Bleeding from the uterus, which occurs during menopause and postmenopausal women, is a bleeding or clot from the female’s penis, which is cyclical or acyclic. Uterine bleeding is one of the most common problems that occur during menopause and forcing women to seek help from a gynecologist. This pathological condition occurs in 35% of the fair sex in the period of menopause and postmenopause. Often, to eliminate this problem, a woman is hospitalized in a gynecological hospital, since surgical intervention is often required to eliminate it. This condition should not be ignored due to the fact that it is very dangerous to the health of a woman and can lead to very sad consequences, even death. Large blood loss leads to anemia, as well as cause violations of sexuality, cause tremendous discomfort, while reducing the quality of life.
The appearance of hemorrhages in the period of menopause, some women are mistaken for normal menstruation, but this is absolutely not the case. It must be remembered that the formation of any abnormal changes at this age is the first signal, indicating that it is necessary to consult a doctor as soon as possible, since bleeding can be not only a physiological, but also a pathological phenomenon.
To great regret, a large number of representatives of the beautiful half of the population do not have information about all the symptoms characteristic of the menopausal period. You need to know that after 45 years you need to pay special attention to your health and monitor it. In this regard, the occurrence of any changes that are not characteristic of the normal state, is the reason for visiting your doctor.
Duration, abundance, factors and consequences of hemorrhages from the uterus cavity largely depend on a certain period of menopause:
- Premenopause is the beginning of hormonal alteration in a woman's body, during which the ovaries function out, their period ceases to be regular, and they become either abundant or, on the contrary, scanty.
- Menopause is the period during which menstruation stops. In the case when menstruation does not go for 12 months in a row, this indicates the onset of menopause and the end of the menstrual cycle.
- Postmenopause - this period begins when menstruation stops completely. At this time, the occurrence of any bleeding and clots from the uterus is considered to be an anomaly.
Types of bleeding
Based on the factors that provoke the occurrence of blood discharge from the uterus, such a classification is known, namely:
- organic - triggered by various diseases of the reproductive organs, such as fibroids, endometriosis, hyperplasia, endometritis,
- inorganic - this type of bleeding is caused by the occurrence of hormonal adjustment, which entails pathological changes in the organs of the reproductive system, or rather the endometrium, uterus, ovaries, and so on,
- iatrogenic - occur as a result of long-term use of medicinal drugs belonging to the group of anticoagulants or hormonal,
- extragenerative - in this case, hemorrhages are provoked by concomitant illnesses that occur in the female body, such as liver cirrhosis, hemophilia, hypothyroidism.
Types of bleeding
The occurrence of a hormonal imbalance in a woman during menopause makes it very difficult to diagnose ailments, and often spotting and clots from the uterus is very easy to confuse with the usual periods. When they appear, a woman should pay close attention to the presence of any abnormalities unusual for normal periods. Based on the duration and abundance of discharge, bleeding is divided into several types, such as:
- Menorrhagia is a fairly long-lasting and very heavy uterine bleeding that has a cyclic pattern. Their duration is mainly 7 days or more, with daily blood loss may be equal to 80 ml.
- Metrorrhagia is a minor bleeding that is irregular.
- Manometrorrhagia is a sufficiently long blood discharge from the penis, accompanied by increased profusion and complete lack of regularity.
- Polymenorrhea - cyclical bleeding is extremely similar to menstrual bleeding, only having a cycle in 21 days.
Figure taken from drlady.ru
The most extremely inconvenient and difficult time to diagnose ailments is the stage of premenopause. During this period, a woman begins to break the previous and already completed monthly cycle, which manifests itself in the form of their absence for several months in a row, and then resuming again. The profusion of these secretions can be both small and very significant.
