in some cases, uterine bleeding is stopped by surgery.
Treatment of uterine bleeding is surgically indicated for:
- oncology education in the uterus
- large myome
- simultaneous endometriosis and uterine myoma
- endometrial hyperplasia carried out hysteroscopy and ablation - curettage of the uterus
- bleeding polyps require resectoscopy - an endoscopic method of removing polyps.
Use of drugs
Women with uterine bleeding are treated in a hospital. The goal of drug therapy is to eliminate the causes of abnormal bleeding. According to the results of diagnostic studies prescribed treatment regimen.
To stop the bleeding, use drugs such as:
- pruning uterotonic drugs: “Oxytocin”, “Methylergometrine”, “Pregantol”,
- hemostatic agents: “Tranexam”, sodium etamzilate, aminocaproic acid,
- intravenous infusion saline solutions, restoring blood volume,
- blood transfusion - blood transfusion,
- hemoglobin regenerating drugs
- antiestrogens - "Danazol" and "Gestrinon". They have a positive effect on the mucous layer of the endometrium, reduce the size of the myoma node and have good reviews,
- vitamin complexes and vessel strengthening agents.
Further treatment includes long-term hormonal therapy, depending on the patient's age and associated pathologies.
Climacteric bleeding is dangerous and can develop acute chronic anemia.
In the period of approaching menstruation, excessive physical exertion, lifting heavy objects, taking hot baths should be avoided.
Menopausal women recommended consult with a gynecologist every six monthsto prevent the risk of developing possible pathologies.
What can be bleeding during menopause
Bleeding in women with menopause is divided into the following types:
- Organic Menstruation can go on for a long time if there are pathologies of the reproductive system or when hormonal failure develops.
- Iatrogenic. Prolonged periods are observed when the intrauterine device is incorrectly installed or if the rules for taking hormonal drugs are not followed.
- Dysfunctional. Occur with hormonal failure in a woman's body, which leads to a change in the duration or nature of menstruation.
In turn, dysfunctional uterine bleeding is divided into the following types:
- Menorrhagia. Menstruation does not stop longer than a week, and the volume of blood secreted exceeds 80 ml.
- Metrorrhagia. Characterized by the appearance of bleeding in the middle of the cycle.
- Manometrorragia. Differs in long menstruation, which occurs very rarely.
- Polymenorrhea. In this case, the duration of the monthly cycle is reduced to 21 days.
What indicates pathology
Long periods during menopause is not uncommon. In the premenopausal period, the woman’s cycle is unstable. There may be periodically increased menstrual bleeding or a decrease. It also often happens that menstruations disappear completely for several months, after which they return.
All symptoms that appear are explained by the instability of the hormonal background in the woman's body. She does not often ovulate, and the endometrium grows significantly, which was not the case before. In such conditions it is not strange that menstruation becomes more abundant and does not appear on time.
But sometimes the change in the nature of the monthly is abnormal. In this case, a visit to the doctor is required. The following signs indicate the presence of pathology in a woman's body:
- Intense uterine bleeding, when every hour you need to change the gasket.
- The appearance in the monthly blood clots or other extraneous inclusions.
- The presence of bleeding after intimacy.
- The menstrual cycle lasts less than 20 days.
- Long monthly - more than 8 days.
- The presence of complaints of intense headaches, dizziness. Also, a woman should consult a doctor if she has fainted at least once.
- Constant malaise, decreased performance, prolonged depression.
- Severe paleness of the skin.
- Reduced blood pressure.
How dangerous is postmenopausal bleeding
If a woman enters the postmenopausal period, the appearance of her menstrual bleeding can be associated only with the intake of synthetic estrogens and progesterones. They compensate for the lack of sex hormones, which provokes the semblance of menstruation.
In other cases, the woman should consult a doctor for examination, since bleeding indicates a serious pathology. Most often these are symptoms of endometrial cancer. Polyps can also be found in the uterus, fibroids, ovarian tumors, hyperplasia.
