What pills to take for female bleeding. Causes of severe bleeding. Resorptive drugs

Hemostatic drugs for uterine bleeding belong to the group of hemostatic agents, the main function of which is to accelerate blood clotting. The effects of this group of drugs on bleeding can be either local, that is, they reduce blood flow in the area of ​​the affected area, or systemic, that is, they increase the overall thrombus formation in the cardiovascular system as a whole.

However, uterine bleeding has its own specifics and, accordingly, in order to prevent large blood losses, this specificity is taken into account when using hemostatic drugs. For example, drugs to contract the uterus are used only for uterine bleeding.

Women reproductive age every month are subject to a small loss of blood, which occurs during menstruation.

Important! Every woman should know that physiological blood loss lasts from 3 to 7 days and does not exceed blood loss of more than 80 ml.

If any pathological process of the female genital organs develops, a disruption in the production of hormones, diseases of other organs and systems appear, pregnancy proceeds abnormally, then uterine bleeding may develop at any time.

Moreover, stress, lack of sleep, physical and mental fatigue can quickly lead to bleeding.

Uterine bleeding is one of the most dangerous conditions for a woman, which can lead to:

  • Development of iron deficiency anemia.
  • Infertility.
  • Death of a woman.
  • Death of mother and/or child due to obstetric pathology.

Only timely recognition of symptoms and immediate health care can save lives in such cases.

Threatening symptoms

It is clear that not every bleeding ends badly, but any blood loss can lead to danger.

Therefore, in order to correctly differentiate a woman’s condition, everyone needs to know the symptoms of severe uterine bleeding in order to be able to provide the necessary first aid even before the emergency ambulance team arrives.

These symptoms are:

  • Copious discharge of blood, in most cases with clots.
  • A fall blood pressure.
  • Rapid pulse.
  • Pronounced pallor of the skin.
  • Cold sweat.
  • Confusion of consciousness up to its complete loss.

Important! Profuse uterine bleeding within a few minutes can lead to hemorrhagic and hypovolemic shock and death.

More “quiet” bleeding allows for a thorough diagnosis and subsequent treatment.

Ways to stop uterine bleeding

Important. Even the most minimal uterine bleeding requires a thorough examination by a gynecologist, who will determine the cause and prescribe necessary research and proper treatment.

Today, ways to stop uterine bleeding are the following:

  • Hormonal therapy with the primary use of hemostatic tablets.
  • Hemostatic drugs.
  • Intravenous administration of fresh frozen plasma, red blood cells, platelets.
  • Curettage, which removes inner layer mucous membrane (endometrium).
  • Cryodestruction.
  • Endometrial ablation.
  • Surgical intervention, the choice of which depends on the main diagnosis and condition of the woman.
  • Uterus removal.

One of the most important places in treatment uterine bleeding hemostatic drugs are used. But, it should be remembered that such remedies help save lives, but do not eliminate the causes that led to the development of uterine bleeding.

Hemostatic drugs for uterine bleeding are the main component complex therapy women who are used for both conservative and surgical treatment.

Hemostatic drugs for uterine bleeding

For uterine bleeding, hemostatic drugs are used at any stage of blood loss. The choice of the form of the drug, be it anti-bleeding tablets, injections, infusions, depends on the severity of the woman’s condition and the type of blood loss.

Currently, medications are used to stop bleeding. various groups and direction of action.

Uterotonics - drugs for contracting the uterus

The main task of uterotonic drugs is to increase the tone of the uterus, strengthening it contractile functions. Intravenous administration of such drugs already within the first minute has its effect therapeutic effect. This group includes ergot preparations, oxytocin and its derivatives and prostaglandins.

Ergometrine– one of the leading ergot alkaloids. Acts directly on the uterus, ensuring its persistent contraction and
increasing the frequency of uterine contractions. Thanks to its powerful vasoconstrictor action, it effectively stops blood through compression blood vessels uterus and accelerates its involution into postpartum period.

Ergometrine is used for:

  • Relief of hypo- and atonic uterine bleeding even in the early postpartum period and after manual separation of the placenta.
  • Stopping bleeding after abortion.
  • In cesarean section operations.
  • Elimination of menorrhagia.

Ergometrine is not used during childbirth before the eruption of the head, in case of sepsis, obliterating vascular diseases, cardiac pathology. vascular system, severe renal and/or liver failure, hyperfunction of the thyroid gland.

Use with caution for mitral stenosis, coronary disease hearts.
Routes of administration of the drug: orally, intravenously, intramuscularly, directly into the uterus or cervix.

Among side effects headaches, hypertension, arrhythmias, shortness of breath, allergic manifestations are noted.

Important! Rhythmic contractions of the uterus after the administration of ergot alkaloids continue for 3 hours from the moment of administration, which allows monitoring the condition of women.

Methylergometrine– a preparation of ergot alkaloids. Thanks to the stimulation of alpha-adrenergic receptors, it effectively tones the uterine myometrium, which leads to a narrowing of its blood vessels.

Shown for:

  • Treatment and prevention postpartum hemorrhage after eruption of the head during childbirth.
  • Emergency care for atonic and hypotonic uterine bleeding.
  • Stops metrorrhagia.

Attention! The drug is strictly contraindicated in the first and second stages of labor, with vascular obliteration, as well as in case of individual intolerance to the components of the drug.

When diagnosing coronary heart disease, insufficiency of kidney and liver function, stenosis mitral valve the drug is administered with caution.

It is administered intravenously, intramuscularly, subcutaneously or orally.

The most common side effects noted are headache, increased blood pressure, heart rhythm disturbances, spasm of peripheral vessels, hyperhidrosis.

If the administration of the drug does not produce an immediate effect, it is recommended to administer calcium-based drugs to restore sensitivity to Methylergometrine.

Important! The simultaneous administration of Methylergometrine/Ergometrine and Oxytocin can cause a hypertensive crisis.

Oxytocin– stimulant labor activity, uterotonic. The hemostatic effect is realized due to the induction of labor activity, which leads to a deterioration in the blood supply to the uterus. Strengthens the contractile ability of the uterus.

Oxytocin is used in:

  • Treatment and prevention of hypotonic uterine bleeding after abortion.
  • Early postpartum period.
  • Caesarean section operations.

There are contraindications to Oxytocin in the form of premature birth, abnormal position of the fetus, threatening rupture of the uterus and its severe distension, the presence of scars on the uterus and/or a history of multiple births, arterial hypertension, chronic renal failure and individual intolerance.