If the following symptoms occur, the woman simply needs to consult a qualified specialist:
- the discharge from the uterus is very abundant, that a woman has to change sanitary pads every hour,
- there are a huge number of bloody clots,
- hemorrhages occur immediately after intimate relationships,
- hemorrhages begin several days after the end of menstruation,
- the monthly cycle lasts less than 21 days,
- bleeding duration is more than 7-8 days,
- During the period of bleeding, there are additional changes in the form of headaches, dizziness, worsening of the general state of the body, a decrease in blood pressure, blanching of the skin, nausea and subsequent vomiting.
After the complete cessation of menstruation, the period of menopause begins. The occurrence of any discharge in the form of clots and bleeding during this period is a pathological process. The only exception is hormonal medication. In the case when a woman uses drugs, which include hormones such as estrogen and progesterone, she may have uterine bleeding.
At the stage of postmenopausal diagnosis is much easier, provided that the patient as quickly as possible seek the help of a specialist in the event of the first symptoms. The greatest danger for a woman is the occurrence of a tumor of the endometrium, which has a malignant character. This tumor often provokes very strong and profuse bleeding from the uterus. Benign growths, pathological changes, as well as various diseases of the pelvic organs can also provoke any discharge.
In order to prevent the occurrence of extremely unpleasant and dangerous consequences, it is necessary to regularly visit your gynecologist, who will conduct an examination on the gynecological chair, and, if necessary, order a surrender of the necessary tests and an additional set of studies. This manipulation will help to identify the disease as soon as possible, and then eliminate it.
Causes of bleeding
When a woman has a period of menopause, her body becomes more susceptible to the development of various diseases of the reproductive system. In addition, the exacerbation of chronic diseases already existing in the history, against the background of which new diseases arise, is aggravating.
The main causes of heavy uterine bleeding, which are accompanied by clots, are:
- Hormonal disbalance. At this time there is a decrease in the functioning of the ovaries, the full maturation of the female germ cell is extremely rare, in connection with this monthly flow irregularly. In addition, there is an active proliferation of endometrial cells outside the uterus, this phenomenon enhances the secretion from it. When the growth of the endometrium occurs very quickly, the risk of formation of formations that are of a malignant nature increases.
- Uterine fibroids. Myoma is considered a benign neoplasm, often accompanied by extremely severe menorrhagia. Bleeding in this case is very abundant, and results from a decrease in the contractile function of the uterus, which leads to the active growth of fibroids.
- Polyps - a benign formation that occurs on the mucous membrane lining the uterus. Although polyps are not malignant, they must be removed with the help of surgical intervention due to the fact that the proliferation of polyps provokes the appearance of abundant but not regular secretions.
- Hyperplasia. When this disease occurs, a significant proliferation of the endometrium occurs, which in medical practice is considered to be a precancerous condition.
- Intrauterine contraception. Often the spiral, which is placed in the female genital organ, and provokes the appearance of clotted secretions.
- Acceptance of medication for contraception. When a woman begins to take these drugs, the amount of discharge is significantly reduced, but at the end of the course of bleeding begin again.
The exact cause provoking bleeding from clots from the cavity of the maca can be determined only by an experienced gynecologist after a proper diagnosis.
The occurrence of any abnormal bleeding is the first sign that a woman needs to see a specialist. In this case, it is a gynecologist. The first thing the doctor will do is conduct an examination on the chair in order to determine the source of the bleeding, assess its intensity and frequency.
Also to identify the causes of provoking the occurrence of bleeding with clots in various stages of menopause using the following diagnostic methods, such as:
- blood test, with which you can assess the performance of the liver and completely eliminate the presence of anemia,
- blood coagulation test,
- determining the level of hormones in the body, especially human chorionic gonadotropin,
- examination for the presence of tumor markers in the blood plasma,
- transvaginal ultrasound, which will help to fully assess the condition of the pelvic organs,
- magnetic resonance imaging of the female reproductive organ,
- color Doppler, which helps to assess the vessels surrounding the genital organ,
- cytological smear from the cervical mucosa, with which you can determine the presence of malignant cells in the cervical mucosa,
- study of the endometrium as a biomaterial.
