Why does menstrual bleeding occur?

What are the causes of menstrual bleeding? In a number of cases, it is not a nosological one, but a symptomatic one. In young nulliparous girls, this may be due to impaired ovarian pituitary gland. In more mature women, uterine menstrual bleeding is caused by the inflammatory processes of the genital organs. At the root of the origin are problems with ovulation as a result of arthresia or the persistence of follicles. The yellow body in the ovaries does not develop, as a result, this leads to a violation of the secretory transformation of the endometrium. With prolonged exposure to atresia, proliferation of endometrial tissue is impaired. As a result, it can lead to glandular-cystic hyperplasia or polyposis (formation on the endometrial mucosa). The concentration of estrogens (hormones) decreases, the endometrium begins to be rejected, resulting in menstrual bleeding. Often bleeding continues for several weeks, which entails a lot of blood loss for a woman. Often in mature women, menstrual bleeding occurs with menopause if they take hormone replacement therapy. In this case, menstruation is restored, but in no case should there be clots and pain. In case of abnormal and prolonged bleeding, you should immediately go to the gynecologist for an appointment.

Bleeding and contraceptives: the relationship

Many believe that taking contraceptives helps reduce blood loss. In 30% of cases it is. But women suffering from iron deficiency anemia and menorrhagia often have menstrual bleeding when taking contraceptives, especially if oral contraceptives contain a large number of hormones. In such cases, you should replace the tablets with those in which a low dose of estrogen is present. Hormonal injections also have a negative effect on the menstrual cycle .

Flow

Menstrualnopodobnoe bleeding can be of different duration and strength. With frequent and prolonged blood loss, posthemorrhagic anemia occurs. With gynecological examination, the uterus is enlarged, and often the doctor discovers cystic changes in the appendages. Outside the bleeding, a woman must undergo a functional diagnostic test .

Treatment

Cessation of discharge is often achieved with the help of complete curettage of the uterus with the introduction of hormonal medications. Young girls are very rarely prescribed such an operation and only in especially severe cases. Estrogen hormones are administered at high dosages for two weeks. Progesterone is also prescribed. After that, in the next few months combined hormone therapy is used according to a certain scheme. To prevent bleeding hormonal regulation is required in combination with anti-inflammatory and restorative means. Widely used symptomatic and herbal medicine. All procedures help to stop uterine bleeding and normalize the sexual sphere. With abundant climacteric and juvenile discharge, medicinal herbal preparations are prescribed in combination with injectable-haemostatic medicines.