Oxytocin is intended for intravenous and intramuscular administration.

Side effects you can expect include:

  • hypertonicity of the uterus,
  • increased blood pressure,
  • ventricular extrasystoles when administering large doses,
  • nausea,
  • vomit,
  • anaphylactic reactions.

Important! Uterotonics are used only under medical supervision in a hospital setting with monitoring of blood pressure, pulse, uterine contractions, indicators vital functions women. Self-administration of such drugs is strictly contraindicated.

Coagulants/hemostatics

Vikasol– a hemostatic drug from the group of coagulants and hemostatics based on menadione (a synthetic analogue of vitamin K).
Stopping bleeding when taking Vikasol occurs due to its ability to activate the synthesis of prothrombin and proconvertin. Also, increasing blood clotting by increasing the production of other clotting factors ultimately leads to stopping bleeding.

Vikasol is prescribed for the following conditions:

  • Hemorrhagic syndrome, which is associated with low performance prothrombin in the blood.
  • As part of complex treatment of dysfunctional uterine bleeding.
  • Menorrhagia.

The drug is administered intramuscularly or taken in tablets according to indications.

The use of Vikasol is contraindicated in case of individual intolerance or thromboembolism.

As side effects during treatment there may be:

  • allergic rashes,
  • anemia,
  • violation of taste perception,
  • transient decrease in blood pressure,
  • facial redness,
  • itchy skin.

Etamzilat(Dicinone) is a hemostatic drug that activates and stimulates platelet synthesis and their release from bone marrow.
Stopping bleeding occurs due to the activation of thromboplastin formation processes directly at the site of vessel damage.

This promotes platelet aggregation, which leads to a reduction and/or stopping of uterine bleeding. Moreover, the uniqueness of Dicynon lies in its ability to simultaneously protect blood vessels and have a proaggregant effect.

Dicynone is administered intravenously, intramuscularly, and is also available in tablets.
Already within 5 minutes with intravenous administration of Etamsylate (Dicinone), a positive therapeutic effect is noted.

Dicinon is prescribed for the following indications:

  • Metro- and menorrhagia with uterine fibroids and other pathologies of the female genital organs.
  • Polymenorrhea.
  • Uterine bleeding during surgical interventions.
  • Uterine bleeding without surgical intervention of various etiologies.

The drug is not used for thrombosis, thromboembolic conditions, hemorrhages while taking anticoagulants.

Undesirable manifestations are possible in the form of nausea, skin rash, headache, asthenia.

Aminomethylbenzoic acid (Ambene, Pamba)– a hemostatic drug that inhibits tissue activators,
simulating the formation of fibrinolysin. Stopping uterine bleeding occurs due to the stabilization of fibrin and its accumulation in the vascular bed.

Direct indications for use this tool are:

  • Uterine bleeding with premature detachment placenta.
  • Bleeding from the uterus during manual separation of the placenta.
  • Uterine bleeding during medical abortion.

Important! It is not recommended to use the drug for DIC syndrome, chronic renal failure, predisposition to thrombosis and thromboembolism, hypersensitivity to the components of the drug, severe forms IHD and ischemic damage brain

The drug is intended for intravenous jet, intramuscular, local use, as well as tablets.

The most common side effects are low or high blood pressure, increased heart rate, dyspeptic disorders, thrombophlebitis at the injection site, allergic manifestations.

Fibrinolysis inhibitors

Tranexamic acid (Tranexam)– an antifibrinolytic drug used in the practice of obstetricians and gynecologists.

The medicine is used for:

  • Uterine bleeding.
  • Conization of the cervix.
  • Stopping bleeding with manual separation placenta.
  • Bleeding during pregnancy.

Attention! The drug is strictly contraindicated in the presence of subarachnoid hemorrhage. Possible use for thrombohemorrhagic complications, thrombosis, renal failure after assessing the benefit/risk ratio.

Can be used intravenously and in tablet form.

During treatment, allergic reactions to the skin, nausea, heartburn, vomiting, drowsiness, weakness, and low blood pressure may occur.

Aminocaproic acid– blocks the action of substances that activate and take part in fibrinolysis, which leads to
stopping uterine bleeding, maintaining hemostasis and reducing capillary permeability.

Actively used for:

  • Stopping bleeding after abortions, especially complicated ones.
  • Maintaining hemostasis during obstetric hemorrhage during operations.

The administration of aminocaproic acid is not indicated for coagulopathies, disseminated intravascular coagulation syndrome, hematuria, or individual intolerance.

Methods of administering the drug: intravenously, locally, orally.

The following may appear as side effects:

  • lowering blood pressure,
  • pain and cramps in the abdomen,
  • skin rash.

Contrikal– a unique hemostatic agent that has hemostatic, antifibrinolytic and antiproteolytic effects.

Actively reduces the fibrinolytic activity of the blood, inhibits fibrinolysis and has a hemostatic effect in case of blood clotting disorders.

Indicated in the following situations:

  • Bleeding before, after and during childbirth of any etiology.
  • Elimination of hyperfibrinolytic disorder of hemostasis.

Attention. The medicine is not used for DIC syndrome, individual intolerance, or coronary artery bypass grafting.

Created for intravenous administration.

Side effects may include:

  • hypotension,
  • slow heart rate,
  • various allergic manifestations,
  • dyspepsia,
  • renal failure.

Hormonal agents

These drugs are prescribed when various types dysmenorrhea, dysfunctional uterine bleeding, endometriosis, uterine fibroids and endometrial hyperplasia.

There are a lot of hormonal pills to stop bleeding nowadays, and their choice is strictly individual in each individual case.

Important! Uterine bleeding of even the most minimal severity requires careful diagnosis and treatment, which is prescribed only by a doctor. Self-medication for uterine bleeding can result in death at any time.

Is it possible to get help at home?

Attention! It is imperative to provide assistance for uterine bleeding at home. But, before you start taking any action, you should immediately call an ambulance.

Before the ambulance arrives, the woman must be laid on a horizontal surface with her legs raised up, and cold applied to her lower abdomen. Going to the toilet is not recommended. Self-administration of any medications is strictly contraindicated.

This is what they do in difficult situations, but with light bleeding, most women begin to treat themselves various tablets, infusions, often taking what I read on the Internet, saw on TV, etc.

Important. Even if hemostatic drugs for heavy periods have already been prescribed previously, it is still necessary to seek medical help.