When a certain suspicion arises that the factor causing bleeding from the uterus is the ailments of organs that are not connected with the organs of the small pelvis, it is necessary to consult other doctors who are specialized specialists.
In addition to the above diagnostic methods, differential diagnostics are also often used. This is a method that allows to exclude illnesses that are not suitable for the facts and symptoms in order to accurately establish the cause, which in this case causes the release of clots and hemorrhage. This method will help eliminate diseases that cause bleeding during menopause and postmenopausal, namely:
- the presence of endometrial polyps,
- endometrial hyperplastic processes,
- endometrial cancer,
- cancer of the lower segment of the uterus,
- submucous myoma of the hollow organ
- uterine sarcoma,
- internal endometriosis.
Based on the profusion and intensity of bleeding from the genital organ, a woman should independently assess her condition. When bleeding during menopause and postmenopausal is moderate, they can be stopped at home using the following methods, such as:
- Cold. A cold compress is often used to stop bleeding. To make it, you need to take a bag and pour a lot of ice there, or pour very cold water into a heating bottle after that, put the cold on the lower abdomen and hold for 10 to 15 minutes. In order not to catch a chill of the pelvic organs, an ice pack or heating pad is wrapped in a towel or other piece of cloth. Breaks between the manipulations must be at least five minutes. The duration of the use of cold is from half an hour to two.
- In order to ensure the best outflow of blood from the penis to the pelvis, you must put a pillow or blanket, folded in the form of a roller.
- Restoration of water balance. When bleeding occurs, the body loses not only blood, but also fluid. As a result, the blood thickens and the risk of blood clots increases. In this regard, it is recommended to drink a large amount of liquid with sugar.
- Drugs that stop bleeding. These medicines at home should be taken only after consulting a doctor.
At this time, it is forbidden to carry out the procedure of douching, take a hot bath or apply a heat compress on the stomach. These manipulations, on the contrary, increase bleeding and worsen the general condition of the woman.
When a woman’s condition is very severe, she is accompanied by additional symptoms in the form of dizziness, nausea, she needs to quickly call an ambulance, which will take her to the hospital. In the hospital, the patient will be given medication to stop the bleeding. After that, a complex of studies will be assigned to determine the cause that provoked it and the corresponding therapy.
Treatment may consist of the following methods, namely:
- Surgical intervention. Often used to remove tumors and polyps. The method and nature of the operation depends largely on the place where the tumor is located, as well as its size.
- Endometrial curettage. This procedure is performed when bleeding cannot be stopped. After it, the biomaterial is taken for laboratory tests.
- The use of hormonal drugs. These medicines are prescribed in the absence of pronounced factors that cause bleeding. Before their appointment must pass a blood test for hormones.
In order to reduce the risk of bleeding during menopause, it is necessary to visit a doctor every six months and undergo an examination in the gynecological chair.
During this period, hormonal changes, the ovaries are unstable, ovulation occurs less frequently. The reasons for the increase in blood discharge at this time include:
- Endometrial hyperplasia in menopause: the menstrual cycle becomes irregular, leading to an increase in the endometrium. During menstruation during this period, the volume of discharge may increase.
- Endometriosis in menopause: germination of the endometrium outside the uterus, on neighboring organs. Accompanied by intermenstrual bleeding.
- Fibroids in the uterus: this pathology causes a violation of the contractility of the uterus, which causes the development of bleeding.
- Endometrial polyps: growths on the endometrium provoke an increased secretion of blood.
- Ovarian dysfunction: inflammation and hormonal disorders cause delays, the intensity of the menstrual flow varies from time to time.
- Use of the IUD: the intrauterine device causes an increase in the amount of discharge during menstruation.
- Oral contraceptives (in case of abrupt cancellation).
- Diseases of the thyroid gland: sharp fluctuations in the level of thyroid hormones can cause uterine bleeding.
