Causes of bleeding in girls. Bleeding from the vagina: physiological varieties and causes. Hemostatic drugs

For each woman, the process of menstrual bleeding is completely individual, depending on the characteristics of the female body. The average duration of the menstrual period is determined to be up to five days. At the same time, if there are any atypical discharges, then it is worth thinking about pathology. However, bleeding should not be ruled out, which can easily be confused with menstruation. Therefore, to provide timely assistance, it is necessary to have an understanding of the distinctive features.

During menstruation, a woman begins to secrete blood in average quantities per day (about 50 ml.). The first days of menstruation are characterized by bright-colored bloody discharge, then in subsequent days the discharge becomes darker and is released in portions. The shades of the blood that comes out also differ for each woman individually. Subsequent discharge may occur during sudden rise or movement or physical activity.

Additionally, mucus or blood clots appear in menstrual flow. At the same time, the smell of discharge is also present. Menstrual blood is characterized by an odor reminiscent of fresh meat.

Attention! If the discharge during menstruation has an atypical brown color or the discharge is scanty, it is recommended to consult a gynecologist for advice.

Uterine bleeding and menstruation: main differences

In order to identify pathology, you should interview the patient, who can easily characterize the typical menstrual flow that is characteristic of her. Therefore, any changes should alert the woman. The nature of menstruation can change dramatically, therefore, it is necessary to pay attention to the following warning signs:

1. The volume of menstrual flow increases significantly.
2. The release of blood does not occur in batches, but occurs almost continuously.
3. The outgoing discharge is characterized by a too liquid consistency.
4. There are no blood clots.
5. The color of the discharge becomes deep red.
6. There is no specific odor characteristic of blood.
7. Signs of anemia are observed.
8. There is severe weakness.
9. Possible pain in the lower abdomen.
10. Before the onset of menstruation, sexual intercourse may cause pain.

Carefully! If the above symptoms are observed, then you should not hesitate to visit a specialist.

Causes of bleeding

For the body, blood loss is a rather dangerous manifestation. Almost a third of all uterine bleeding is explained by a pathological process that arose in the female reproductive system. Basically, pathologies of this kind do not pose a threat to life, but lead to poor health, anemia, low levels of iron in the blood, as well as problems with sexual life. Therefore, in order to prevent the occurrence of pathology, you need to know the main reasons that provoke it.

The root causes of bleeding are as follows:

• termination of pregnancy, occurring artificially (abortion) or naturally (miscarriage);
• if delivery occurred by caesarean section;
• frequent diets, which lead to complete intoxication of the entire female body;
• problems with general hormonal levels, sudden disruptions;
• iron deficiency or vitamin deficiency;
• blood diseases;
• blood clotting disorder;
• long-term depressive states, stressful situations;
• illnesses of an infectious nature;
• excessive physical activity and heavy lifting;
• inflammatory process in the reproductive system;
• gynecological pathologies;
• pathological neoplasms.

Classification of discharge

Experts classify uterine bleeding into three types.

More details about the types of bleeding

Dysfunctional

The main signs of this type of bleeding are heavy blood loss or prolonged bleeding. Adolescent girls and menopausal women are at risk. The provoking factor of the pathology is an excessive amount of estrogen or progesterone. To eliminate this pathology, hormonal therapy is used.

There are two types of dysfunctional blood loss:

• ovulatory. They are characterized by manifestations of an abnormal cycle, that is, over the course of a month, a woman experiences slight discharge of a scanty nature or, conversely, short menstruation that have an interval of more than one month;
• anovulatory. They are characterized by significant blood loss, cycle disruption, poor health, loss of appetite and a constant desire to sleep.

It is important! Primary pathology can be determined using a gynecological examination, supplemented by ultrasound.

Juvenile

May appear seasonally. This is explained by the fact that the corpus luteum does not form due to hormonal imbalance. If a teenage girl is diagnosed with neoplasms in the reproductive system, then juvenile bleeding cannot be ruled out.

Breakthrough

A third of cases of breakthrough bleeding occur due to problems with the uterus, which are provoked by the intrauterine device. Bleeding can also be caused by the consequences of taking hormonal contraception. To prevent subsequent bleeding, it is recommended to remove the IUD and select the correct dosage of contraceptives.

Profuse

Profuse blood loss is difficult to distinguish from menstrual discharge, since it is also characterized by menstrual pain. The only symptom is increased blood loss, which is characterized by scarlet discharge. The exact period of occurrence is difficult to determine because it varies.

Is it dangerous! Profuse bleeding is difficult to diagnose and requires urgent hospitalization of the woman. In this case, surgical treatment in the form of uterine curettage is mandatory.

Video - How to distinguish menstruation from bleeding?

Bleeding and menopause

During menopause, a woman cannot exclude the risk of developing neoplasms of various types (fibroids, polyps). This is explained by a decrease in the level of estrogen, which is responsible for the normal menstrual cycle. It is distinctive that a woman will experience severe pain during sexual intercourse, as well as an interval between menstrual cycles of more than three months.

Blood loss during pregnancy

If a woman experiences any bleeding after conception, this is a direct threat to her life and to the fetus. If you notice a woman’s bright bloody discharge, you should immediately call an ambulance. The discharge is accompanied by the following symptoms:

1. The occurrence of severe pain in the lower abdomen, which resembles contractions.
2. Nausea leading to vomiting.
3. Increased level of sweating.
4. The appearance of dizziness.

Note! The occurrence of bleeding during pregnancy is considered a dangerous sign that threatens life.

How to help

First of all, it is necessary to minimize all physical activity. Then review your diet and include beef, offal (liver), and foods high in iron.

If a woman begins to experience heavy blood loss, she urgently needs to lie down in a position so that the pelvis is slightly elevated. To do this, you can place a pillow or slightly raise your lower limbs. In this way, loss of consciousness can be avoided and symptoms can be reduced.

To reduce bleeding, you will need to apply a cold compress so that the vessels of the uterus constrict and the muscle layer of the uterus contracts.

You should not ignore any pathological discharge, because it can be a sign of a serious illness. A specialist will tell you about the causes of uterine bleeding in a video commentary.

Video - Why do uterine bleeding occur?

A certain amount of vaginal discharge (fluid that leaks from the vagina) is normal. The vaginal walls and cervix contain glands that produce small amounts of fluid that help keep the vagina clean. This is a normal fluid that is usually clear or milky white and does not have a foul odor. Vaginal discharge at certain times of the menstrual cycle (during ovulation), during breastfeeding, or during sexual arousal is normal.

Abnormal vaginal bleeding is the flow of blood from the vagina that occurs at the wrong time during the month or in inappropriate amounts.