Folk remedies

In many cases, doctors use herbal remedies, which are effective in stopping a number of uterine bleeding. The most common ones are:

  • Liquid nettle extract.
  • Liquid extract of yarrow.
  • Water pepper tincture.
  • Extract shepherd's purse.
  • Burnet extract.

Attention. It is important to remember that herbal treatment is auxiliary and should be in addition to the main therapy - hemostatic injections, tablets, droppers, as indicated.

Uterine bleeding is dangerous, possible at any age! The phenomenon is considered normal in the form of menstruation; any other occurrence indicates a pathology in the body. Special medications will help stop the discharge and improve your health before the doctor arrives. folk remedies.

Causes of uterine bleeding

Blood loss occurs in the following situations:

  1. Hormonal disbalance.
  2. Organic pathology of the genital organs (uterine fibroids, endometriosis, etc.)
  3. Incipient miscarriage during pregnancy.
  4. Oncological diseases.
  5. Taking hormonal medications, etc.

The reasons for the occurrence are different in each case.

Uterine bleeding due to organ dysfunction may be caused by:

  • Infectious diseases (influenza, sepsis, etc.) with the development of severe complications;
  • Pathologies of the hematopoietic system;
  • Liver cirrhosis;
  • Problems in the cardiovascular system;
  • Poor functioning of the thyroid gland;
  • Low levels of vitamins K, C and others.

If uterine bleeding occurs due to problems in the genital area, then this may be caused by trauma to the vagina, the presence of benign or malignant tumors, adenomyosis, ruptured ovarian cyst, inflammatory diseases. The cause of this pathology is often improper use. contraception, sexual violence.

Bleeding during pregnancy occur in the following cases:

  • Ectopic pregnancy;
  • Incipient miscarriage (chorionic or placental abruption);
  • Uterine rupture.

During childbirth, the cause of bleeding can be placental abruption, trauma birth canal. Atonic bleeding is especially dangerous.

During menopause This condition may be a consequence of the following diagnoses:

  • Polyps;
  • Disruption of the endocrine system;
  • Myoma;
  • Endometrial hyperplasia;
  • Malignant or benign neoplasms.

At hormonal imbalance uterine bleeding occurs due to various situations. These include:

  • Heredity;
  • Diseases of the reproductive glands;
  • Incorrect use of contraceptives;
  • Abortion, pregnancy, postpartum condition;
  • Chronic nervous stress, loss of strength, regular fasting.

Depending on the cause of the pathology, treatment is prescribed.

Medications

Any uterine bleeding should be treated by a doctor. The specialist prescribes medications at home and in the hospital - it depends on the patient’s condition. Medicines to stop bleeding are divided into the following groups:

  1. Hemostatic.
  2. Contracting the uterus.
  3. Hormonal contraceptives.
  4. Vitamin K substitutes.
  5. Medicines containing calcium.

In a hospital setting

Depending on the complexity of the pathology, treatment in the hospital is divided into the following types:

  • Introduction medicinal solution in the form of a dropper;
  • Blood transfusion;
  • Surgical intervention;
  • Uterus removal.

In addition, they are given special means that can stop bleeding. These include:

  1. Askorutin. It is also used for heavy periods. Contraindicated in people suffering chronic diseases digestive system.
  2. Calcium chloride, or “hot” injection. The advantage of the drug is that it is used during pregnancy and postoperative period. Injection for good result is introduced very slowly.
  3. Vikasol. It is prescribed depending on the amount of discharge. Both tablets and injections are used.
  4. Contrikal. Prescribed as a dropper for severe blood loss. It is administered until the person feels better.
  5. Etamzilat. Recommended for severe bleeding, enhances blood clotting and does not form blood clots.
  6. Aminocaproic acid. Reduces bleeding, improves liver function, and blocks the appearance of antibodies. Use involves monitoring blood composition, therefore it is prescribed only in hospitals.

In some cases, two medications are given at the same time. Such an appointment can only be made by a doctor in a hospital setting with full control over the patient.

For use at home

Outpatient use of hemostatic drugs is permissible after consultation with a gynecologist. The most effective tablets are:

  • Tranexam;
  • Dicynone.

Important! If there is heavy bleeding during menstruation, you should not use medications without consulting a specialist - this can lead to serious side effects.

Emergency funds

Sharp and heavy bleeding lead to various complications. In some cases, it is necessary to quickly respond to their occurrence and alleviate the condition. First aid at home - cold. Any ice object must be placed on bottom part belly. The easiest way is to take ice from the freezer and wrap it in gauze. After this, you should call an ambulance.

IN in case of emergency specialized hemostatic drugs are administered. They are prescribed depending on the cause of the pathology:

  • In case of miscarriage or abortion - sulfuric magnesia, calcium chloride, dicinone, oxytocin;
  • In case of injury to the uterus or ectopic pregnancy - reopolyglucin, polyglucin.
  • For dysfunctional blood loss - a one percent solution of oxytocin;

None of the above medications are recommended to be taken without consulting a specialist.

Basic drugs and their characteristics

Table of medicines with their properties, features, average price in Moscow, available for purchase in pharmacies.

A drugPropertiesPeculiarityaverage price

(Prices are indicated in Moscow)

Dicynone
  • Hemostatic;
  • Strengthens the walls of blood vessels;
  • Coagulates blood.
  • Stimulates platelet release;
  • Constricts blood vessels.
Tablets - 35 ₽;

Injections (1 ampoule) - 10-12 ₽.

Vikasol
  • Increases blood clotting;
  • Activates vitamin K.
  • Normalizes blood clotting parameters;
  • Has a hemostatic effect.
Tablets - 30 ₽;

Injections (10 ampoules) - 65 ₽.

EtamzilatHemostatic
  • Does not contribute to the formation of blood clots;
  • The injections act on the body 10 minutes after administration.
Tablets - 90₽;

Injections - 35 ₽.

Askorutin
  • Hemostatic;
  • Strengthening;
  • Regenerating.
  • Reduces capillary fragility;
45 ₽.
Tranexam
  • Hemostatic;
  • Anti-inflammatory;
  • Painkiller.
Prevents blood clotting.Tablets (10 pcs) - 250 ₽;

Injections (10 pcs) - 1300 ₽.

Tugina
  • Hemostatic;
  • Regenerating;
  • Anti-inflammatory;
  • Anti-infective;
  • Antiallergic
  • Distributed evenly in the body;
  • Retains the effect of the active substance for up to 17 hours.
Injections - 250 ₽.