- Blood coagulation disorder: may be natural, but may be caused by medication, in particular, anticoagulants.
Menopause and postmenopause
Menopause is characterized by the complete absence of ovulation, menstruation does not occur. In menopause, the causes of regular bleeding may be associated with the use of hormonal drugs with progesterone. Wanting to regain their youth, women begin to use hormones that cause the return of menstruation.
Also, bleeding is possible when using hormone replacement therapy for menopausal syndrome in severe form. Such therapy is possible only in the absence of serious pathologies and under the supervision of a gynecologist.
After ovulation is terminated completely and menstruation does not occur within a year, we can talk about the onset of postmenopausal women. Any bleeding or bleeding during menopause indicate health problems. Most often, the blood is possible for the following reasons:
- violation of the integrity of the vaginal mucosa (damage due to increased dryness, for example, as a result of sexual intercourse) contributes to the development of various infections of internal genital organs,
- development of benign tumors of the cervix, cancer, fibroids.
Abundant periods during menopause in any of its stages is a reason for an immediate visit to the gynecologist, since fibroids and polyps, as well as oncological pathologies can appear at any age.
Types of pathological secretions in menopause
Uterine bleeding of varying intensity may occur in a woman at any time. In gynecology, they are divided into the main types:
- menorrhagia - prolonged (longer than 7 times) or heavy (over 80 ml) regular bleeding,
- metrorrhagia - frequent, scanty and irregular discharges of the spotting nature,
- menometerorrhagia - irregular bleeding, prolonged in time and (or) heavy,
- polymenorrhea - bleeding occurs regularly, the menstrual cycle is less than 21 days.
During the premenopausal period, bleeding usually has the character of menometrorrhagia, and menopause bleeding has the properties of metrorrhagia. Dark brown discharge during menopause - a signal of the development of pathology. Vaginal microtraumas arising from the excessive dryness of its mucous membrane (climacteric atrophy of the vagina) can cause bloody, blood-like discharge.
When to suspect pathology and consult a doctor
Bleeding with menopause may have a different nature and frequency, it all depends on its stage. During the premenopausal period, a woman should consult a doctor if:
- menstruation is too long, but irregular, and the amount of discharge unstable (menometroragiya),
- in the secretions there are clots, fragments of tissue, they are accompanied by an unpleasant smell,
- menstruation occurs more often than once every 3 weeks (polymenorrhea),
- menstruation becomes short and is characterized by weak intensity (metrorrhagia).
If bleeding begins, there is a brown discharge in the period of menopause, first of all, you need to be screened for cancer. Any discharge in the period of menopause, containing blood, may indicate a serious pathology.
Blood discharge during menopause at its different stages may indicate a variety of problems of the internal genital organs, but we should not forget about the main signs of dysfunctional uterine bleeding (DMK), which requires immediate hospitalization:
- discharge has a liquid consistency,
- the blood is bright scarlet
- blood flows out quickly, bleeding does not subside when lying down.
Such a condition can be eliminated only in the hospital, with the use of emergency measures.
How to stop bleeding at home
Uterine bleeding during menopause is especially dangerous, as irregular menstruation and varying amounts of discharge can be confusing for a woman. You can stop the bleeding with drugs (pills, injections of hemostatic drugs), and along the way, in consultation with your doctor, use the methods of traditional medicine.
Bleeding after menopause with the maximum probability means the presence of serious oncological diseases in the body. It is categorically impossible to treat yourself at home, an urgent examination is required in a hospital setting, as an urgent surgical operation may be necessary.
Usually, hemostatic drugs are used to suspend unexpressed bleeding:
- calcium gluconate - reduces capillary permeability,
- Vikasol (artificial analogue of vitamin K) - stimulates the production of prothrombin and proconvertin,
- Dicynon - reduces the permeability of the walls of blood vessels and stimulates the formation of thromboplastin,
- aminocaproic acid - inhibits fibrinolysis.
