Abundant periods may be an indicator of individual characteristics or condition. In addition, they cause physical discomfort, often become a cause for concern. Women need to know what determines the profusion of spotting and what to do with the strong monthly. The first step is to see a specialist for a detailed examination. The doctor will help determine the causes of heavy menstrual period and prescribe appropriate treatment.
Content
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Reasons due to uterine pathology
- Related to pregnancy
- cervical disease
- Diseases of the uterine body
- The reasons for that are not related to the uterus
- pathology of blood
-
anovulatory bleeding
- Violation of the reproductive system
- weight problems
- Stress
- endocrinopathy
-
iatrogenic causes
- surgery
- Medication
- intrauterine device
- The symptoms of heavy monthly
- Pre-medical home care
Reasons due to uterine pathology
The main reason why there are abundant monthly, are considered pathological uterine conditions. Blood during the critical days stands out due to contractions of the body. In a healthy state they are rhythmic and intense, so number of normal menses.
Patient uterus contracts weak muscles can not hold the selection, so the woman has strong monthlyOr, as they are called in medicine, menorrhagia. By common uterine pathologies affecting the amount of bleeding include the following:
- benign or malignant neoplasms - fibroids, polyps;
- inflammatory processes;
- adenomyosis;
- cervical disease.
Related to pregnancy
Menstruation, which is accompanied by abundant blood loss may be associated with pregnancy and appears in these cases:
- During childbearing. It is not uncommon, nor is the norm because it is often a symptom of a miscarriage.
- When an ectopic pregnancy, when the embryo breaks the fallopian tube.
- As a result of surgical abortion.
- Menstruation after childbirth. The first month may be abundant, especially before pregnancy menses were very much due to the individual characteristics of women or births were complications.
The first month and a half after the birth the body is cleaned and restored. This process is accompanied by copious bloody discharge - lochia.
cervical disease
If menses are characterized by a large number of lost blood, then they can be a symptom of cervical disease, such as:
- Polyps - neoplasms that are easily injured and bleeding, thereby increasing profusion precipitates.
- Cancerous tumors - trigger the release of large amounts of estrogen, which affects the amount of blood. Her colors are bright, often red.
- Endometriosis - abnormal growth of the mucous tissue, which peels off and is in the form of precipitates, increasing blood volume.
- cervical erosion - covering the cervical mucosal ulcers, which may bleed.
Diseases of the uterine body
Very heavy menstruation can occur due to abnormalities of the corpus uteri. The most common are:
- Uterine fibroids - refers to benign tumors that occur in women of childbearing age.
- Adenomyosis - abnormal proliferation of the endometrium (the inner mucosal tissue of the uterus) and his growing into the muscle tissue of an organ. It is most common in women who gave birth at 30-40 years. This endometrial dysfunction provokes very strong menstrual bleeding. Develops on the background of hormonal disruption, but not completely etiology of the disease has been investigated.
- Endometritis - inflammation of the mucous tissue of the uterus, the most important symptom is considered a violation of the menstrual cycle, in particular the fact that the blood is released more rapidly.
- Polyps - increase bleeding on the same principle, as well as education in the neck.
- Malignant tumors.
If there is a combination of diseases, the unpleasant symptoms intensified. For instance, mime and adenomyosisIn practice it occurs quite often and requires close medical attention.
The reasons for that are not related to the uterus
Heavy menstruation can be caused by factors unrelated to the diseases of the uterus and appendages. Most of the pathologies that provoke menorrhagia, develop on the background of hormonal imbalance. But sometimes plentiful monthly are in violation of the circulatory, endocrine systems, and in some other cases.
pathology of blood
If a woman has a genetic or acquired blood clotting problems, then the cycle is characterized by certain features:
- heavy periods are observed due to the fact that the blood does not have time to clot;
- menstrual period more persistent and can last 7-10 days.
Moreover, that poor clotting appears monthly during the critical days, it is noticeable by mechanical injuries of the skin, and manifests epistaxis bleeding gums.
The reasons for this pathological condition are most often taking medication and deficiency of essential micronutrients.
anovulatory bleeding
Profuse menstruation also arise in anovulatory uterine bleeding. The normal menstrual cycle consists of two phases:
- Rejection of the endometrium and tissue repair for readiness for fertilization - starts at the 1st day of menstruation. At the same time the egg matures in the ovaries, after which it is released from the follicle into the fallopian tube, provoked by the release of the maximum amount of luteinizing hormone.
- Education in place of the corpus luteum follicle that releases progesterone. Creates ideal conditions for egg fertilization: endometrial proliferation slows down, the surface layer increases. Shortly before menses reduced amount of hormone, the endometrium ceases to grow, it is disrupted oxygen supply, the cells die and are located with the menstrual blood.