(Not available in tablets)

Dicynone (Etamsylate)

Dicynone is a hemostatic drug that helps stop uterine bleeding, improve microcirculation, and coagulation uterine blood, narrowing of blood vessels. Available in several forms: tablets, injections, solution for droppers. Tablets are available for both adults and children.

Medicine is prescribed when bleeding occurs in the following cases:

  • After surgery;
  • With cerebral infarction;
  • Diabetic angiopathy;
  • Due to injuries;
  • Intestinal or pulmonary bleeding.

It is not recommended to take the drug for people who have diseases of the liver, kidneys, or hematopoietic system. Do not use if you have increased blood clotting, glucose-lactose deficiency, or individual intolerance. active substance etamzilate. Contraindicated for those who are prone to pathologies of thrombosis and thromboembolism and overdose of anticoagulants.

The required dose is calculated depending on body weight - 10-20 mg per kilogram. The result obtained is divided into 3-4 doses during the day. The tablets are taken during or after meals. The maximum course is 10 days.

Important! The use of the drug during pregnancy and menstruation is possible only after the permission of the attending physician!

Etamsylate is an analogue of dicinone. The medicine does not contribute to the formation of blood clots, the effect on the body begins 5-15 minutes after intramuscular use.

Vikasol

The drug is produced synthetically and its properties are similar to vitamin K. It is available in the form of tablets and injections. Prescribed in the following cases:

  1. Bleeding of various types.
  2. Lack of vitamin K.
  3. Diarrhea.
  4. Cirrhosis of the liver.
  5. Hepatitis.

The daily dose of tablets is from 15 to 30 mg three times a day. The course is prescribed by a specialist depending on individual characteristics body. Intramuscularly the drug is used no more than 10-15 mg per day.

Contraindications:

  • Thromboembolism;
  • Hypersensitivity;
  • High blood clotting;
  • Liver failure;
  • Pregnancy;
  • Glucose deficiency.

No drug overdose was detected. Side effects include various allergic reactions.

Aminocaproic acid

Used in a hospital to reduce high blood activity. The main properties are considered to block the formation of antibodies and improve liver function. Available in powder form, which is used for intravenous solution. In some cases, the drug is prescribed to be taken orally.

Overdose is manifested by the following symptoms:

  • Myalgia;
  • Muscle weakness;
  • Acute renal failure.

Important! The medicine is used only in hospitals due to the occurrence of dangerous side effects. Among them, hypotension, arrhythmia, subendocardial hemorrhage and others may occur.

Oxytocin

A drug special purpose, is prescribed only in a hospital to stimulate labor, in case of miscarriage, bleeding after an abortion. Prescribed depending on the condition of the uterus. The following side effects have been identified:

  • Hypotension;
  • Nausea;
  • Jaundice;
  • Arrhythmia;
  • Vomit.

Some of the symptoms may appear in both the mother and the baby. Use with caution with sympathomimetic drugs.

Preparations containing calcium

The vitamin in the body is responsible for blood clotting. For treatment it is taken in dosage forms in the form of chloride and gluconate. The difference between one and the other is in the method of application. The first type of medicine is administered intramuscularly, the second is not used in this way. Available in the form of tablets and injections. Dose for bleeding:

  • Tablets - 4-6 pieces during the day before meals;
  • Injections and intravenous solutions- the doctor determines.

Contraindicated for malignant blood diseases, high sensitivity to the content of one of the components, the presence of blood clots.

Askorutin and Tugina

Ascorutin - drug complex impact, available in capsule form for internal use. It consists of vitamins C and P, therefore it strengthens blood vessels and helps reduce their fragility. In gynecology it is prescribed to reduce bleeding, the result appears after taking it full course. It is not recommended for use in patients in the following cases:

  • During pregnancy;
  • Individual intolerance;
  • Children under three years old.

The drug should not be taken if you have diabetes mellitus, thrombophlebitis, gout, high blood clotting, or urolithiasis.

Important! Long-term use of the drug can lead to the formation of stones in the kidneys and urinary tract.

Side effects:

  • Sleep disturbance;
  • Headache;
  • Hypertension;
  • Nausea, vomiting.

The same symptoms appear with an overdose. The drug is not recommended to be taken as an independent medicine, best result provides comprehensive treatment...

Tugina is an analogue of Tranexam, helps reduce bleeding of various types, and is available in the form of injections. The injections are allowed to be used by pregnant women; the dose depends on the purpose for which they are prescribed. The medicine is not used simultaneously with other hemostatic agents and antibiotics.

Tranexam

The drug is a hemostatic group, available in the form of tablets, injections, and solution for intravenous administration. Prescribed for uterine bleeding resulting from dysfunction of the genital organs.

Contraindications for use:

  • Thrombosis;
  • Kidney failure;
  • Color vision impairment;
  • A large number of red blood cells in the urine;
  • thrombohemorrhagic complications.

The drug should not be used simultaneously with penicillin, tetracycline, medications for high blood pressure, other hemostatic medications.

Violation of dosage or allergy to Tranexam is expressed in the following side effects:

  • Nausea, vomiting, lack of appetite;
  • Rash on the body, itching;
  • Lethargy, drowsiness, dizziness;
  • Heartburn, indigestion.

Tablets are taken 1 piece three times a day. Only a doctor prescribes the dose of injections and droppers.

Important! The use of the drug to reduce blood during menstruation is regulated. You can't drink it anymore three cycles contract.

Medical gelatin

Available in leaf form yellow color or transparent mass. Administered intravenously for rapid relief internal bleeding. It also helps with other blood losses, but not as effectively. Used only in a hospital setting under the supervision of a physician. In some cases, a side effect in the form of allergies may occur.

Fibrinogen K3 or M2

A human blood product used in hospitals for bleeding. At the same time, in some cases, epsilon-aminocaproic acid is administered to improve the blood clotting process. Fibrinogen is not used for acute myocardial infarction and thrombophlebitis.

Trasylol

Another name for the drug is Kontrikal. Prescribed for blood clotting inside blood vessels in a hospital setting. Widely used to stop bleeding after serious injuries, abortion, acute leukemia, pancreatitis, mumps. Side effects - anaphylactic shock, allergic reactions.

Protamine sulfate

Protein-derived drug for quickly stopping bleeding in hospital conditions. When using it, you need specialist supervision to monitor the blood clotting time. The standard dose for an adult is one ampoule intravenously or intramuscularly.