If the cause is established, and uterine bleeding occurs regularly, then the treating gynecologist prescribes pills in combination with traditional medicine methods. Also, these drugs are prescribed for heavy periods, causing blood loss.
Doctors recommend the use of hemostatic herbs for uterine bleeding during menopause. These include the following medicinal plants:
- stinging nettle: chopped dry raw materials in the amount of 4 tablespoons to place in boiling water (0.25 l) and cook over low heat for 0 minutes. Cool, strain and drink one tablespoon 5 times a day,
- shepherd's bag: Pour the dried raw materials (a tablespoon) with boiling water (0.25 l) and make an infusion, soak for 1 hour. Strain and drink one tablespoon 4 times a day before meals,
- viburnum: mix fresh berries with sugar (to taste), grind. Add boiled water, observing a 1: 1 ratio. Drink a tablespoon 3 times a day,
- Yarrow: brew 2 teaspoons of raw materials in boiling water (0.25 l), insist. After an hour, strain and drink 4 times a day for a quarter cup of infusion.
Menstruation during menopause (usually between the ages of 45 years and older) should be under the constant supervision of a woman. The change in the nature of the discharge, their frequency can indicate the onset of the disease, which must be promptly identified and cured.
A postmenopausal daub warns of the need to undergo screening for oncological diseases, and the occurrence of bleeding after the menopausal period may require urgent surgery. Careful attention to your health during menopause can prevent undesirable health effects.
The main causes of pathological hemorrhage
Most often in the early stages of menostases, bleeding during menopause is physiological in nature and is caused by the hormonal adaptation of the organism. However, often in the diagnosis of doctors can detect diseases that were previously not diagnosed. The most common non-physiological causes of blood marks on underwear in menopause:
- Myoma. This is a benign neoplasm. The tumor occurs predominantly in premenopause due to hormonal failure. As a rule, with the growth of the tumor, the nature of the regul. A clear sign of fibroids - prolonged menstruation before menopause. Myoma grows up to the transition to the postmenopausal stage. Further, tumor growth is not observed.
- Polyps. At the initial stage of development, endometrial polyps are considered benign neoplasms. Galls can be singular or numerous. The tumor looks like a clot of endometrial cells that is connected to the wall of the pedicle. There are a large number of vessels in these legs that, when injured, provoke minor hemorrhages. Allocation of endometrial polyps often scant lung that occur in the intervals between menstruation. The main danger of polyps is the possibility of the transformation of neoplasm cells into cancer cells.
- Hyperplasia. Uncharacteristic increase in the mucous layer of the uterus due to an imbalance of hormones. At the stage preceding menostase, the amount of estrogen increases dramatically, which provokes endometrial thickening. The result of the deviation is severe and prolonged bleeding during menopause. Hyperplasia often begins to manifest itself after a prolonged absence of critical days in the second and third phases of menopause. Any bleeding at this stage should be a reason to consult a doctor.
- Endometriosis. The disease is characterized by the introduction of the endometrium into the adjacent organs and muscle tissue. When the disease is neglected, traces of the endometrium can be observed in the ovaries, fallopian tubes, and even in the intestines. The main danger is the risk of the transformation of pathological cells into cancerous tumors. A characteristic feature of endometriosis is intermenstrual smearing, accompanied by a painful symptom.
- Ovarian dysfunction. Most often, the disruption of the ovaries is associated with inflammatory diseases and hormonal imbalances. With this disease, the regula come randomly, with varying intensity.
- Oncology of the uterus. Like any cancer, uterine cancer can be almost asymptomatic for a long time. The reason for the immediate visit to the gynecologist should be any bleeding in postmenopause. It is in this period that the oncology of the female organs is most often diagnosed. Particular care should be exercised by women in whose family already had similar diseases. In cancer, there may be both profuse bleeding and hemorrhage during menopause.
