Plentiful monthly: a lot of blood (the reasons as to reduce)

Menstruation is normal if a few of her days she loses 40-150 ml of blood. Abundant month - a pathological condition in which the monthly bleeding occurs with the volume of lost blood above normal. The problem occurs most often during adolescence and during the menopause, but can also appear in women of reproductive age.

It is crucial to seek medical advice if heavy painful periods appear regularly and are accompanied by additional signs of abnormalities. The specialist will find specific factor that provoked the violation, select a therapy to reduce the copious blood loss and prevent its effects - anemia.

What month are considered to be pathological

Menstruation every woman goes in different ways, depending on the age, the presence of diseases of the endocrine, reproductive system, the level of physical activity, stress. To understand what determines the profusion coming month, it is necessary to understand the essence of the process that controls the normal menstrual function. All the hormones that control the menstrual cycle, produced in the pituitary gland - the gland that is located in the brain.

Under the influence of the pituitary hormones of estrogen in the follicular phase and the luteal progestogens.
Follicular phase so named due to the maturation of ovarian follicles in the structure, which contains the developing ovule. It is released from the ovary, it travels to the uterus, and in its place is formed by the corpus luteum which synthesizes progesterone. If fertilization has occurred, progesterone helps to maintain the pregnancy.

In the absence of conception during the second phase of the cycle the uterine endometrium is torn away, exposing and forming capillaries menses. With uterine contractions contents together with the epithelium body is discharged to the outside. Passage of the endometrium takes 4-5 days, and then the whole cycle repeats. It happens month after month before pregnancy or menopause.

To identify the card's syndrome patients such as heavy menstruation, gynecologists, and used names giperpolimenoreya menorrhagia. Excessive blood loss can continue for more than 5 or 7 days, and the total amount of blood lost in excess of 150 ml (normally 80ml).

Pathological period usually characterized by the following symptoms:

• sharp aching pain in the abdomen;
• the presence of large clots in the monthly blood;
• the need to change the gasket once an hour (normal woman should do four pads per day);
• pronounced signs of anemia - dizziness, weakness, presyncopal state.

By the need to contact a doctor if a very heavy painful periods accompanied by persistent weakness, irritability, drops in blood pressure and symptoms of anemia.

The syndrome can cause a dramatic change in the quality of a woman's life for the worse.

The causes of abundant bleeding

Is there a need to consult a doctor is dependent on what are considered to be a woman with abundant monthly - some patients feel well, losing 200 ml of blood each month, while others are diagnosed with anemia, even at a loss 100-150 ml.

Giperpolimenoreya hormonal etiology associated with excess estrogen and excessive growth endometrioid mother layer. For heavy menstrual period, non-hormonal disorders cause abnormal formation in the uterus (polyps, uterine) and endocrine disease pathology system clotting.

The main causes of heavy menstrual period:

1. Benign tumors in the uterus - their growth is accompanied by monthly spotting and pain at mid-cycle.
2. Long-term use of hormonal drugs.
3. Pathology of the ovaries and fallopian tubes.
4. Inflammation and infection.
5. Endometriosis.
6. Pregnancy, including ectopic.
7. The use of blood-thinning medications.
8. Taking too hot bath, going to the sauna on the first or second day of menstruation.
9. Complications of abortion or childbirth.
10. The consequence of the installation of an intrauterine device.
11. Disorders of the thyroid gland, heart, kidneys and liver.

In some women, a lot of blood coming out during the month due to a hereditary factor - if symptom is not accompanied by pain, the presence of clots, tumors in the uterus, then, fears for the health of patient no.

Abundant first menstruation

Profuse discharge during menstruation - rather frequent problem among the fair sex puberty. The cycle is unstable in adolescents over 1-2 years. When the monthly allocated a lot of blood, and themselves the critical days of painful trigger weakness, irascibility. There may be periods shorter than 2-3 days, which is not related to normal.
The main cause of such disorders in girls is a hormonal failure - unharmonized work pituitary, hypothalamus and ovaries. The most common problem is eliminated by yourself at the end of two years, but sometimes it takes a dosage correction of hormonal background.

For other reasons intensive menstruation in girls include:

• excessive exercise (exercises severe sports);
• traumatic situations;
• tendency to feelings, stress;
• lack of weight or, conversely, obesity.

In most cases, the girls respond well to hormone therapy, and after 9-12 months, you can adjust the presence of plentiful monthly at the teenager.

Without therapeutic intervention, applied techniques such as reduced mental and physical load, adherence of the day, the girls protection from stress and anxiety, fight against overweight and beriberi.

postpartum month

Usually much going postnatal periods, and it is not a disease. To return to the previous physiological form, the uterus and its muscular wall to be restored. It takes two or three months, after which the amount allocated to the blood decreases.

Significant role breastfeeding plays in the recovery process of the reproductive system. If a woman is breastfeeding, month after giving birth to begin at 6 months or later. In non-breastfeeding mothers cycle stabilizes after 2-3 months. If there are no monthly 2 months, then the first menses went very abundant - a variant of the norm.

Immediately after birth, within 30-40 days, women are spotting - lochia. They are not menstrual, but their character is necessary to watch. Lochia attributed to normal if:

• gradually changing their volume - first copious, then become scarce and disappear completely;
• cease spontaneously no later than 6 weeks after giving birth;
• changing liquid shade - from bright red to transparent;
• no pain, blood clots, hyperthermia.

If lochia do not stop for more than 6 weeks, the patient complains of abdominal pain and fever, the remnants of the placenta remained in the uterus. In such situations, it held scraping.