First aid for uterine bleeding
How to stop bleeding in women with menopause, if it appeared suddenly? At home, treatment involves the use of the following methods:
- Bleeding can be stopped if you strictly observe bed rest. It is necessary to lie down, having thrown legs on a pillow. If this is done, the outflow of blood from the pelvis will improve and the bleeding will decrease slightly.
- You can stop the selection with the help of ice. Cold promotes better blood clotting, so it is applied to the lower abdomen for 2 hours. Ice is recommended to wrap in cloth to prevent frostbite of the skin. Apply cold compresses for 15 minutes, after which you should take a 5-minute break.
- Compliance with the drinking regime. With intensive bleeding, the human body loses a large amount of fluid. If you do not eliminate the existing deficit, the woman will feel unwell until she loses consciousness. In this case, it is recommended to drink warm tea, water without gas or dogrose broth. During the loss of a significant amount of blood, sugar consumption along with drinks is recommended. Glucose is necessary for the nutrition of brain tissue.
- Reception of medicines. To prevent significant blood loss, it is recommended to drink one of the drugs - Vikasol, Aminocaproic acid, Ditsinol. Accurate recommendations will be given by the doctor in accordance with the developing symptoms.
Menstrual flow with menopause, how to reduce bleeding?
How to stop menstruation during menopause, because sometimes there are situations when it is not possible to seek help from specialists. The onset of any bleeding during menopause should not be ignored, as it can serve as a signal for the development of pathological changes in the woman's body. Whether it is threatening bleeding or heavy menstruation, the main task of this condition is to stop long-term discharge with a large loss of blood.
Monthly or uterine bleeding?
A woman throughout her life experiences a natural manifestation of her body and does not fear menstruation. But in some cases there is no certainty that the bleeding during menopause is a prolonged menstruation. This condition may be a manifestation of the pathological process with symptoms of bleeding. In this situation, it is important to be able to distinguish between abundant periods and bleeding.
Menstruation is the bleeding that ends every menstrual female cycle. Together with the release of blood, the body is freed from the detached layer of the epithelium, which grows to receive a fertilized egg. Bleeding during menstruation is distinguished by signs in separate groups, namely:
menorrhagia - copious periods that go long,
- metrorrhagia - characterized by irregularities,
- menometerorrhagia - irregular prolonged menstruation,
- polymenorrhea - monthly with short breaks between them.
Uterine bleeding is a dangerous condition that signals violations in the reproductive organs. This can occur for various reasons, the most frequent of them consider abortion, the development of inflammatory processes in the genitals, the formation of abscesses, the effect of infectious diseases and intoxication of the body, as well as the formation of tumors in the ovaries or uterus.
Characteristic signs of bleeding and its main differences from the monthly are as follows:
- a large loss of blood (with a monthly rate of about 80 ml),
- if they go long and do not stop after 7 days,
- bleeding occurred after menopause,
- blood secretion resulted from sexual intercourse.
Do not forget about the possibility of manifestation of implant bleeding, which is not menstruation. It occurs due to the addition of a fertilized egg to the endometrium lining the uterus. In this process, slight damage to the adjacent blood vessels may occur, so blood loss will also be insignificant. The difference of implant bleeding from menstruation in its earlier period, presumably one week before the expected period of menstruation. Bleeding of this type is characterized by a shorter period during which bleeding occurs and a lighter color. The basal temperature during implantation will be lower than normal, and then again rises to normal values.
How to stop heavy periods during menopause
To get rid of prolonged menstruation during menopause, you can with the help of various drugs. In such cases, it is recommended to use the following medications:
- Ditsinon - take 5 days before menstruation, to prevent bleeding.
- The trunks are the newest drug, effective, but require careful use, as using it in some diseases can cause an increase in blood clotting and the formation of blood clots.
To correct irregularities in the menstrual cycle during menopause, it is good to supplement the treatment with necessary vitamins of groups A, B, ascorbic acid, and iron-containing preparations. It must be remembered that all drugs that can suspend menstruation during menopause should be prescribed only by a doctor. Before making a choice in favor of a drug, a woman should be examined for the presence of existing chronic diseases that can lead to abnormalities in menstruation. Stop the repetition of pathological processes will be possible only after the elimination of their causes.