Signs of pathology
At the late stage of menopause, when the regulator is gone for more than a year, it is impossible not to notice this phenomenon. The appearance of any number of blood clots on the linen during this period requires the advice of a specialist.
Many women with hemorrhage from the uterus note a general deterioration of health. Pathology may be accompanied by nagging pain in the lower abdomen, dizziness, feeling of fullness in the stomach, pain when going to the toilet. However, blood loss can pass without the accompanying symptoms, this condition is most dangerous, because without feeling pain, the woman does not hurry to the gynecologist, and the disease continues to develop.
With abundant hemorrhage you need to call an ambulance. The ambulance should be called if the blood from the uterus in menopause is accompanied by:
- Sharp pain in the lower abdomen,
- Temperature increase
- Common weakness
- Nausea or vomiting
- Pale skin
If the discharge is seemingly monthly, and a year has not yet passed since the last critical days, the ovarian functions are most likely not yet extinct. If in the late menopausal stage there is a discharge with clots - this is an alarming sign. Most likely, clots indicate intrauterine coagulation of plasma. This phenomenon occurs when plasma accumulates in the uterus.
Types of blood loss in menopause
Uterine bleeding during menopause may be varied. The extent, intensity, and presence of associated symptoms depend on the cause of the pathology. Today, experts identify several types of violations that can appear during different periods of menopause:
- Organic This type of uterine bleeding during menopause may be the result of various ailments of the female reproductive organs or hormonal imbalance. Also, the cause of this phenomenon may lie in liver dysfunction or pathologies of hemostasis.
- Iatrogenic. Occur on the background of hormone replacement therapy, treatment with anticoagulants or when using the Navy, the plasma is red, liquid.
- Dysfunctional. This pathology is associated with hormonal disruption in the body.
Most often, women have dysfunctional abnormalities that may be of a different nature. Modern medicine distinguishes 4 types of DMK:
- Menorrhagia. This disorder is characterized by the regularity of large menstruation. Such periods last more than a week, the discharge is abundant and often painful.
- Metrorrhagia. This violation manifests itself in the form of scarce hemorrhage in the intervals between menstruation.
- Manometrorragia. Irregular, spontaneous hemorrhages, characterized by a large amount of blood loss.
- Polymenorrhea. This term refers to regular periods with small intervals (less than 21 days).
Causes of bleeding during menopause
The bleeding from the genital tract of a woman during menopause can be very dangerous, as they can be dangerous diseases. Correctly establish the cause of bleeding during menopause is possible only after a comprehensive examination.
The period of the onset of menopause for each woman is different. Premenopause may be at 30, but often this condition occurs at the age of 40-45 years. Approximately in 4-5 years the climax itself begins, which is characterized by the fact that:
- the hormonal background is broken,
- blood from the uterus is not excreted
- there is no process of rejection of the endometrium.
If there is no artificial prolongation of menstruation with the help of oral contraceptives, then uterine bleeding in premenopause is considered a dangerous pathology. Similarly, the violation is the appearance of bleeding after menopause. The main causes of bleeding with menopause are:
- hormonal changes,
- medical intervention or taking certain medications,
- genital diseases or other pathological processes.
To stop the bleeding, it is necessary to determine what exactly provoked it, that is why a comprehensive examination is required, which the attending doctor selects.
Disturbances in the body
The causes of bleeding in menopause are often rooted in the formation of benign and malignant tumors in various areas of the uterus and other genital organs. The treatment is chosen individually, depending on the type of pathological process and the degree of its spread. Often the occurrence of the disease provoke pathologies such as:
- endometrial polyps,
- endometrial hyperplasia.
Myoma is a benign tumor of the uterus formed from muscle tissue. This neoplasm, as well as its development, is largely dependent on the hormonal balance of the woman. The rapid growth of uterine fibroids can be observed during a period of dramatic changes in hormonal levels. Uterine fibroids for a long time does not cause any significant inconvenience, until its size becomes significant. If there is significant fibroids, the body of the uterus loses the ability to contract normally, which leads to the occurrence of prolonged bleeding.