Hemophobin

Pectin solution to reduce blood loss of various origins. It is used intramuscularly and for wetting tampons in hospitals. In some cases, the liquid is prescribed for internal use.

Adroxon

Available in ampoules in the form of an orange powder to stop capillary bleeding. Helps with bleeding minor injuries, tooth extraction. Widely used in hospitals during the preoperative period and after surgery. Particularly effective for gastrointestinal bleeding.

Folk remedies

You can get rid of large blood loss with the help of some available products that are available in every home. If there is heavy discharge, a mixture of egg whites(1-2 pcs) and citric acid(0.5 tsp). Mix the ingredients and drink immediately. If necessary, repeat the procedure again after a few hours.

Drinking tea helps reduce bleeding peppermint and rowan juice. Mix the liquids in equal proportions and drink throughout the day.

In the old days, pathology was treated with orange. Unripe fruit should be boiled in its peel, allowed to cool, and then eaten.

The use of herbal medicine to stop bleeding is widespread. Infusions, extracts, and decoctions from various plants are used as an addition to the main treatment.

Medicinal herbs

The most popular and effective are:

  • Stinging nettle;
  • Cucumber lashes;
  • Yarrow;
  • Water pepper;
  • Bird knotweed;
  • Kalina;
  • Bloodroot;
  • Shepherd's Purse;
  • Yasnotka.

Here are a few time-tested recipes that can stop uterine bleeding:

  1. Stinging nettle decoction. For 250 ml of boiling water, take 1 tbsp of dry herb and cook over low heat for 10 minutes. Cool, strain, take a tablespoon 4-5 times during the day.
  2. Infusion of common yarrow. 2 tsp of dried herb should be poured into a glass hot water, leave for about 60 minutes. Cool, strain. Dose: 50 mg per day 4 times before meals. The recipe is suitable for helping with various bleedings, not only uterine ones.
  3. Decoction of Potentilla erecta (galangal). Pour 2 tbsp of washed finely chopped rhizome with a glass of water, cook over low heat for 1.5 hours. After graduation due date add liquid to the original volume, turn off, cool, strain. Take 2 tbsp before meals.
  4. Shepherd's purse juice. Take fresh plant, rinse well, squeeze the liquid out of it, dilute with water in a 1:1 ratio. Take 50 drops per tablespoon of water. Drink 3 doses a day.
  5. Decoction of white claret. A tablespoon of dried herb should be poured with 200 ml of boiling water for half an hour. Infuse in a dark place, first wrap the container. Strain, use 4 times a day, 70-100 ml.

Herbal herbs and infusions from them can be purchased in pharmacies in finished form. The properties and dosages of use of the most common ones are described below.

Important! Recipes are provided for general information only. Any use of them must be agreed with your doctor.

Lagochilus tincture

An effective hemostatic agent, prescribed for both therapeutic and prophylactic purposes before surgery. Available in 50 gram glass bottles, it has a bitter taste.

The effect of the tincture on the body begins half an hour after administration. The dose of 5% of the drug for an adult is 2 tbsp three times a day before meals, the course of treatment is prescribed by a doctor, the maximum duration is 3 months.

A side effect when starting to use the drug is stomach upset. The symptom is not terrible, you can continue taking it at the initial dosage. Treatment should be stopped if increased heart rate or palpitations occur. Stores indefinitely in a cool place.

Nettle leaf extract

Alcohol extract helps with bleeding caused by pathology general bodies, after injuries, with surgical interventions. Prescribed for the following diseases:

  • Prostate;
  • Inflammation of gout;
  • Skin reactions.

Nettle is known as excellent remedy to relieve pain symptoms.

Important! Any type of nettle medicine should be taken during meals. This will help reduce stomach irritation.

No side effects were identified when using the extract. The dose for an adult is 2 tbsp 4-5 times a day. Contraindications for use:

  • The presence of edema due to cardiovascular and renal diseases;
  • Lack of fluid in the body;
  • Diabetes;
  • Pregnancy, breastfeeding.

Regular intake of the extract reduces blood loss during menstruation.

Yarrow herb (liquid extract)

In gynecology, the drug is used because of its hemostatic properties. Helps with gastrointestinal, internal, hemorrhoidal bleeding, heavy discharge from wounds, abrasions, heavy menstruation.

Drink half a glass orally three times a day, half an hour before meals. The extract should not be taken by women expecting offspring or children under 6 years of age. Health contraindications:

  • Arterial bleeding;
  • Hypotension;
  • Heartburn;
  • Increased stomach acidity.

No side effects were identified with the correct dosage. If you increase the intake of the drug, you may experience poisoning, delayed periods, allergies, dizziness, and nausea.

Important! The course of the first dose of yarrow extract should not exceed 14 days. This will help determine the presence of unwanted reactions.

Liquid pepper extract

Hemostatic drug plant origin, is available as a liquid extract for internal use. The medicine has a greenish-brown tint with a specific odor.

Prescribed for complex therapy for heavy menstruation, during minor bleeding in the treatment of cervical erosion. The dosage for an adult is 30 drops three times a day, half an hour before meals. The course of treatment lasts about 10 days.

No overdose of the extract was detected, side effects- allergies. It is not recommended for use by people suffering from the following diseases:

  • Thromboembolism;
  • Increased blood clotting;

It is forbidden to take by pregnant women and minors. Use with caution for liver disease, brain disease, traumatic brain injury, alcoholism.

Local medicines

Hemostatic drugs are divided into two groups according to the method of action:

  • Resorptive (the result appears after entering the blood - these are tablets, injections, droppers);
  • Local (valid on outside genitals using special mucous coatings).

The first type of drugs is described above, below is a brief description of second type. It, in turn, is divided into two types: specific and nonspecific. The first one is of particular interest. This includes tools such as hemostatic sponge, thrombin, fibrin film.

Hemostatic sponge

Human plasma hemostatic agent, calcium chloride and thromboplastin are the main active ingredients. Available in the form of a rectangular object in boxes made of various materials. There are no contraindications for use.

Method of use: Divide the sponge in half, put one part of it to the place where the bleeding is coming from (pre-sterilize the place, it should be dry), leave it for 24 hours. After the prescribed period, remove the film. The remains dissolve within a month. The second open part of the sponge can be used only after it has been sterilized (40 min 120°).

Thrombin

A hemostatic preparation of human plasma, produced in the form of a loose mass of white-pink color in bottles, prescribed for capillary bleeding.