To cause prolonged menstruation, the nature of which must be corrected, the existing gynecological diseases are capable of. Malignant neoplasms, myoma, endometrial hyperplasia and other disorders in the reproductive system can lead to pathological manifestations of the menstrual cycle.
Sometimes for stopping menstruation, it is enough to remove the intrauterine device or stop taking hormonal contraceptives, if these methods of protection provoke abundant periods during menopause.
When the menopause period in the ovaries approaches, the production of eggs stops and the menstrual cycles become non-ovular. This causes a hormonal imbalance with a decrease in the level of the hormone estrogen and an increase in progesterone. Such a hormonal imbalance causes abundant and long periods. The most common method to eliminate the appearance of heavy bleeding during menopause is considered to be treatment with the use of hormonal drugs that restore the level of female hormones.
Uterine bleeding at home
Uterine bleeding during menopause may be perceived as normal. In this difficult period for a woman, abundant periods alternate with their absence and long breaks between them. To restore the state of the reproductive organs, you can use some tips. Sometimes following them you can stop uterine bleeding without the use of drugs. In the case of prolonged menstruation, it is recommended to drink a sufficient amount of plain water, as well as provide yourself with adequate rest. You can not lift weights, strain, engage in any kind of sports. For menstruation, it is better not to go to the sauna or bath, take a bath, and to reduce bleeding, you can apply a cool heater to the navel area. Also at this time it is forbidden to consume alcoholic beverages and try to avoid stressful situations whenever possible.
The situation becomes more complicated if the menstruation is accompanied by a large blood loss. Emergency assistance in this situation can be obtained from a gynecologist, and in more severe cases it is better to call an ambulance. A woman should take a prone position, you can tighten your knees to the stomach - this significantly reduces the pressure on the uterus. If the blood loss is accompanied by pain, it is necessary to take an anesthetic. The main task is to suspend or reduce bleeding.
Prolonged monthly folk remedies
You can try to stop the abundant periods in the period of menopause, using for this folk remedies. However, when applying such a treatment, it is also necessary not to forget about common sense. The fact is that the use of products based on medicinal plants has a cumulative effect and will not help in case of emergency. Some plants can have an effect similar to hormonal, so their uncontrolled use can be harmful to the body. People’s experience gained over the years recommends using grass from burnet, yarrow, shepherd's purse, St. John's wort, nettle leaf and viburnum to stop bleeding during menopause. They are used as tea, decoctions or pharmaceutical tinctures, which affect the muscles of the uterus and cause its reduction. Also, many plants have a vasoconstrictor effect and help to improve blood clotting.
Viburnum, which is a truly unique plant, has excellent hemostatic properties. To eliminate heavy bleeding during menstruation, especially when they go for a long time, almost all parts of it are successfully used - leaf, bark, berries, inflorescences. The main effect of the preparations made on their basis is aimed at narrowing the vessels and increasing the tone of the uterus. The response to these processes is the cessation of bleeding. In addition, viburnum has an antiseptic and anti-inflammatory effect, and also serves as an excellent means to eliminate pain.
The use of folk methods for deviations in the nature of menstruation during menopause have a supporting effect, but you should not refuse to consult a specialist.To achieve complete success, you must follow all the recommendations of doctors and take the recommended drugs.
- You are worried about sudden abdominal pain.
- And the long and painful periods are already rather tired.
- And the recommended drugs for some reason are not effective in your case.
- In addition, constant weakness and ailments have already firmly entered your life.
- Now you are ready to take advantage of any opportunity.
How to stop uterine bleeding quickly? :
Acute pathological uterine bleeding is a common problem faced by practicing gynecologists. Even single such cases sometimes require immediate medical attention. The causes of this pathology are numerous. To solve the problem and understand how to stop uterine bleeding, it is necessary to take into account the woman’s age, her menstrual function and medical history, risk factors for endometrial pathology and blood coagulation system.
Etiology of acute abnormal uterine bleeding
The etiology of uterine bleeding can be multifactorial. This pathology is classified as associated with structural anomalies of the uterus and impaired blood coagulation. This happens for reasons:
- cancer processes of the body and cervix,
- ovulatory dysfunction
- iatrogenic factors.