The presence of clots

It is important to not only the amount of lost blood every month, but also how much is menstruating, its color and texture. If monthly pour abundantly "buckets", with clots, and pain in the abdomen, it is an occasion to visit a gynecologist. Several reasons for this phenomenon:

1. Obstacles to the full discharge of menstrual blood from the uterus - myoma nodes, polyps of the endometrium and cervical canal.
2. Insufficient reduction of the uterine wall - wall tone may be broken due to the growing availability of myomas or endometriosis.
3. Hormonal failure, in which the egg is not time to complete the maturation process - in the absence of ovulation endometrium grows excessively, and during menstruation mass formed clots.

In the presence of diseases, the blood does not have time to evacuate from the uterine cavity, by folding right there, resulting in outwardly located clots. To determine the causes of this syndrome is necessary to visit a doctor and get tested.

Consequences cleaning abortion, miscarriage

The consequences of an abortion or miscarriage for the body is the strongest stress and sudden hormonal changes. In 10-15% of women interrupt bearing instability complicated and heavy menstrual spotting the next 2 or 3 months. Complications of medical abortion may be uterine bleeding that requires urgent medical intervention.

After scraping the menstrual discharge resemble, but do not talk about the pathology. After a few days the blood becomes lighter, and the bleeding will end. The first month after the cleansing must come after 25-35 days. If they are accompanied by a rise in temperature, the presence of clots in the necessity of replacing the gasket every 1-2 hours should visit gynecologist.

Diseases of the uterus and ovaries

Between the urinary system, uterus, ovaries and fallopian tubes there is a close anatomical relationship. Therefore abundant painful periods in the first day may indicate an infection or an inflammatory process running (endometritis). This is inflammation of the uterine layer, accompanied by the development of a bacterial infection. In addition to the heavy spotting, the woman complains of severe abdominal pain, fever, presence of blood clots, mucus and pus.

Inflammation of the ovaries and tubes leading to the adhesion process, due to which increases the risk of ectopic pregnancy. Bleeding here indicates a rupture of the fallopian tube and the need for surgery.

Plentiful monthly reviews of women suffering from uterine and ovarian pathologies, we can expect the following diseases:

1. Endometriosis - pathology, in which the tissue that normally lines the uterus only layer grows outside body (in the intestine, cervix, vagina). In mid-cycle spotting the woman has dark red discharge and menstruation becomes heavy and painful. Developing secondary infertility, few treatable non-hormonal drugs.
2. Uterine fibroids - benign tumor, affecting body inside or outside and changes the structure of the endometrium. When it is damaged rejection plurality of capillaries, because of which it becomes abundant menstruation, and painful.
3. Polyps - growths emerging from endometrial cells within the uterus and cervix. Outgrowths sensitive, may bleed if damaged, can degenerate into cancer. Copious menstrual flow means that you should be tested for the presence of polyps.
4. uterine adenomyosis - congenital or acquired pathology, which is diagnosed in women older than 30 years. Mucous tissue grows into the uterine wall, which is under it due to hormonal disruptions and uterine trauma during childbirth, abortion, curettage. Often it occurs simultaneously with endometriosis.
5. Ovarian dysfunction - when there is insufficient development of estrogen, progesterone, prolactin, luteinizing hormone and follicle-stimulating hormone interferes with the normal function of organs. Periods may be scarce and come at least once every 40 days, or abundant and start every 21 days. Hormonal dysfunction is often accompanied by infertility because of the impossibility of normal oocyte maturation.
6. Malignant neoplasm of uterus - cancer manifests profuse bleeding already on the decomposition step that complicates treatment.

If you suspect the presence of abnormalities of the reproductive system, you must be examined by a doctor, including ultrasound of the peritoneum, blood tests for hormones, certain infections, urinalysis. Only after that the doctor selects the tactics of how to make less painful periods and heavy, eliminating the underlying cause of symptoms - hormonal or gynecological disease.

How to reduce blood loss

General method for the treatment suitable to each woman, do not exist. At regular appearance abundant menstruation, the method of how to reduce their volume physician should select, based on the reasons syndrome. In the absence of severe pain, clots, increasing temperature, which means intense inflammation, can be applied to the lower abdomen cold.

With abundant monthly forums are often advised to take a decoction of herbs: chamomile, shepherd's purse, upland uterus. They increase the tone of vascular wall and reduce the clotting time, as confirmed by gynecologists. To strengthen the capillaries is recommended to drink beverages with a high content of vitamin C - an infusion of rose hips, fruit drinks made from fresh sour berries (cranberries, cranberries, cherries).

Preparations for the normalization of bleeding volume picks up only after the patient's physician survey and establish the cause of the problem:

1. Means to enhance the contractile function of the uterus - Oxytocin, Metioergometrin.
2. Hemostatic medication - Dicynonum, aminocaproic acid, Traneskam.
3. Antispasmodics for pain relief - No-spa, Drotaverinum, Ketorol.
4. drugs of anti nesteroidov - Paracetamol, Ibuprofen, Nurofen.

Excessive blood loss can cause anemia, decreased hemoglobin and malnutrition tissues with oxygen. To compensate for blood loss with regular heavy menstrual period to prevent hypoxia, should take vitamin B complex, folic acid, iron supplements.

Hormonal dysfunction is treated by oral contraceptives, thus reducing the amount of estrogen in the body. It is recommended to drink a long course. It is important that the patient went to an appointment every three months to monitor the level of hormones in the blood. If there is a benign or malignant growths in reproductive organs, require surgery.

If the intensity of blood loss during menstruation disturbs a woman for the first time, and she knows exactly the cause of the phenomenon (stress, climate change, physical overload), you can deal with it on their own. Regular painful bleeding accompanied by pain, weakness, fever, require examination and treatment.