Important! The use of Thrombin internally is prohibited! Intravenous or intramuscular ingestion of the drug leads to thrombosis with a fatal outcome.

Directions for use: Add 10-15 mg of physiological solution at room temperature into the bottle with the drug, wait until the substance is completely dissolved. Soak the swab with the resulting liquid and apply it to the bleeding area. Remove it after the bleeding has completely stopped using the liquid that was used for dilution.

Fibrin film

Hemostatic preparation of human or bovine plasma. Prescribed for blood loss from mucous membranes. Sold in metal cans in the form of plates or ribbons. There are no contraindications for use; a possible adverse reaction is an allergy.

Directions for use: Remove the film from the container and sterilize with any saline solution, apply to the bleeding surface.

Category: “Question - answer”

Decoctions, infusions and extracts from nettle, yarrow, water pepper, shepherd's purse, peppermint, corn silk, barberry, cloves and others.

What are the best hemostatic pills for menstruation?

The most effective are:

  • Vikasol;
  • Tranexam.

They have a narrowing property and normalize the menstrual cycle.

What hemostatic drugs are available for uterine contractions?

The most effective of them: oxytocin, hyfotocin, pituitrin.

How to stop bleeding like a woman during early pregnancy?

Any medication taken during this period should be prescribed by a doctor. Please remember that you can only take pills! In the first trimester, the following medications will help stop bleeding:

  • Dicynon (no more than 3 tablets are allowed per day. Take one at an equal interval during the day);
  • Calcium gluconate (one tablet 3-4 times a day).

Among the folk remedies, tinctures of nettle or water pepper will help.

What injections are prescribed to stop bleeding in gynecology?

The most common and effective are the following:

  • Oxytocin;
  • Pituitrin;
  • Hyfotocin.

What foods should you eat to stop bleeding?

A number of products that need to be included in your diet will help reduce blood clotting. daily diet. Here is the list:

  • Fish fatty varieties, fish fat;
  • Onion garlic;
  • Citrus;
  • Red wine (minimum dose per day);
  • Dark chocolate, seeds, hazelnuts;
  • Tomato juice.

Among the cereals, you should eat those that contain magnesium - oatmeal, oats, rolled oats. It is recommended to drink large quantities ordinary water. It's best to do it a little, but often.

Heavy discharge with blood clots outside the normal menstrual schedule - sign of uterine bleeding. It arises from various reasons, regardless of age, varies in appearance and shape. Hemostatic drugs for uterine bleeding prevent severe blood loss. This necessary stage complex treatment, without which further measures to treat the underlying disease are not taken.

All hemostatic drugs divided into two categories:

  1. Antifibrinolytic - represented by proteolysis inhibitors. Drugs in this group inhibit fibrinolysin. They inhibit enzymes that interfere with the formation of blood clots
  2. Hemostatic - represented by means that increase the level and speed of blood clotting. The main components activate the production of thromboplastin and help restore the damaged capillary network. Compared to antifibrinolytic drugs, hemostatic agents do not affect the formation of blood clots.

Stopping bleeding is also possible using hormonal contraceptives. They reduce the amount bloody discharge or block them. At the same time, hormonal levels are normalized. Drugs in this category are used as symptomatic or preventive treatment. IN mandatory they are prescribed for increased endometrial thickness of 10 mm or more.

At different compositions medication bleeding also terminated due to:

  • stimulation of muscle contractions,
  • normalization of muscle tone.

Some cause rhythmic contractile activity, alternating cycles of contraction and relaxation, while others provoke sharp contractions to spasmodic ones.

Considering the participation of calcium and vitamin K in blood clotting, they are also used in complex drug therapy.

Indications for use

The indication for drug therapy is bleeding due to:

  • diseases of the uterus and ovaries,
  • diseases of the cardiovascular system,
  • injury to the urethra or vagina.

Hemostatic and related drugs effectively solve the problem of bleeding of the following types:

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  • dysfunctional - due to disturbances in the functioning of the ovaries;
  • profuse - due to infection, uterine fibroids, abortion;
  • breakthrough - due to violations hormonal levels or injury from a spiral;
  • hypotonic – due to a decrease in uterine tone after labor or abortion;
  • arising during normal and ectopic pregnancies, uterine pathologies, placental lesions, miscarriages.

Urgent measures to stop hemorrhage using medicinal methods necessary if:

  • blood is released copiously outside of menstruation – 1 sanitary napkin Fills completely in 30 minutes or less;
  • there are large clots in the blood discharge;
  • bleeding is accompanied by hot flashes, dizziness, and increased heart rate.
Most drugs requires exact dosage and only applies in inpatient conditions under the supervision of a doctor.

Contraindications

Hemostatic tablets to stop uterine bleeding contraindicated or used with caution when:

  • thrombophlebitis,
  • thromboembolism,
  • thrombosis,
  • blood cancer
  • acute myocardial infarction,
  • increasing blood clotting.

Certain medications (Ascorutin, Tranescam) not prescribed if there is a history of:

  • urolithiasis,
  • renal failure,
  • pyelonephritis.

Hemostatics contraindicated if you are prone to thrombosis, diseases of the cardiovascular system.

Treatment with hemostatic drugs is possible only in a hospital setting, subject to individual dosage.

Application diagram

The standard regimen, in the absence of a connection between bleeding and pregnancy, involves taking drugs in the following order:

  • hemostatic,
  • drugs to stimulate uterine contractility,
  • means for strengthening the walls of blood vessels,
  • hormonal to stop uterine hemorrhage,
  • hormonal to correct endocrine imbalance.

If your period does not start on time, the discharge is too abundant, with clots, menstruation lasts longer than expected, uterine bleeding is possible. This pathology possible in young and mature women, in menopause. If these symptoms occur, you should immediately contact a gynecologist who can determine the causes, recognize the type of pathology, and prescribe effective hemostatic drugs for uterine bleeding. Then the treatment will pass without complications, and your body will quickly return to normal.