Endometrial polyps are tissue proliferation on the surface of the endometrium. This disease for a long time proceeds without severe symptoms, and can cause severe bleeding. Polyps definitely need to be treated in a timely manner, as they can degenerate into malignant tumors.
Endometrial hyperplasia can occur alone or against the background of polyps. This disease is a precancerous condition and may cause bleeding during menopause. Such a condition requires timely medical intervention.
Uterine bleeding during menopause can occur due to systemic failure in the body due to hormonal disturbances, blood clotting and many other metabolic processes.
Most often, such violations occur due to hypothyroidism. A deterioration in the activity of the thyroid gland may be due to its injury, the presence of malignant neoplasms or the inflammatory process. Symptoms do not appear immediately, which is why the disease is often diagnosed in the later stages.
In addition, uterine bleeding with menopause can be triggered by a bleeding disorder. Diagnosis of this disease is quite complex and requires certain technical capabilities. Normalize the well-being in this case will help hemostatic drugs or blood transfusions.
Iatrogenic bleeding occurs when improperly performed surgery or taking certain medications. First of all, it concerns drugs that promote blood thinning, as well as those that prevent the formation of blood clots.
Bleeding occurs very sharply and lasts for several days. It can be very strong, and a woman loses a lot of blood. In this case, the abolition of the drug that triggered the bleeding is required. To improve well-being, hemostatic agents are additionally prescribed.
The premenopausal period is characterized by the fact that hormonal changes occur in the body. This leads to the fact that there may be a sudden spotting.
During this period, it is very important to observe all the changes taking place. It is mandatory to consult a specialist if:
- discharge too abundant
- there are clots
- discharge appears after sexual contact,
- there is no menstruation for several months.
Bleeding may indicate the presence of polyps in the uterus. In addition, benign and malignant tumors can provoke a similar condition. In addition to bleeding, in this case there is a strong pain in the lower abdomen. Abundant bleeding leads to deterioration of physical activity and the development of many different pathologies.
The appearance of bleeding during this period should greatly alert the woman. Ovaries in this period are no longer functioning, therefore, postmenopausal bleeding in the normal state can only appear when using hormone-containing drugs. All other cases indicate the development of the pathological process in the genital area of a woman.
Postmenopausal dysfunctional uterine bleeding can occur for such reasons as:
- hormonal disorders,
- myoma formation,
- endometrial hyperplastic processes,
- endocrine disruption
In addition, this condition may indicate the presence of tumors of the ovaries or uterus. Bleeding observed after the onset of menopause, can be triggered by the atrophy of muscle fibers, with the result that the mucous membranes become very thin and have a high degree of trauma.
The main symptoms
Symptoms of menopause manifest as ailment. The main features can be considered:
- severe nausea and vomiting
- weakness of the whole organism.
This suggests that a woman with age appears a lot of disorders in the body. Sharp pressure drops, anemia are considered as the most frequent manifestation, which negatively affects the general state of health. In addition, the symptoms of menopause are expressed in constant sweating, feeling of chills. During this period there is a decrease in the level of hemoglobin, which indicates a decrease in the amount of hormones produced.
Any bleeding from the background of all these signs are a very disturbing signal and a reason for visiting the doctor. Many doctors claim that bleeding can occur as a result of instability of the vegetative system, due to the presence of characteristic signs. Bleeding can be associated with many gynecological diseases, which are exacerbated during menopause.
What to do in case of severe bleeding
It is very important to know how to stop the bleeding during menopause, since significant blood loss can lead to dangerous complications and a sharp deterioration in health. With the abrupt appearance of a large amount of blood, you should immediately call an ambulance.