Determining the most likely etiology is important in choosing the most appropriate and effective way to stop the bleeding for a particular patient and is achieved by collecting anamnesis, physical and gynecological examination and blood tests.
Clinical examination of hemostatic disorders in women with excessive menstrual bleeding
The initial screening for basic hemostasis disorder in such women should be based on their medical history. A positive result of the study includes the following circumstances:
- heavy menstrual bleeding, starting with menarche,
- postpartum hemorrhage,
- operations involving blood loss,
- disruption of the coagulation system during dental treatment.
This should take into account the following conditions:
- hematomas once or twice a month
- frequent nosebleeds,
- persistent bleeding from the gums,
- symptoms of coagulopathy in close relatives.
History or history
Obtaining a thorough history is necessary to focus on the circumstances of the occurrence of bleeding. This takes into account associated symptoms and past causes of menstrual disorders, details of the gynecological and medical history, and data from relevant laboratory and radiological tests.
Up to 13% of women with heavy menstrual bleeding have a variant of von Willebrand disease and up to 20% of patients may have bleeding disorders. Other causes of coagulopathy, such as a decrease in blood coagulation factors, hemophilia, and dysfunction of platelets, can occur in any age group. In addition, with systemic diseases such as leukemia and liver failure, as well as with medications such as anticoagulants or chemotherapeutic agents, coagulability may decrease and this may cause bleeding. All this is taken into account in developing tactics for the solution of the upcoming question: how to stop uterine bleeding.
Physical examination of a patient with uterine bleeding should begin with an assessment of acute blood loss and the main symptoms, such as hypovolemia, anemia, and the results that suggest the etiology of the disease. A woman’s condition should be evaluated so that the doctor can determine that she has uterine bleeding, and not bleeding from other areas of the genital tract. Thus, a gynecological examination, including examination of the cervix in the mirrors and bimanual palpation, should be performed by a gynecologist in order to detect any injuries to the genitals, vagina or cervix. All this allows to draw conclusions, which was the cause that caused vaginal bleeding. A gynecological examination will also determine the volume, bleeding intensity, condition of the uterus, internal genital organs, or structural lesions of the genital organ (leiomyoma).
Laboratory evaluation of patients with this disease is necessary. All adolescents and women are carefully examined for hemostasis disorders. Taking into account the clinical picture, it is necessary to take into account thyroid pathology, disorders of the liver, sepsis, leukemia, etc. Sampling of the endometrial tissue should be performed in all women. This is especially true for patients over 45 years old. Endometrial biopsy should also be performed on women younger than 45 years of age with a history of exposure to unconjugated estrogens (for example, observed in patients with obesity or polycystic ovary syndrome), a primary case of bleeding, or persistent similar manifestations. The decision on whether to perform a pelvic ultrasound should be based on the clinical evaluation of the data.
Initial laboratory testing requires:
- clinical blood test
- group definition and Rh factor,
- pregnancy test,
- registration of activated partial thromboplastin time,
- prothrombin time
- determining the amount of fibrinogen,
- initial testing for von Willebrand disease,
- determine the level of thyroid stimulating hormone
- detection of serum iron, total iron binding capacity and ferritin,
- liver function tests
- identify chlamydia trachomatis.
Stop acute abnormal uterine bleeding in non-pregnant women of reproductive age
The initial assessment of a patient with acute abnormal uterine bleeding should consist of testing it for signs of hypovolemia and potential hemodynamic instability. The measures to stop the bleeding include intravenous administration of conjugated estrogens, administration of combined oral contraceptives, oral progestins and tranexamic acid. Decisions should be based on the patient's medical history and the presence of contraindications to therapy. Surgical treatment should be considered for those women who are not clinically stable. The choice of surgery should be based on the presence in the patient of comorbidities underlying the pathology and the desire of the woman to have children in the future. After the acute bleeding episode has been resolved, a transition to long-term maintenance therapy is recommended.