Uterine bleeding can occur in physiological and a number of pathological conditions. Since a woman herself cannot determine the source of bleeding, vaginal bleeding is a manifestation of uterine bleeding. Uterine bleeding can be an absolutely physiological phenomenon in two cases: during menstruation, if its duration is no more than 7 days and the frequency of occurrence is not less than once every 25 days. Also, uterine bleeding in the form of short-term spotting may be normal during ovulation.

What uterine bleeding is considered pathological?
Uterine bleeding can occur in women of different ages. Pathological vaginal bleeding occurs in the following cases:
Increased length of periods (menorrhagia), increased bleeding (menorrhagia and hypermenorrhea) and too frequent periods (polymenorrhea)
Bleeding not associated with menstruation, occurring irregularly - metrorrhagia
Bleeding in the postmenopausal period (if more than 6 months have passed since the last normal menstruation
Bleeding can also occur in pregnant women in the early and late stages.

Why does uterine bleeding occur?
The main mechanisms for the development of uterine bleeding are as follows:
Hormonal dysregulation of the relationship between elements of the hypothalamic-pituitary-ovarian-endometrial axis
Structural, inflammatory and other gynecological disorders (including tumors)
Blood coagulation disorders
The most common mechanism of uterine bleeding is this: during the anovulatory cycle (the follicle does not mature), the corpus luteum does not develop. As a result, progesterone (one of the female sex hormones) is not produced in sufficient quantities during the second phase of the cycle. At the same time, estradiol (another female sex hormone) continues to be produced in excess. Under the influence of estradiol, increased growth of the endometrium (the inner layer of the uterus) occurs, which becomes so thick that the blood vessels no longer adequately supply it with blood. As a result, the endometrium dies and undergoes desquamation. The desquamation process is not complete, is accompanied by uterine bleeding and is delayed for a long time.

The most common causes of uterine bleeding
Bleeding during early pregnancy occurs during spontaneous abortion. In this case, vaginal bleeding begins immediately or some time after the start of the abortion due to the leakage of accumulated blood. Bleeding can also occur during ectopic (ectopic) pregnancy.
Bleeding in late pregnancy can be associated with placental rupture, hydatidiform mole, placental polyps, and placenta previa.
Uterine bleeding can be symptoms of diseases associated with changes in the structure of the reproductive organs, such as adenomyosis (endometriosis of the uterus), cancer of the uterus, cervix or vagina, endometrial hyperplasia, submucosal nodes with uterine fibroids or nascent nodes, cervical and endometrial polyps.
Vaginal bleeding may be a sign of atrophic vaginitis, cervicitis, a foreign body in the vagina, or damage to the cervix, uterus or vagina.
Pathology in ovarian dysfunction can occur in the following conditions: dysfunctional uterine bleeding, functional ovarian cysts, polycystic ovary syndrome (polycystic).
Endocrine disorders: hypothyroidism or hyperprolactinemia.
Vaginal bleeding due to blood clotting disorders develops with hereditary diseases of the coagulation system, liver diseases, and when taking certain medications.
Uterine bleeding may occur when using contraceptives and hormonal therapy. Most often in cases of prescription of drugs such as Depo Provera, with hormone replacement therapy, in the presence of an intrauterine device, with levonorgestrel implants and in case of long gaps in taking contraceptives.

When should you see a doctor if you have uterine bleeding?
In cases where menstruation lasts more than 7 days, if the amount of discharge during menstruation is greater than usual, if menstruation occurs more often than once every 25 days, if you have bleeding outside of menstruation, you should consult a doctor. When examined in a chair, you can see damage to the vagina and cervix, the onset of vaginitis, and erosion of the cervix. Also, upon examination, you can see a nascent submucosal node with uterine fibroids or a cervical polyp. Pathologies often accompany infertility, since they are always based on a violation of the structure of the endometrium or a violation of the hormonal regulation of ovulation and the menstrual cycle. In addition to the examination on the chair, it is often necessary to do a transvaginal ultrasound, since with this method it is possible to evaluate changes in the ovaries and in the uterine cavity. Often, a uterine ultrasound is critical to diagnosing the causes of uterine bleeding. If an ultrasound of the uterus reveals structural changes that do not have clear signs, a blood test may be prescribed to measure the content of sex hormones and thyroid hormones. Whenever there is uterine bleeding, a pregnancy test is performed. To assess the degree of acute or chronic blood loss, a general blood test is prescribed, where the indicators of red blood cells, hemoglobin, hematocrit, platelets and ESR are monitored.

Treatment of uterine bleeding
Treatment of uterine bleeding depends on the cause that causes it. Most often, treatment is conservative and consists of the use of drugs that increase the ability of blood to clot and drugs that correct hormonal imbalances. The correct choice of these medications takes into account many factors, which are brought together by the doctor. If the bleeding is not eliminated by medication or has an underlying cause that cannot be eliminated conservatively, surgical treatment is performed. Surgical treatment can consist of both therapeutic and diagnostic curettage of the endometrium and hysterectomy (removal of the uterus).

Naturally, the main thing you should do is immediately contact a gynecologist who can identify and solve your problem.

Collapse

Sometimes women turn to a gynecologist due to bleeding from the uterus. Such a deviation can occur at any age, both during pregnancy and without it. There may be several reasons for this pathology, and we’ll talk about them.

Types and causes of appearance

There are several types of blood discharge. This:

1. Nongenital or extragenital.
2. Genital, which are associated with pregnancy.
3. Genital, which are not related to pregnancy.
4. Dysfunctional uterine bleeding (DUB).

You should also know the following division of bleeding:

1. Juvenile in nature. Occurs during puberty in girls. Severe mental overload, frequent illness, poor nutrition, etc. can contribute.
2. Profuse. Not accompanied by pain. Consequence of abortion or vaginal infection, side effect of contraceptives, etc.
3. Acyclic. Occurs between menstruation. Such bleeding occurs with erosion, endometriosis, fibroids or cysts.
4. Hypotonic. The reason for its appearance is low myometrial tone (after delivery or abortion).
5. Anovulatory. Develops in adolescence and in women during menopause. If nothing is done, a malignant neoplasm may develop.

Non-genital bleeding

Occur due to infection with certain diseases.

Bleeding can be caused by diseases such as:

• measles;
• typhus;
• FLU;
• sepsis;
• liver cirrhosis;
• hemophilia;
• hemorrhagic vasculitis;
• atherosclerosis.

Sometimes the reason lies in high blood pressure or improper functioning of the thyroid gland.

Genital bleeding (during pregnancy)

If in women bloody discharge is associated with the genitals, then it is genital.