How to stop uterine bleeding at home

During menstruation it is natural physiological process, but if its parameters do not meet the norm (intensity, timing, period, duration, etc.), then they speak of abnormal bleeding. The danger of the latter lies in high and rapid blood loss, so the woman (girl) needs to be given first aid before medical intervention. Depending on the etiology, abnormal bleeding is divided into the following types:

  1. Dysfunctional associated with menstrual cycle. Occurs due to failure of the ovaries. They are classified into ovulatory, anovulatory, and intermenstrual.
  2. Profuse. They are not accompanied by pain; they occur, for example, after an abortion, with an internal infection, or fibroids.
  3. Breakthrough bleeding occurs due to hormonal imbalance: during menopause, taking contraceptives, etc., due to injury intrauterine device.
  4. Hypotonic. Their reason is the low tone of the uterus. They occur, for example, after childbirth or abortion.
  5. During pregnancy - due to miscarriage, damage to the placenta, pathologies of the uterus. Occurs during ectopic pregnancy.

What to take during uterine bleeding is decided by the doctor, because only a specialist is able to distinguish one type of pathology from another. Before his intervention and determination of the type of pathology, it is necessary to put the sick person in bed and raise her legs. Place something cold on the stomach (water bottle, ice), provide the patient drinking plenty of fluids. In case of urgent need and impossibility medical consultation The woman should be given hemostatic tablets or other medications:

  • "Tranexam";
  • "Etamzilat";
  • "Vikasol";
  • Water pepper tincture;
  • Tincture of Lagochilus intoxicating.

List of effective hemostatic drugs

The regimen for taking hemostatic drugs for uterine bleeding is determined by the doctor. Patients are prescribed intravenous and intramuscular injections, put on IVs, prescribe pills. Used for treatment the following drugs:

  1. "Dicynon." It is considered the most effective drug. Injections with the medicine take effect within 10-15 minutes. Dicinone for uterine bleeding during menstruation is taken in tablets.
  2. “Countrykal.” Homeostatic drug for intravenous administration.
  3. "Vikasol". Synthetic drug, an analogue of vitamin K, is administered intramuscularly and orally.
  4. "Tranexam." Available in tablets and as a solution for intravenous injections. Tablets are a powerful hemostatic agent until the doctor arrives.
  5. Oxytocin and Methylergometrine are hemostatic agents that contract the uterus. Used in cases postpartum pathologies.
  6. "Aminocaproic acid" is a homeostatic drug for intravenous administration.
  7. "Calcium chloride" - intravenous drug with a “hot prick” effect.
  8. "Fibrinogen." Powder for injection, human blood preparation. Used with aminocaproic acid.
  9. Liquid extracts Nettle and yarrow are taken dropwise in the treatment of dysfunctional menorrhagia.

Are there any side effects and contraindications?

The instructions for each homeostatic drug indicate contraindications associated with hypersensitivity to components, pathologies of blood vessels and blood:

  • thrombosis;
  • thrombophlebitis;
  • malignant blood diseases;
  • acute heart attack myocardium;
  • increased blood clotting.

Medicines that should not be prescribed to people with kidney disease (failure, pyelonephritis), urolithiasis:

  • "Ascorutin";
  • "Transcam";
  • Water pepper extract.

Side effects that can be caused by hemostatic drugs during menstruation and abnormal uterine bleeding:

  • heartburn;
  • headache;
  • allergy;
  • facial redness;
  • dizziness;
  • nausea;
  • diarrhea;
  • tachycardia.

Review of hemostatic agents and folk remedies prescribed for menorrhagia. Dicynone, Tranexam, Vikasol, Etamzilat, Ascorutin, Diferelin. How to stop bleeding during menopause and fibroids.

Menstruation is a natural process that occurs monthly for every woman of reproductive age. Normally, it lasts no more than 7 days, and the daily volume of blood released is 50 – 80 ml. If you add the volume of the mucous mass, you get approximately 200 ml of discharge in total.

An upward deviation in the indicators indicates heavy periods. To treat menorrhagia, doctors prescribe pills to stop bleeding (hemostatics).

How to distinguish bleeding from heavy periods

Menstrual flow increases for various reasons - anemia, infectious diseases, pathologies of the uterus, disorders nervous system etc. But most often, menorrhagia occurs against the background of fibroids, hormonal imbalance and inflammatory diseases of the myometrium or endometrium.

A large number of reasons heavy discharge encourages a woman to visit a gynecologist, because on her own she will not be able to figure out where the source of the problem lies.


The following symptoms help your doctor differentiate menorrhagia from normal periods:

  • Untimely start.
  • Scarlet color of blood (menstruation is accompanied by dark brown discharge).
  • The blood is liquid, flows in a stream or falls in large drops.
  • Need for replacement hygiene products occurs every 2 hours or more often.
  • Every day the body loses more than 80 ml of biological fluid.

The specialist prescribes a suitable hemostatic agent after a thorough examination of the patient. Medicines come in the form of tablets, injection solutions, capsules and herbal tinctures.

Hemostatic drugs that women take for menorrhagia have several contraindications. These are allergies, lactation, thrombosis and atherosclerosis.

Review of hemostatic agents prescribed for menorrhagia

Bleeding during menstruation leaves women in shock. But if you immediately consult a doctor, you will be able to quickly stop the process and prevent negative health consequences. As first aid, patients are prescribed the following hemostatic drugs for heavy periods:

  1. Dicynone.
  2. Tranexam.
  3. Vikasol.
  4. Etamzilat.
  5. Ascorutin.
  6. Diferelin.

Dicynone and Ascorutin are sold without a prescription. Other medications can be purchased only if available detailed recipe from the doctor.

Dicynone

The drug comes in the form of tablets and ampoules. When taken orally, a woman with menorrhagia takes 1–2 tablets 2–3 times a day.


The medicine is effective for fibroids and capillary and parenchymal blood loss. In moderate dosages, it is taken for thromboembolism, thrombosis, porphyria and allergic reactions to components, or not used at all if the disease is severe.

The side effects of Dicynon are unpleasant. These are swelling of the face, headache, heartburn and nausea.

Tranexam

Modern tablets for bleeding during menstruation Tranexam make the discharge moderate and exhibit antihistamine, antitumor and anti-inflammatory effects.


The side effects of Tranexam are:

  • Thrombosis of deep veins and cerebral vessels.
  • Allergy to constituent components.
  • Bleeding in the meninges.
  • Pathological kidney function.

Vikasol

Analogue synthetic vitamin K refers to older generation drugs. It makes up for the deficiency useful substance and accelerates blood clotting.


For heavy periods, 2 tablets per day. Your gynecologist will advise you on how long to use the medication. Treatment is carried out strictly under medical supervision.