The effectiveness of the treatment depends largely on the cause of the condition. In case of heavy bleeding, it is necessary to take a horizontal position before the arrival of the ambulance. It is best to lie on your side and put your legs under you. Below the navel area you need to put a cold heating pad, a napkin with ice cubes or a bottle of water. With severe pain, take anesthetic.
In case of bleeding, the observance of bed rest and the use of medicinal preparations prescribed by a doctor are indicated. In the conditions of a hospital inspection and curettage is carried out. In the absence of visible causes of bleeding during menopause, hemostatic agents are prescribed.
Existing diseases are treated with a drug or surgical method, it all depends on the reasons that provoked the bleeding.
Since there are various types of climacteric uterine bleeding, it is imperative to determine for what reason they arise in order to prescribe an adequate treatment. Initially, during the diagnosis, the doctor examines and interviews the patient. In addition, the amount of blood and the presence of impurities are necessarily evaluated. Be sure to conduct these types of studies:
- blood clotting,
- hormonal studies
- blood chemistry,
- diagnostic curettage
- ultrasound procedure,
The use of numerous research methods allows in the shortest time to determine the presence of the disease. Then appointed competent treatment. Contact for help should be promptly and immediately discuss any disturbing symptoms with a specialist.
Treatment of bleeding in menopause depends largely on the cause, which provoked it. Basically, hemostatic drugs are prescribed. After conducting a comprehensive diagnosis and obtaining results, the doctor determines methods of treating uterine bleeding. In particular, carried out:
- drug treatment,
- surgical intervention,
- complex correction.
Often, patients need surgery, after which a long recovery period is required. If the cause is a hormonal imbalance, then medication drugs are prescribed to normalize hormone production. In addition, medications are required to improve blood clotting.
In the presence of uterine fibroids, an operation is performed to remove existing structures, in particular, resection or ultrasound ablation. Resection involves the removal of fibroids, and ultrasound ablation - the feeding of tumors using ultrasound. Embolization can also be used. This operation involves the introduction of certain substances that block the access of blood to the uterus, with the result that after some time the fibroids resolve themselves.
If the doctor has diagnosed endometrial hyperplasia, then surgery is performed by burning or destroying the endometrial tissues with a laser. Scraping is shown to remove polyps or when the endometrium grows significantly. In the presence of adenomyosis, a resection of the affected uterine tissue area is indicated. If the tumor is malignant, then complete removal of the uterus can be performed.
Medication for uterine bleeding
To stop bleeding during menopause, certain medications are prescribed, in particular:
When uterine bleeding is often prescribed synthetic drugs that have a positive effect on the uterus mucosa. These drugs include "Ditsinon." This medicine is characterized by the fact that:
- activates the formation of protein thromboplastin,
- normalizes blood clotting,
- prevents the formation of blood clots.
After taking the drug therapeutic effect is observed in just a few hours. It can be administered intravenously or taken in tablet form.
It is prescribed for uterine bleeding "Tranexam", as this tool helps to very quickly cope with the existing problem. This drug has an effect on the process of blood clotting.
According to the instructions for use, "Tranexam" has a very fast therapeutic effect, and literally after a while you can notice an improvement and stabilization of the condition. This drug is available in tablet form and in the form of injections.
If there is a slight loss of blood, then the use of tablets is indicated. In determining the dosage is taken into account the severity of the disease and the weight of the patient. According to the instructions for use, Tranexam is often prescribed to prevent uterine bleeding, especially when preparing the patient for surgery.
When uterine bleeding is often prescribed drug "Oxytocin", as it is able to quickly provide the required assistance. This drug has a selective effect on the uterus. After taking the medicine, there is an increased excitability of the muscle fibers in the female body, against the background of which uterine contractions begin.
Bleeding with menopause can be stopped with the help of folk remedies. Well help nettle, shepherd's bag, viburnum, tincture of water pepper.
All these tools contribute to the reduction of the uterus, improve blood clotting, and also stop bleeding. Before using any means you need to consult with your doctor.