Early in pregnancy, blood loss occurs due to:

• ectopic pregnancy;
• diseases of the ovum (hydatidiform mole or the presence of a malignant neoplasm).

If the cervix bleeds during pregnancy at a later stage, this may be a sign of:

• placental presentation;
• presence of scars on the uterus;
• early placental abruption.

During delivery, bleeding is associated with:

• low location of the placenta, its presentation or premature detachment;
• uterine rupture;
• violation of the integrity of the birth canal.

After delivery this happens due to:

• endometritis;
• fibroids;
• trauma during the birth process;
• chorionepitheliomas;
• decreased uterine tone.

Genital (without pregnancy)

If the lady is not pregnant, then bleeding may also be present between menstruation. The reason lies in:

• the presence of a tumor in the uterus, ovaries or fallopian tubes;
• rupture of the ovary or cystic formation on it;
• organ injury after sexual contact or others;
• inflammation or infectious damage to the organ (cervicitis, endometritis, vaginitis, erosions, etc.).

Blood loss occurs with various dysfunctional disorders. More about this.

Dysfunctional uterine bleeding

If a woman experiences blood loss in the form of menstruation at the right time, about 50-60 ml of blood is lost - this is the norm. If there is prolonged bleeding after menstruation and there is more than 70 ml, this is a sign of dysfunction, that is, DUB.

If the bleeding is long and heavy, it is called menorrhagia. If it occurs between menstruation – metrorrhagia.

Often such dysfunction occurs in women after 30 years of age. Hormonal surges, improper functioning of the thyroid and adrenal glands, lead to ovulation disorders.

May also arise due to:

• nervous overstrain, stressful situations;
• overwork, both physical and mental;
• harmful production;
• complicated births and abortions;
• inflammatory processes occurring in the pelvic organs.

In the age category from 13 to 20 years, such deviations are also possible. This is the result of mental trauma, heavy physical labor, lack of vitamins in the body, the presence of various pathologies, both chronic and acute.

Bleeding from the uterus in old age is associated with:

• nervous overstrain;
• chronic diseases;
• hormonal changes.

Other reasons

Sometimes the cervix bleeds during examination if the gynecologist was careless and injured the organ. The same embarrassment can arise during rough sexual intercourse.

If a woman has any defects of the genital organs since birth, then blood loss, often with clots, is also possible. In this case, you will have to be fully examined and resort to radical treatment methods.

Bleeding in old age?

In older women, bloody discharge from the genital tract may be associated with:

• diseases of the reproductive organs (pathologies of the ovaries, uterus, vagina);
• improper metabolism;
• disruption of the liver and endocrine system;
• blood supply problems;
• taking certain medications;
• hormonal imbalance;
• changes in the endometrial layer of the uterus.

Also, a common cause of blood loss in old age is the presence of tumors, inflammation and infections.

Symptoms and signs

The main sign of uterine bleeding is bloody discharge from the genital tract. If you have bleeding but not your period, there are additional symptoms:

• the volume of liquid is more than 80 ml (this can be understood if a woman changes pads more often than once every two hours);
• duration of blood loss more than 6 days and more often than once a month;
• if the interval between menstruation is less than 21 or more than 35 days;
• cervix bleeds after sex;
• blood on underwear is present in the postmenopausal period.

If a woman regularly loses a large amount of blood, she will develop anemia. You will feel dizzy, weak and the skin will become pale. If cervical erosion bleeds, then you should not hesitate, as serious consequences are possible in the future.

First aid for uterine bleeding

When bleeding, a lady should be able to provide herself with first aid. Massive blood loss should not be allowed, as this can lead to loss of consciousness, anemia and other consequences.

You should not put anything hot on your stomach, take baths, steam your feet, or eat foods containing vitamin C.

To improve your well-being you need:

• take a horizontal position and put your feet on a hill;
• put ice or a bottle of cold water on the stomach area;
• drink fluids constantly.

When should you see a doctor?

If the bleeding does not stop within a week, clots and soreness are present. A woman needs to contact a specialist who will examine her and prescribe appropriate treatment. Self-medication in this case is inappropriate, since the patient does not know the cause of the pathology.

How to get rid of uterine bleeding?

What to do if there is bleeding? In such cases, you cannot hesitate; you need to seek medical help. It is important to promptly identify the cause of the pathology and begin its treatment.

If such dysfunction occurs in adolescence, the doctor will prescribe medications that promote uterine contraction, as well as hemostatic drugs and those that strengthen blood vessels. It is important to take vitamins and take a course of herbal medicine. In some cases, hormonal treatment is indicated. This will make it possible to regulate the menstrual cycle.

Women who are of reproductive age are prescribed hormonal medications. If the cause is fibroma, the presence of a cyst or other formations, then radical treatment is possible. If cervical erosion is bleeding, cauterization will help remove the bleeding.

How to stop bleeding in old age? Here, almost always, the cause lies in oncology, so the only way to get rid of the pathology is through surgery. The entire affected organ will have to be removed.

In order not to start the disease and cure it in a conservative way. You should promptly seek help from a specialist and not self-medicate. Hemostatic agents will not get rid of the underlying disease, but will only temporarily eliminate the symptoms.

Prevention

To prevent this pathology you should:

• eat well and take more vitamins;
• be less nervous;
• have one partner;
• promptly treat all diseases associated with the sexual sphere;
• do not have rash abortions;
• visit a gynecologist regularly;
• If any abnormalities occur, contact the hospital immediately.

Conclusion

Why does the cervix bleed and can the organ bleed without pathologies? Such questions are asked by women who have prolonged bleeding from the genital tract. There can be a lot of answers. But it is important to know that the presence of blood on underwear between periods is not the norm. Bloody discharge that remains for more than a week should also be alarming. To prevent serious complications, you should contact a gynecologist in a timely manner.

Uterine bleeding refers to pathological discharge of blood from the uterine cavity. Dysfunctional disorders are evidence of hormonal imbalance in the female body. Blood loss occurs due to malfunctions of the endocrine system (ovaries-pituitary-hypothalamus). Unlike menstrual bleeding, with uterine bleeding the volume of blood increases significantly, and the duration and intensity of blood loss also increases. Sometimes there are irregularities in the menstrual cycle and regularity of bleeding. Let's take a closer look at uterine bleeding, causes and treatment with traditional and folk medicine, and prevention.

Types of uterine bleeding

Depending on the reasons causing the development of the pathology, uterine bleeding is divided into:

• organic;
• dysfunctional;
• caused by systemic diseases of the hematopoietic organs, kidneys, thyroid gland, liver, etc.