Uterine bleeding is defined as bleeding from the body of the uterus, if it is abnormal in regularity, volume, frequency or duration and occurs in the absence of pregnancy. This pathology can be acute or chronic. Acute bleeding is a situation that requires immediate intervention in order to prevent further blood loss. The acute process can occur spontaneously or in conditions of chronic hemorrhage or bleeding. The overall assessment of the patient who has this pathology should go through three stages:
- determination of blood loss,
- finding out the most likely etiology,
- choosing the right treatment.
Limited evidence, expert advice and recommendations decide how to quickly stop uterine bleeding. The choice of treatment method depends on the clinic and etiology, taking into account the main medical problems. The two main tasks of management are: stop bleeding and control to reduce menstrual blood loss in subsequent cycles. Drug therapy is considered the preferred option for primary treatment. However, certain situations may necessitate surgical surgery.
How to stop uterine bleeding? The drugs used for this purpose are hormonal drugs. They are considered the first line of drug therapy for patients with acute bleeding. Treatment options include combined oral contraceptives and oral progestins.
Antifibrinolytic drugs, such as tranexamic acid, are used to prevent fibrin degradation and are effective in treating patients with any form of bleeding. Tranexamic acid effectively reduces the rate of intraoperative blood loss and removes indications for blood transfusion in surgical patients.
Unpredictable reactions to hormonal and non-hormonal treatment methods can develop in patients with diseases of the blood coagulation system or those who have a suspicion of increased bleeding. A consultation with a hematologist is recommended for such patients, especially if the bleeding is difficult to control or the gynecologist cannot cope with this pathology independently. Desmopressin can help treat patients with von Willebrand disease if it is known that a woman will respond to this drug. It may be administered as an intranasal inhalation, intravenously or subcutaneously. This remedy should be used with caution because of the risk of fluid retention and hyponatremia. It should not be prescribed to patients with massive bleeding receiving intravenous resuscitation. Recombinant factor VIII and von Willebrand factor are also available, and it may be necessary to control severe bleeding. Other impairment factors may require factor-specific replacements.
Patients with blood clotting diseases or platelet dysfunction should avoid nonsteroidal anti-inflammatory drugs because of their effect on platelet aggregation and their interaction with substances that may affect the functioning of the liver and the production of blood clotting factors.
How to stop uterine bleeding with endometrial hyperplasia or myoma? The need for surgical treatment is based on the clinical stability of the patient, the severity of the bleeding, the presence of contraindications for therapeutic treatment, the lack of response to medications and comorbidities. Surgical options include dilatation and curettage of the endometrium, its ablation, uterine artery embolization and hysterectomy. The choice of surgical intervention is made on the basis of the above factors, plus the patient's desire to preserve fertility in the future.
Specific procedures, such as hysteroscopy, polypectomy, myomectomy, may be mandatory if structural abnormalities are suspected as the cause of the identified pathology. Therefore, the question of how to stop uterine bleeding in case of myoma or polyposis is decided in favor of surgical methods. Dilatation and curettage alone (without hysteroscopy) are an inadequate tool for assessing uterine disorders and can only provide a temporary reduction in the intensity of bleeding. If they are performed with concomitant hysteroscopy, then this may be important for those patients in whom intrauterine pathology is suspected, or it is desirable to obtain a tissue sample to detect certain processes. Reports of cases of uterine artery embolization and endometrial ablation have shown that these procedures successfully help with bleeding. Endometrial ablation, although readily available in most centers, should only be considered if other treatments have proven ineffective or are contraindicated. This procedure should be performed only when the woman has no plans for future childbirth and uterine cancer was reliably excluded as a cause. Hysterectomy is used as the final method of treatment for coping with heavy bleeding, which may be necessary for patients who do not respond to drug therapy.
Thus, it was listed in what ways and how uterine bleeding is stopped in the hospital.
In most cases, a woman does not know why she has bleeding, and does not suspect that she has certain predisposing factors for the development of this uterine pathology. But sometimes there are diseases about which the patient knows, and it is her information, as well as additional methods of examination, that help in clarifying the diagnosis and choosing certain treatment tactics.