In anovulatory cycle of ovulation is absent, respectively, does not form the corpus luteum does not occur and normal hormonal changes. In this regard, the endometrium does not cease to grow and it becomes abnormally lot. Profuse bleeding - the result of this rejection and output layer.
Anovulatory cycle happens in isolated cases in healthy women under the influence of external factors. it occurs most often:
- in certain age periods - at puberty or menopause;
- under specific conditions - after giving birth and while breastfeeding;
- in stressful situations for the body - tension, dramatic weight loss, physical and emotional exhaustion;
- pathologies - infertility, inflammation, endocrine disorders, disorders of the nervous system, and congenital genetic diseases.
Violation of the reproductive system
Anovulatory bleeding - a common phenomenon in girls who are in the process of puberty.
Despite the fact that a similar phenomenon teen considered physiological, experts recommend to spend hormonal study of pituitary and hypothalamic systems to eliminate abnormal anovulatory cycle.
Its main symptoms are:
- not changing in the second step loop basal temperature (during and after ovulation) - healthy it grows;
- previous amenorrhea;
- too heavy or prolonged (15 days) discharge;
- monthly, leading to anemia.
weight problems
Bleeding during menstruation can occur because of sharp weight loss or weight gain. Strict diets do not provide for the availability of all necessary to women's health trace elements and vitamins, so there is a possibility of a hormonal crash.
Excessive fullness is often a consequence of disorders of the endocrine system and hormonal imbalances, against which most often are plentiful monthly.
According to statistics, most of the excessive amount of bleeding during menstruation are the girls losing weight on fermented mono-diet. Kefir, yogurt, cottage cheese affect blood clotting, diluting it.
Stress
Menses abundant than usual, can be the result of short-term or prolonged stress. And emotional experiences shake affect the secretion of hormones that can lead to imbalances.
endocrinopathy
Most causes of heavy menstrual period are related to diseases caused by malfunction of the endocrine glands. All of them are accompanied by disruption of normal hormonal levels. The most common are considered dwarfism, diabetes insipidus, hypothalamic-pituitary obesity, hyperhydropectic syndrome.
In addition to too heavy menstrual bleeding, symptoms of endocrinopathies are weight loss, deterioration of the skin, lethargy, instability of the nervous system, headaches.
iatrogenic causes
By iatrogenic causes of disease are the actions and statements of the medical experts. Among them there are, because of which much are monthly. This can be successful or not surgical therapy, medication effects on the body, the use of some contraceptives.
surgery
Too heavy periods may be the result of surgery. The most common:
- abortifacient abortion;
- scraping residues miscarriage;
- cesarean section;
- damage to the uterus during childbirth and its correction.
Medication
If menses are very abundant, it is necessary to pay attention to the recently adopted medicated drugs. According to specialists, this reaction often causes:
- anti-inflammatory drugs;
- anticoagulants;
- antiplatelet agents;
- birth control pills;
- hormone analogues.
intrauterine device
Very abundant periods may occur after the establishment of such a contraceptive as intrauterine devices. In this case, the selection should be strictly controlled specialist.
The symptoms of heavy monthly
Define yourself what monthly considered abundant, not so easy due to several factors:
- volumes menstruation individual and depends on age, genetics, lifestyle and current health status;
- the amount of blood during menstruation varies depending on the day of the cycle on the first day they are abundant in recent days - the most scarce.
Symptoms of abnormal heavy and painful menstruation, which demonstrate the need to address urgently to the doctor are:
- duration for more than 7 days;
- pain in the lower abdomen and pelvis, which do not pass on the second day and later;
- general deterioration headaches and dizziness, loss of consciousness, nosebleeds;
- fever, if the cause of long steel heavy menstruation inflammatory diseases.
Pre-medical home care
When heavy menstrual bleeding is necessary to take the following measures:
- Control your psycho-emotional state, because the experience can only aggravate the situation.
- Try to keep the physical rest and lie more often with the feet should be slightly higher than the body.
- Eat healthy food, particularly foods rich in vitamins and folic acid (nuts, bananas, beans, tuna, beef liver). Coffee and alcohol these days is recommended to eliminate - at least in the first 4 days of menstruation.
- Taking vitamin complexes. Drink drugs doctor's.
Make monthly less abundant help special medications that can stop the bleeding, for example Dicynone. It recommended to take the drug only after doctor's approval.
In addition, there are folk remedies: decoction of leaves of red raspberry, comfrey, shepherd's purse. For their preparation you need a teaspoon of dried herbs, pour a glass of boiling water and kept in a water bath for 10 minutes.
Administration of drugs and herbs is not therapy, they only relieve symptoms of abundant secretions.
If a strong month are ad hoc in nature, they may indicate a benign temporal changes in the body.
The reason to ask for help specialists are plentiful painful periods, which are repeated several cycles in a row and not skudeyut on the 5th day of the cycle. It is important to undergo an examination to determine the cause and implement competent treatment.