The appearance of organic uterine bleeding accompanies the following gynecological diseases: inflammatory processes in the uterus and appendages, endometriosis, uterine fibroids, endometrial polyp, cancer of the cervix or uterine body. The disease is chronic; discharge of varying volumes and intensity can appear on any day of the menstrual cycle.

Dysfunctional uterine bleeding has a history of excessively abundant and prolonged bleeding, provoked by a failure in the production of hormones that regulate menstruation. Doctors distinguish between ovulatory and anovulatory types of blood loss.

For ovulatory bleeding ovulation persists, but the regularity of the cycle is disrupted (a significant increase or decrease in the interval between menstruation is observed). Most often, this pathology accompanies diseases of the female genital organs or the presence of adhesions in the pelvis. Since this type of disease occurs in women of childbearing age, a subsequent unfavorable prognosis for bearing a fetus or the appearance of infertility is possible.

For anovulatory bleeding there is no ovulation. A long period of this condition leads to the formation of fibroids, the development of endometriosis, hyperplasia, and in especially severe cases, endometrial cancer. This type of bleeding most often develops in the premenopausal period.

Uterine bleeding - causes and treatment

Conditions of the body in which uterine bleeding may occur:

• pregnancy occurring with pathologies;
• risk of miscarriage;
• inflammation in the uterine mucosa (endometriosis);
• fibrous tumors in the uterus;
• lack of ovulation and dysfunction of the ovaries;
• cancer in any organ of the genitourinary tract;
• diseases in the pelvic organs not related to gynecology;
• hormonal imbalance caused by various reasons, including stress, overexertion, decreased immunity;
• diseases of the endocrine system;
• condition after abortion.

Symptoms of uterine bleeding

The main symptoms of uterine bleeding are:

1. The main manifestation of the pathology is the discharge of blood from the vagina. The norm of blood loss during menstruation is from 40 to 80 ml. Anything above 80 ml is uterine bleeding. The presence of a large number of blood clots in the vulvar discharge is also considered a sign of bleeding.

2. Increased duration of menstruation beyond 7 days (hypermenorrhea). Bleeding is often accompanied by symptoms anemia: low blood pressure, decreased performance, weakness, pale skin, migraine, nausea, dizziness.

3. Reducing or increasing the interval between menstruation.

4. Low intensity discharge in the middle of the menstrual cycle (metrorrhagia).

5. The appearance of bloody discharge from the vulva after sexual intercourse.

6. The presence of blood discharge in women undergoing menopause, when menstruation has been absent for a long time.

7. Nagging pain in the lower abdomen and severe pain in the lower back can accompany blood loss.

Uterine bleeding - treatment with conservative methods

Regardless of the patient’s age, treatment measures are aimed at stopping bleeding, identifying and eliminating the causes that caused blood loss, and rehabilitating the body.

In case of severe blood loss, a woman is given emergency care by injection of hemostatic and uterine contracting drugs (tranexam, dition, vikasol, calcium preparations, etamsylate, aminocaproic acid). Tampons soaked in medicinal compounds are inserted into the vagina, or emergency curettage is performed.

Successful therapy leads to the elimination of minor discharge during the period of treatment. Patients undergo urgent hospitalization in the following situations:

• heavy bleeding with a sharp and rapid drop in blood pressure;
• severe pain in the lower abdomen and bleeding from the vulva during pregnancy;
• scanty discharge, pain in the lower abdomen with a positive pregnancy test;
• asymmetrical pain in the lower abdomen, constantly increasing, an increase in the volume of the abdominal cavity for several hours - signs of internal bleeding, in which vaginal discharge may simply be absent.

Before the ambulance arrives, measures are taken to stop the bleeding. The patient is placed on a hard, flat surface (the floor or a wooden board), a cushion is placed under her feet, and a bag of ice water or ice is placed on her stomach (frozen foods from the freezer are suitable). The lower abdomen should absolutely not be heated.

Prevention of uterine bleeding

Preventive measures include the following:

• regular examination by a gynecologist (2 times a year);
• timely registration at the antenatal clinic in the event of a planned pregnancy;
• lack of sexual intercourse for one and a half months from the date of birth;
• immediately seek medical help for any unfavorable signs in the genitals;
• systematic use of contraceptives to prevent unwanted pregnancies and abortions;
• regular sex life with one partner;
• a full course of treatment for diseases of the genital area;
• a healthy lifestyle, including a nutritious diet rich in vitamins and minerals, playing sports, hardening the body;
• increasing immunity.

Traditional methods of treating uterine bleeding

On the recommendation of the attending physician, it is possible to increase the effectiveness of treatment with traditional means using time-tested folk methods.

A number of herbs have hemostatic properties. Aqueous extracts and extracts of the following plants are used: shepherd's purse, burnet, stinging nettle, yarrow, forest and garden raspberry leaf, pepper knotweed, mantle, peppermint, mountain arnica, calendula, Japanese quince.

Infusion of yarrow. In a glass container, brew 2 teaspoons of dry yarrow herb with a glass of boiling water, cover, wrap and leave for an hour. The strained liquid is drunk before meals, ¼ glass four times a day.

Infusion of shepherd's purse. In a teapot, pour boiling water (0.25 l) into a tablespoon of dry herb, leave for about an hour, filter and drink 15-20 ml three times a day before meals.

Stinging nettle decoction. Pour a tablespoon of dry leaves of the plant into an enamel bowl, pour in 0.25 liters of boiling water, simmer over very low heat under the lid for 10 minutes, cool at room temperature, strain and drink 15 ml 4 times a day before meals.

Stinging nettle extract. Used to prevent the occurrence of uterine bleeding and if there is a tendency to this pathology. Pharmacy tincture is taken 35-40 drops, diluted in a third of a glass of drinking water, half an hour before meals. The number of appointments per day is prescribed by the attending physician.

Orange peel decoction. Peel 6 large fruits, pour 1.5 liters of hot water over the orange skins, simmer in a water bath for a long period of time until the volume of liquid is reduced threefold (to 0.5 liters). The filtered decoction is taken 20 ml three times a day.

Calendula infusion. Mix the color and leaves of the plant in equal proportions, 2 tbsp. Pour spoons of dry raw materials into a liter thermos, pour boiling water, leave for at least 14 hours. Drink a glass of infusion instead of tea three times a day. If desired, the drink can be sweetened with natural honey.

Infusion of mantle herbs. Used in case of irregularities in the menstrual cycle, accompanied by heavy bleeding. Brew 2 teaspoons of the herb in a glass of boiling water, leave it wrapped in a container for 4 hours, filter and take 50 ml 2-4 times a day.