Bleeding during pregnancy
With the threat of termination of pregnancy there is a severe flow of uterine bleeding with clots. How to stop it, is it possible to save a pregnancy? This will be decided only by a doctor after additional research. If the fetus is not injured and its heartbeat is clearly visible on the ultrasound, it is a chance to save the child by stopping the bleeding with antifibrinolytic and preserving agents. Therefore, the answer to the question "how to stop uterine bleeding at home?", With this pathology can only be obtained from an obstetrician, after visiting a hospital. It is categorically contraindicated to appoint and do something independently, as this may lead to adverse consequences not only for the fetus, but also for the mother.
Breakthrough uterine bleeding
How to stop breakthrough uterine bleeding with medications? You should not do it yourself or prescribe drugs. Only a gynecologist will help you choose a remedy that will reduce the intensity of bleeding. Such pathologies most often occur on the background of hormone treatment, they are characterized by a large loss of blood. This usually involves uterine bleeding with clots. How to stop, what drugs to take if there is a failure in taking pills or the body reacts incorrectly to the hormones injected? All this should be addressed in the gynecological department. When this blood loss is determined by the high level of estrogen, which provoke the endometrium to grow and reject. How to stop uterine bleeding of this nature will be prompted only in the antenatal clinic. Depending on the age of the patient, three-phase contraceptives are prescribed, or progestins for women in the age. At the same time, hemostatic agents and antifibrinolytic drugs are used.
How to stop severe uterine bleeding with hyperplasia? This question is also solved only by a doctor. If a woman has recently been curetted out of the uterus and obtained a histological result in favor of a diagnosis of hyperplasia, only progestins are shown here, depending on the menstrual cycle in continuous or intermittent mode. If hyperplasia is suspected, then the bleeding is stopped surgically. Curettage of the uterus. Subsequent treatment occurs with the use of progestogens.
Uterine bleeding with menopause
How to stop such bleeding? In this case, the whole arsenal of surgical methods is used, hemostatic and intensity-reducing medications are used, as well as various hormonal preparations.
During the perimenopause, the most common cause of abnormal bleeding is a change in hormonal levels, which prevents ovulation. Regular, but much more difficult periods are very common in the years preceding menopause. For women in their 40s, low doses of birth control pills will help control and severe uterine bleeding. How to stop it and solve problems with other symptoms of perimenopause, including hot flashes, night sweats, premenstrual syndrome and headaches? This will help the use of pill contraceptives when using them on an ongoing basis. After the age of 50, with hormone replacement therapy (which consists in lower doses of estrogen and progesterone than in tablets), the patient can eventually be weaned from hormones in general if the symptoms of menopause gradually decrease.
In perimenopause, some prefer not to take birth control pills, so other conservative methods to stop bleeding can be used in this case. Progesterone-IUD is one such option, and it provides an excellent opportunity for birth control, which can last five years. The device secretes a progesterone hormone that works in the mucous membrane of the uterus, with the result that the monthly flow proceeds without complications. The IUD is the preferred option for women who need reversible methods of contraception.
How to stop uterine bleeding surgically? Endometrial removal is a minimally invasive procedure that has worked well for the treatment of severe bleeding in the perimenopausal period and may even help some patients avoid hysterectomy.Ablation procedures are quite successfully used to reduce the amount of bleeding, in some cases lead to a complete stop of the menstrual cycle. This procedure is not a birth control method and is used only for women who have completed childbearing.
For patients who are not helped by drugs and less invasive options, this perimenopausal surgery may be the best option for deciding how to stop uterine bleeding. In endometriosis, myoma, hyperplasia, polyp, hysterectomy is the most preferred method for women with such changes. In this case, the uterus amputation is possible using various options. A physician should know the associated diseases of such a woman.
How to stop uterine bleeding at home
Bleeding in any case requires treatment to the doctor to establish the cause and assign adequate treatment. Before the ambulance arrives, it is necessary to take a horizontal position and to raise the legs. On the lower abdomen you can put a hot-water bottle with ice. Compresses and warming procedures are strictly contraindicated. How to stop uterine bleeding at home, what can be used decoctions and drugs? This is well known to older women. Vikasol, Ditsinon, Oxytocin, Tranexamic Acid - these are the drugs that should be in the first-aid kit of every woman. These drugs help in deciding how to stop uterine bleeding at home.