Side effects of Vikasol are manifested by skin reactions:

  1. Rash.
  2. Redness.
  3. Urticarial spots.
  4. Possible bronchospasm.

Vikasol contraindications – thromboembolism, increased coagulability blood, hypersensitivity to active substances. With increased blood clotting, heavy periods should not occur. But if menorrhagia appears, this indicates a lack of vitamin K in the body.

Etamzilat

A cheap analogue of Dicinon stabilizes blood microcirculation and strengthens blood vessels.


In the process of treating menorrhagia with Etamsylate, thromboplastin is formed in the body. The substance reduces bleeding, but does not reduce blood clotting time. In terms of thrombosis, thromboplastin is safe. Etamzilat acts quickly, the effect is felt 15 minutes after administration.

Contraindications to the use of this hemostatic agent are thrombosis, allergies to components, hemorrhage, thromboembolism. Adverse reactions manifested by heartburn and headache. With others medications Etamsylate does not combine.

Askorutin

The list of hemostatic tablets for heavy periods includes Ascorutin ( ascorbic acid+ rutin, vitamins C and P, respectively).


The drug stops heavy bleeding and has a beneficial effect on blood vessels. For menorrhagia, Ascorutin is taken 4 tablets per day for a 2-3 week course.

Despite vitamin composition drug, it can cause quite unpleasant phenomena. A person experiences nausea, vomiting, and insomnia. Possible problems allergic nature, increased blood pressure.

Women who suffer from urolithiasis, thrombosis and are prone to allergies to vitamins C and P are prohibited from taking Ascorutin.

Diferelin

You can take Diferelin to stop heavy periods only with the consent of your doctor.


Drug intolerance, dosage violations and side effects lead to depression, migraines and allergies. Diferelin has few contraindications:

  • Breast-feeding.
  • Osteoporosis.
  • Triptorelin intolerance.

How to stop bleeding during menopause and fibroids

The risk of uterine bleeding increases significantly during menopause. Hormonal changes make the cycle unstable, causing the volume of discharge to be inconsistent. MC disruption is usually observed in early stages menopause, and women begin to take for prevention hormonal drugs.

With the onset of menopause, menstruation stops, and bleeding from the genital tract in this case is an anomaly. Menstrual-like discharge indicates problems in the body, in particular in the reproductive department. Self-medication is prohibited. Bleeding during menopause is stopped in a hospital setting using hormonal drugs and hemostatic agents (Oxytocin and Vikasol).


During development benign tumor In the reproductive system, women periodically experience heavy bleeding. If you feel satisfactory and the discharge does not flow in a trickle, you can correct the situation at home. If the condition is critical, you must call an ambulance.

What hemostatic agents are used for fibroids:

  1. Vikasol - 1 tablet three times a day.
  2. Dicynone/Etamsylate – 2 tablets are drunk immediately with big amount water. If bleeding has not stopped within 3 hours, take 1 more tablet. The medicine is taken for the third time after 6 hours (in the amount of 1 tablet).
  3. Tincture of water pepper - an alcoholic preparation is consumed 3 times a day. Single dosage– 1 tsp, washed down with water. The tincture accelerates blood clotting, so improvement occurs quickly, often after the first dose. Take the drug until the bleeding stops completely.

According to indications for fibroids, the patient can also be prescribed Tranexam, Oxytocin and Ascorutin.

Hemostatic agents of traditional medicine

Women can stop heavy menstrual flow not only by pharmaceutical drugs, but also folk remedies for menorrhagia. Herbal infusions constrict blood vessels and help blood clot faster. It is recommended to take herbal medicines with for preventive purposes a few days before the expected start of menstrual flow.

We list the hemostatic herbs for heavy periods and give recipes for preparing natural hemostatics:

  • Shepherd's Purse. Only 3 tbsp. l. decoctions taken daily cause the uterine muscles to contract and stop blood loss. Reception regimen – 1 tbsp. l. x 3 times a day. Recipe: 10 g of herb per glass of water.
  • . Pour 1 spoon of herbs (dry or fresh) into a glass of boiling water and boil for 10 minutes over low heat. Strain cool and use as tea leaves (take 3 parts water for 1 part decoction). You can add honey.
  • Pepper Knotweed. Pour 1 tbsp into a full glass of boiling water. l. phytoraw materials and bring the composition to a boil. Drink filtered liquid 3 times a day before meals. The product is suitable for stopping protracted periods, the traditional duration of which exceeded 1 - 2 days.
  • Kalina. 100 g of bark is crushed with a coffee grinder or using a mortar. The raw materials are placed in an enamel bowl, filled with water (200 ml) and the mixture is simmered over low heat for 30 minutes. Finished product consume 2 tbsp every 3 – 4 hours. l. Viburnum bark will reduce the volume of discharge, relieve pain in the lower abdomen, which often bothers you during menstruation, and improve bowel movements.
  • Puffball mushroom. Amazing properties has a puffball mushroom. One mushroom should be boiled in lightly salted water and consumed on an empty stomach without additives. The plant has analgesic and hemostatic properties, and also relieves inflammation in the pelvic organs.
  • Centaury umbellata. 20 g of raw materials and 100 ml of vodka are combined in one container and sealed tightly with a lid. The components are infused in the dark for 2 - 3 weeks. The tincture is taken a week before the start of menstruation. Dosage – 20 drops before meals twice a day.
  • Lilac. Common lilac seeds are steamed with boiling water for 15 minutes (1 tsp per 200 ml of boiling water). The product is additionally boiled on the stove for 5 minutes, then taken on an empty stomach in the morning in the amount of 2 tbsp. l.
  • Oregano. 2 - 5 g of raw materials are brewed with boiling water and the healing water is added to regular tea (black or green). You can drink the drink at any time daily. It relieves inflammation, removes toxins from the body, improves digestive processes, cleanses and strengthens blood vessels.
  • Plantain. 15 g of leaves are boiled in 250 ml of water. Drink 1-2 tbsp of decoction. l. every 2 – 3 hours. Fresh Juice plantain, squeezed from the green part of the plant, is taken before meals in a dosage of 10 ml.
  • Barberry. Berries and leaves total number 50 g is poured with alcohol or vodka (100 g). In a tightly closed container, the product is infused for 10–14 days in a dark closet. Barberry tincture relieves PMS symptoms, stops bleeding and increases hemoglobin in anemic women. Treatment regimen: 20–30 drops before meals.

P.S. remember, that heavy menstruation is always a cause for concern. Problematic periods are often associated with chronic inflammatory diseases that harm the reproductive system and the entire body. Therefore, menorrhagia cannot be ignored.