Adequate treatment for uterine bleeding can only be prescribed by a specialized specialist. Identifying the causes of pathology in the early stages of the disease is a guarantee of successful treatment and complete recovery of the patient. Be healthy!

This is due to its special nature and source, which is the uterus. This organ has such a good blood supply that if the integrity of its vessels is compromised, this is manifested by profuse bleeding, which is extremely difficult to treat and often leads to severe blood loss with dangerous consequences.

Most common reasons

All women at any stage of life may experience bleeding from the uterus. They can be either organic or functional. In the first case, we are talking about a violation of the normal structure of the endometrium or the muscular layer of the uterus and its appendages, in the second, a violation of the hormonal regulation of their growth and menstrual function. Thus, all uterine bleeding can be classified in the form of a table.

1. Uterine fibroids;
2. Bleeding polyps of the uterus and its cervix;
3. Cancer diseases (cancer of the vulva, cervix, endometrium);
4. Traumatic ruptures of the vagina, cervix and its body;
5. Intrauterine device and medical procedures;
6. Medical abortion;
7. Ectopic pregnancy;
8. Threatened miscarriage and miscarriage;
9. Postpartum period;
10. Endometriosis.

1. Polycystic ovary syndrome;
2. Single follicular ovarian cysts;
3. Lack of ovulation and weakness of the corpus luteum;
4. Diseases of the pituitary gland, thyroid gland and other endocrine glands;
5. Menopause and puberty;
6. Stress and poor nutrition.

Uterine fibroids are one of the most common causes of uterine bleeding in women of reproductive age.

Variants of clinical manifestations

Bleeding from the uterus cannot be considered unambiguously. Every woman of reproductive age has menstrual ability, which can indirectly be considered a kind of bleeding. But it has its own individual differences. Some women have scanty and short periods, while others, on the contrary, have long and heavy periods. The most important thing is their regularity in any case. If this indicator is violated, this indicates uterine bleeding. In other words, uterine bleeding can rightfully be called only the appearance of bloody discharge from the genital tract outside of menstruation or its prolonged course, which has not been observed before. Otherwise, it’s just a variant of the individual norm.

Therefore, the symptoms and clinical picture of this condition are presented:

1. Constant spotting and spotting from the uterus that does not affect the general condition;
2. Bleeding from the uterus during menstruation, leading to large blood loss and moderate anemia;
3. Bloody discharge in the middle of the menstrual cycle for no apparent reason;
4. Active flow of bright or dark fresh blood with clots, general impairment and shock.

Each of these clinical options has its own origin and focus of treatment measures aimed at stopping bleeding and blood loss.

Signs of heavy uterine bleeding

It is extremely important to know the warning signs of uterine bleeding with massive blood loss. After all, they signal an impending threat to a woman’s life. These include:

1. Heavy bleeding in a short period of time;
2. General weakness and dizziness;
3. Severe pallor of the skin;
4. A decrease in blood pressure below the numbers that are usually typical for a woman;
5. Frequent pulse and heartbeat;
6. Drowsiness and apathy.

The appearance of at least some of the listed symptoms is a reason to immediately seek medical help. Otherwise, there is a risk of developing hemorrhagic shock and death of the patient.

Danger of uterine bleeding

Uterine bleeding is characterized by the ability to rapidly increase, last a long time, and have relatively poor ability to stop it. In this regard, the development of different scenarios for the outcome of this condition is possible:

1. Regular moderate blood loss, leading to bleeding of patients and anemia of varying severity. Does not pose a direct threat to life. Characteristic of small but prolonged bleeding from the uterus;
2. Bleeding with massive simultaneous blood loss. As a rule, it is very difficult to stop him. Often ends in a serious condition for patients and requires surgical treatment with removal of the bleeding uterus;
3. Minor bleeding from the uterus, which was not paid attention to for a long time, due to its commonality for patients. They do not pose an immediate threat and do not cause severe anemia. The danger is that in this case the underlying disease progresses, which acts as the cause of bleeding. This, sooner or later, will end in profuse bleeding or the development of severe and advanced forms of primary diseases;
4. Bleeding during pregnancy or the postpartum period. They are characterized by high intensity and severity compared to other reasons for their development. This is due to the poor ability of the uterus to contract and stop bleeding on its own. Therefore, they often end in severe shock and the use of surgical treatment to stop.

Embolization of uterine vessels is an alternative modern method of planned treatment of uterine bleeding

How can you help?

Stopping bleeding from the uterus is not easy. Here a clear algorithm of actions must be followed, both by the specialized gynecological service and the ambulance, and even by the patients themselves. All that is required of women with signs of uterine bleeding is to seek early medical help from a gynecologist. The sooner this is done, the better the prognosis for a full recovery. Ambulance workers or nearby people should provide the following measures:

1. Place the patient in a horizontal position;
2. Carrying out constant monitoring of blood pressure and pulse parameters;
3. Cooling the lower abdomen and uterus with an ice pack or a cold heating pad;
4. Transportation to the nearest medical facility.

In a gynecological hospital, medical care should be provided step by step, which includes the following treatment:

• Hemostatic and hemostatic therapy. It is carried out by intravenous administration of drugs: dicinone, etamsylate, aminocaproic acid, vikasol, tugina, novoseven (coagulation factor 7), cryoprecipitate, platelet mass;
• Infusion therapy. Designed to restore lost volume of circulating blood. For these purposes, the following are used: rheosorbilact, trisol, hemodez, refortan, washed red blood cells, fresh frozen plasma and other infusion media;
• Vitamin preparations that help stop bleeding: ascorbic acid, calcium gluconate or chloride;
• Hormonal hemostasis. Involves the use of high doses of estrogen or progesterone hormones. Indicated in case of dysfunctional bleeding from the uterus and is not effective if it is of organic origin;
• Diagnostic and therapeutic curettage from the uterine cavity. It is one of the most effective techniques for quickly stopping uterine bleeding of any origin. By means of fractional curettage, the endometrium is collected from different parts of the uterus, which makes it possible to identify the exact nature and localization of the source of bleeding in the uterus under a microscope. The therapeutic goal of this event is to remove the bleeding endometrium, which causes powerful contraction of the uterus and compression of the bleeding vessels;
• Temporary clipping of the uterine arteries. Indicated in cases where there is no effect from the above methods and bleeding continues. It involves the application of special soft clamps to the uterine ligaments through the vagina;
• Surgical treatment. Refers to forced measures in case of ongoing bleeding from the uterus of any origin and the impossibility of stopping it using a set of conservative methods. The operation involves only one thing - removal of the uterus as a bleeding organ. Indeed, in such cases, it is not so much about preserving it, but about saving the life of a woman.

Uterine bleeding has been, is and will be one of the most difficult problems in emergency gynecology. Given this fact, you should not push yourself to an extreme state if you discover their symptoms. Early seeking medical help is the only key to successfully solving the most difficult situations.

After the diagnostic curettage (May 5), I bled as expected for a week, then for 4 days everything was fine, and now again I started bleeding, my lower abdomen hurts and I feel a little dizzy. This is fine?

Causes, symptoms and treatment of uterine bleeding

From this article you will learn: what uterine bleeding is, the mechanism of development of pathology. Its distinctive features, the main reasons for its appearance. Characteristic symptoms and diagnostic methods, treatment and prognosis for recovery.

Uterine bleeding is a gynecological complication with the main characteristic symptom - the discharge of blood from the uterus, which occurs against the background of hormonal imbalances in the body (these are dysfunctional bleeding) or changes in the structure of the uterine tissue (organic bleeding).

What happens during pathology? Under the influence of hormonal disorders (lack or excess of progesterone, estrogen, dysfunction of the adrenal cortex, thyroid gland), the inner layer of the uterus (endometrium) greatly increases in size. Since it is penetrated by many blood vessels, its increase, untimely and uneven rejection causes profuse dysfunctional bleeding (normally, a small layer is excreted regularly, at the time of menstruation).

Blood supply to the female reproductive system. Click on photo to enlarge

Surgical interventions, endocrine diseases, injuries lead to the appearance of structural changes in the uterus (scars, polyps, fibroids, oncology) and vascular pathology (weakness of the vascular walls). This combination causes organic uterine bleeding.

In 95% of cases, this condition is a serious complication of the underlying pathology (fibroids, liver disease), which is dangerous due to its consequences. Constant and light bleeding threatens the development of anemia (anemia); excessive blood loss (due to injury, rupture) can lead to removal of the uterus, hemorrhagic shock and death.

Acute uterine bleeding must be stopped; this is done in a surgical intensive care unit or a gynecological hospital (the number of deaths is 15%).

The prognosis for treatment of chronic uterine bleeding depends on the general hormonal background of the body and concomitant diseases; usually this symptom can be eliminated completely; this is done by the attending gynecologist.

Patients with pathology are registered throughout their lives.

Mechanism of development of uterine bleeding

The functions of the ovaries are controlled by the hypothalamic-pituitary system of the brain. For normal maturation of the fertilized egg, its release from the ovary, fertilization or excretion, a whole list of hormones is required.

Physiology of the normal menstrual cycle. Click on photo to enlarge

Uterine bleeding develops when there is excess or insufficient production.

• FSH (follicle-stimulating) and LH (luteinizing) hormones are responsible for the formation of the corpus luteum (temporary ovarian gland) and the maturation of the follicle (unfertilized egg). With their deficiency or excess, the follicle does not mature or matures but does not leave the ovary (there is no ovulation phase).
• Since there is no ovulation phase, the corpus luteum does not form or mature (these are hormonal-dependent processes).
• At this moment, the amount of progesterone in the body (a hormone that regulates the menstrual cycle and ovarian function) is reduced, but the amount of estrogen is increased (responsible for increasing the endometrial layer for the fertilized egg).
• Under the influence of hyperestrogenism, vascular disorders appear, the endometrium grows intensively, unevenly, in a thick layer and is excreted irregularly (cycle disorders).
• Extraordinary rejection occurs in layers (under the influence of progesterone compensation mechanisms and estrogen reduction) and is accompanied by bleeding from the endometrium remaining in the uterine cavity and open vessels.
• Long-term hyperestrogenism is a risk factor and trigger for the development of structural changes in the uterus, the appearance of polyps, fibroids, and neoplasms. They begin to bleed when they become enlarged, damaged, or injured in any way.
• Structural (organic) bleeding includes damage due to mechanical rupture, decreased uterine tone, usually very heavy.

The nature of bleeding largely depends on the viscosity and speed of blood clotting, and the ability of the vessels inside the uterus to contract. It can be abundant, not abundant, extended over time (up to several weeks), it can stop on its own, but it will definitely recur after some time.

Causes

The causes of uterine bleeding are hormonal disorders and changes in the structure of the organ.

The most common pathologies and conditions that may cause bleeding:

Spontaneous termination of pregnancy (miscarriage) or its threat

Accommodation of the placenta or defects in its location during pregnancy

Pathological, difficult childbirth

Postpartum deformation, decreased uterine tone

Mechanical damage (tissue rupture)

Cervical cancer

Chorionepithelioma (neoplasm in the uterine cavity)

Vascular pathologies (atherosclerosis, vasculitis)

Polycystic ovary syndrome. Click on photo to enlarge

Thyroid diseases (thyrotoxicosis)

Diseases of the pituitary gland (Itsenko-Cushing's disease)

Infectious and inflammatory diseases (cervicitis,

Sexual infections (gonorrhea)

Use of oral contraceptives

At what age can bleeding begin?

Dysfunctional uterine bleeding caused by hormonal disorders may appear:

1. Between the ages of 12 and 18 years (juvenile, 20% of cases). Common causes of hormonal disorders during this period are stress, vitamin deficiencies, poor nutrition, physical trauma, thyroid dysfunction, and infectious diseases (measles, chickenpox, rubella).
2. From 18 to 45 years of age (reproductive age, up to 5%). The cause of bleeding is inflammatory processes (colpitis, cervicitis), stress, poor nutrition, and taking oral contraceptives.
3. At the age of 45 to 55 years (menopausal, 15%), disorders are caused by a natural decrease in the production of sex hormones, the development of benign (polyps) and malignant (cervical cancer) neoplasms.

Organic bleeding appears in women of reproductive and menopausal age (in 95%), in children and adolescents the most common cause is mechanical tissue damage.

Symptoms

Uterine bleeding of any kind is a dangerous symptom, and its occurrence is a reason for treatment. Acute blood loss (sudden copious discharge of blood) requires emergency treatment; it is accompanied by severe symptoms (weakness, drop in blood pressure, increased heart rate, loss of consciousness, loss of ability to work), and sometimes sharp abdominal pain. In this case, a person’s life depends on the timely provision of assistance.

With light but frequent bleeding, the symptoms are not so pronounced, although weakness and progressive anemia gradually worsen the quality of life and reduce the ability to work. The patient develops fatigue, dizziness, and decreased blood pressure.

Bleeding is characterized by the release of any amount of blood (not necessarily copious):

• between cycles or during menstruation;
• during menopause, after a stable absence of menstruation for more than 12 months;
• after medical procedures and childbirth in combination with high fever and abdominal pain.

Characteristic signs of uterine bleeding:

• bleeding;
• decreased blood pressure;
• increased heart rate;
• weakness;
• increased fatigue;
• drowsiness;
• dizziness;
• headache;
• pale skin.

With large blood loss, the main symptoms replace each other quite quickly, the condition is complicated by loss of consciousness and hemorrhagic shock. With prolonged, continuous bleeding (after abortion) in combination with high fever (up to 40°C) and severe abdominal pain, purulent postoperative complications and sepsis (general purulent infection) may develop.

Minor uterine bleeding slowly leads to the development of iron deficiency anemia. After hemoglobin levels decrease to less than 50 G/l, the condition is complicated by metabolic and gas exchange disorders, the development of heart failure and other pathologies.

At the same time, the underlying disease, against the background of which bleeding arose as a symptom, progresses, leading to the appearance of polyps, fibroids, and other neoplasms. But the most life-threatening complication is the danger of acute blood loss.

How to distinguish from menstruation

What are the signs to distinguish uterine bleeding from menstruation, especially if the discharge coincides with the cycle:

1. The cycle of menstruation is disrupted.
2. The intervals between bleeding increase (up to 1.5 months) or decrease (less than 20 days).
3. The discharge can be abundant or moderately abundant and scanty.
4. Lasts more than 7 days.
5. Large pieces of endometrium are expelled with bloody discharge.

The blood is bright scarlet (arterial) or dark (venous)

Reduced blood pressure

Tachycardia (increased heartbeat)

The result can be hemorrhagic shock (due to blood loss), and if the bleeding is not stopped in time, death as a result of blood loss.

Diagnostics

To diagnose the pathology that provoked the appearance of uterine bleeding, sometimes a whole range of methods is necessary:

The gynecologist collects information about the pathology and performs an external examination; the medical history includes the following information:

• about the cyclicity of menstruation;
• start and end date of last menstruation;
• about physical development and age;
• results of consultation with an endocrinologist, neurologist.

To confirm the diagnosis:

• using ultrasound examination (ultrasound) of the pelvic organs and hysteroscopy, they draw conclusions about the condition of the ovaries and the inner layer of the uterus - the endometrium, identify associated pathologies (fibroids, polyps), and control the ovulation process;
• to determine the size of the ovaries in the period between menstruation, an echogram is prescribed;
• draw up a graph of basal temperature (changes in body temperature under the influence of the production of sex hormones throughout the entire cycle);
• to exclude pathology of the pituitary gland and hypothalamus, echoencephalography, radiography, MRI or CT scan of the brain is performed;
• Using ultrasound, the condition of the adrenal glands and thyroid glands is checked;
• the hormonal profile is checked in the laboratory (they donate blood for LH, FSH, estrogen, progesterone, prolactin);
• determine the level of other hormones (TSH, T3, T4, cortisol, testosterone);
• general blood parameters (hemoglobin, leukocyte count);
• coagulation factors (prothrombin index, coagulogram, platelet count in the blood count, duration of bleeding and coagulability);
• analysis of a smear from the vagina and cervix for the presence of an inflammatory process, pathogenic microflora or cancer cells;
• part of the endometrium is examined for the presence of cancer cells.

Based on these studies, a conclusion is made about the causes of uterine bleeding in women.

Ultrasound of the pelvic organs. Click on photo to enlarge

Treatment methods

Bleeding can be stopped; this is vital, especially when the blood loss is acute and life-threatening; in 85% of cases this can be done (in 15% the pathology ends in death).

Treatment of any bleeding is carried out in a hospital setting; acute blood loss requires emergency first aid measures and calling an ambulance.

1. Stop the bleeding.
2. Replenish blood loss.
3. Eliminate the cause of the symptom.
4. Prevent recurrence of bleeding.

Drug therapy, infusion methods for restoring blood volumes and surgical methods are used, the latter are used if the bleeding is not stopped by medications.

How to give first aid

How to help before doctors arrive:

Drug therapy

The causes and treatment of uterine bleeding are directly dependent on each other: by identifying and treating the underlying disease, you can get rid of life-threatening consequences forever.

Infusion methods

Infusion methods (transfusion) are used to restore the volume of lost fluid, the number of red blood cells and platelets.

Surgical methods of treatment

Used if it was not possible to stop uterine bleeding by other means (the patient’s condition worsens, hemoglobin drops below 70 G/l, blood volume rapidly decreases).

The procedures are performed on a gynecological chair; local or general anesthesia can be administered. Using gynecological instruments (dilators), access to the uterine cavity is opened; before the operation, the condition of the inner layer is determined using a hysteroscope (an optical device in a tube that is inserted into the uterine cavity).

Prevention

Prevention of rebleeding consists of following several rules:

• mandatory elimination of the underlying cause of the symptom;
• regular examination (at least 2 times a year);
• contacting a gynecologist if any changes in the menstrual cycle or other warning signs occur;
• prescribing and taking oral contraceptives only on the recommendation and under the supervision of the attending physician;
• pregnancy planning;
• healthy eating and lifestyle;
• eliminating stressful situations.

Forecast

In 85% of cases, medication stops bleeding within a period of 3 to 7 days; surgical methods allow this to be done almost instantly; after 2–3 days only residual effects (slight bleeding) remain.

15% of bleeding cannot be stopped and ends in death. This occurs due to a combination of numerous factors and reasons for the appearance of the symptom (long-term progressive underlying disease, concomitant pathologies, development of malignant complications, late presentation).

Bleeding is one of the most common gynecological pathologies (from 20%), menopausal women (15%) and juvenile girls (12–18 years old, 20%) suffer more often.

Treatment of the heart and blood vessels © 2016 | Sitemap | Contacts | Personal Data Policy | User Agreement | When citing a document, a link to the site indicating the source is required.

Signs of uterine bleeding: what causes it and how to treat it

Uterine bleeding is a condition manifested by the discharge of blood from the internal genital organs. Menstruation is also manifested by the release of blood, but this is a natural process, genetically programmed by nature.

Distinctive features of menstrual discharge from uterine bleeding in women are profuseness and duration increases, there is no consistency.

What causes uterine bleeding?

The reasons leading to the development of uterine bleeding are diverse, and a classification was created to understand them.

Uterine bleeding causes, main categories:

1. bleeding caused by pathologies that do not affect the reproductive system or extragenital conditions. Their causes: infectious diseases (typhoid fever, sepsis, dysentery), blood diseases (genetic vasculitis, hemophilia), cirrhosis of the liver, pathology of the cardiovascular system, dysfunction of hormonal organs;
2. bleeding caused by genital pathologies. These could be: rupture of the ovary or cyst, tumor of the uterus or ovary, infectious diseases of the genital organs, menopause or puberty.

Genital pathologies of uterine bleeding

This group of causes is divided into two large categories: uterine bleeding associated with the course of pregnancy and independent of it.

Uterine bleeding is associated with pregnancy and delivery:

• Ectopic pregnancy or interrupted classical pregnancy;
• Premature placental abruption, violation of the integrity of the surgical scar on the uterus, violation of the integrity of its walls;
• Traumatization of the external genitalia of women during actions in the delivery room, and other soft birth canals;
• Incomplete release of the placenta, its infringement;
• The muscle tissue of the uterus has lost strength, elasticity and endurance after childbirth;

Chorionepithelioma, hydatidiform mole and other diseases of the ovum.

Uterine bleeding that occurs regardless of pregnancy:

• Discirculatory uterine discharge. Classified by age categories: juvenile (at puberty), reproductive (period favorable for the birth of children), menopause (during menopause);
• Neoplasms of the internal genital organs of women - uterus, ovaries;
• The superficial membrane of the tumors is damaged, as well as cysts on the genitals;
• Inflammatory processes of the uterus - endometritis, cervicitis, erosive processes affecting the cervical canal, etc.

Juvenile bleeding - causes, symptoms

During the transformation of a little girl into a beautiful girl, the appearance of intermenstrual bleeding or an increase in the volume of blood during menstruation is often noticed. Most often, the cause of this is ovarian dysfunction, which is directly affected by frequent psychological stress, excessive physical activity, poor nutrition, and constant colds.

When examining teenage girls with uterine bleeding, a lack of ovulation is discovered due to a disruption in the production of hormones. Often, the causes are insufficiency of blood clotting factors, tuberculosis of the internal organs of the reproductive system, tumor formations of the cervical canal and the walls of the uterus.

Regardless of the cause, uterine bleeding during puberty is dangerous to health and life, and an urgent visit to the doctor is necessary.

Bleeding during the active reproductive period

In this option, the number of reasons causing bleeding is much greater.

• dysfunction of the hormonal system due to an abortion, taking a number of medications, “playing” with hormonal oral contraceptives;
• in the early stages of pregnancy, bleeding is the result of spontaneous abortion;
• ectopic pregnancy - after rupture of the fallopian tube;
• hydatidiform mole, placental previa and placental abruption;
• decreased muscle tone of the uterus;

after childbirth, bleeding due to incomplete discharge of the placenta;

fibroids, endometriosis, uterine tumors, endometritis.

Danger during menopause

The menopausal period is not the easiest time in a woman’s life - there is a reorganization of the hormonal sphere, which is why bleeding is not rare. Among other reasons, neoplasms with and without malignancy should be highlighted. Women need special attention in the postmenopausal period, when periodic periods have long stopped and blood suddenly appears.

If even a small amount of blood appears, immediately go to the doctor. Do not despair if the problem is a tumor; in the initial stages it is easily treatable. For a diagnostic examination during menopause, histological material is taken from the cervical canal and uterine body, after which a microscopic examination of the scraping will reveal the cause of bleeding.

Dysfunctional uterine bleeding

This group of bleeding cannot be strictly separated at any age. They can occur both during puberty and during menopause.

Dysfunctional uterine bleeding is a popular type, and is characterized by disruption of the endocrine system, starting from the hypothalamus and pituitary gland, and ending with the ovaries and adrenal glands.

Gynecology identifies the main causes of dysfunctional uterine bleeding:

• endocrine system disorders related to the thyroid gland,
• pancreas, as well as against the background of obesity;
• overwork – emotional and physical;
• climate change;
• artificial termination of pregnancy, often spontaneous.

According to the time of appearance of blood during periods of the menstrual cycle:

• ovulatory - depend on menstruation, the period of maturation of the egg and its release from the follicle;
• anovulatory – intermenstrual bleeding not associated with the menstrual cycle. As a rule, with anovulatory bleeding, the duration and volume of menstruation itself changes.

Breakthrough bleeding

They cannot be classified into any one category, as they appear during the initial use of oral hormonal contraceptives. A small amount of bleeding is a manifestation of the women’s body adapting to the new drug. But to further prevent their occurrence, contact your gynecologist to adjust the dosage.

This phenomenon occurs infrequently, but you should take it seriously and consult a gynecologist

Symptoms and first signs

All clinical symptoms are divided into general and local.

• weakness throughout the body, dizziness;
• pale skin;
• nausea, urge to vomit;
• loss of consciousness;
• weakened thready pulse;
• lowering blood pressure.

Local symptoms of uterine bleeding:

• The appearance of bloody discharge from the vagina;
• During menstruation, you notice an increase in the number of clots, the total volume of discharge has become larger, one hygiene product quickly becomes unusable;
• After sexual intercourse, women may experience a slight bruising;
• Taking into account the fact that bleeding can be heavy or not very heavy, pain does not appear;
• Signs of uterine bleeding appear regardless of menstruation.

Regular symptoms of heavy uterine bleeding indicate tumors (for example, fibroids), adenomyosis, or disorders of the body's blood system.

Treatment and first aid

It is impossible to figure out the causes of uterine bleeding on your own; the gynecology department will probably deal with it faster and better, and therefore if you notice strange symptoms and unplanned bleeding, call an ambulance immediately. Signs of uterine bleeding are a serious signal from the women’s body about global problems, and every minute can be decisive.

Treating uterine bleeding in women at home is an absurdity of the highest degree, but there are certain rules that, if followed or not followed, will help save lives.

• apply a warm compress or heating pad to the abdominal area;
• perform douching;
• forget about a warm bath;
• take medications that affect uterine contractions.

Uterine bleeding in women - first aid at home:

1. Strict bed rest with legs elevated. The cushion under the lower limbs will not allow vital organs - the brain, kidneys, liver - to suffer from blood loss, which means the likelihood of loss of consciousness is excluded;
2. Cold. Try to stop the bleeding yourself. Place a bubble, heating pad or bottle with cold water or ice on the lower abdomen, first wrap it with a towel to prevent frostbite. Apply a cold compress for minutes, after a five-minute break, continue for two hours. This simple method of treatment will narrow the blood vessels and reduce the percentage of blood loss;
3. We replenish the volume of circulating blood. At home, in emergency situations, it is difficult to come up with an alternative to IVs, but drinking plenty of warm, sweet drinks can restore blood loss. Glucose will provide nutrition to brain cells;
4. Emergency assistance - medicines. We point out once again that medications should be taken only in extreme cases or after consultation with a doctor. It would be useful to have aminocaproic acid, calcium gluconate, and dicinone in your home medicine cabinet.