Thursday, December 2, 2010

Vigilant menorrhagia in seven potentially dangerous

Careful you closely monitor their menstrual cycle but is noticed blood flow? If the original rule of menstrual suddenly became a flood of ocean that often means that a failure occurred on health ...

You first need to figure out a problem — how to be more menstrual? doctors think normal menstrual bleeding should be 20-60 ml, more than 80 ml for menorrhagia.

To estimate the approximate amount of sanitary napkins, normal usage is an average of four or five times a day for each cycle of not more than two packs (packs of 10 tablets). If using 3 package sanitary napkins were not enough, but almost every piece of sanitary napkins are wet, too many belonging to quantity. Different age, physiological stages of the female, the causes of menorrhagia vary. To the age of 25 to 40-year-old female, for example, abnormal vaginal bleeding increased mainly following the seven factors:

Hypothesis 1: contraceptive methods incorrectly

Related terms: with contraception, drugs, subcutaneous injection methods

Sometimes, abnormal vaginal bleeding and you take contraceptive methods.

The most common "trouble" is part of the uterus. In our country, this is the most popular female fertility after use of contraceptive methods, it is the most prominent problems are the menstrual cycle, after periods of increased significantly by volume and by sweaty bleeding. Especially the new generation of active with copper ions, with increased contraceptive effectiveness also increases the amount of menstrual bleeding. In addition, the short-term effect of oral contraceptives can usually make your menstrual cycle becomes law, quantity, and alleviate Dysmenorrhea.

But the wrong route also can cause hormonal regulation disorder, abnormal increase of menstruation.

For example, did not follow the prescription information never taking, or wrong, clothing, resulting in the organism of reproductive hormone disorders, the development of the endometrium are affected and abnormal bleeding occurs. There is also a long-acting injection or subcutaneous implantation of women, contraception drugs most often experience is not a large amount of vaginal bleeding, but a continuous, drop-shaped hemorrhage, sometimes bleeding volume will also extend and cumulative time to very large. This is mostly because the external use of reproductive hormones in your body functions is not up to the balance of the results.

Solution: after placing with menorrhagia solution: use oral drugs, alternative other contraceptive methods, or change to configuration contains reduces the quantity of progesterone constituents of the uterus.

Although oral contraceptives in ordinary drugstore can easily obtain, but be aware that they are prescription drugs. If you want to take this way contraception, alone to carefully read the information on prescription drugs is not enough, the former must purchase the professional medical advice, learn more about how it fits and contraindications and proper medication method, as well as in the event of a missed combined remedies. Although you choose long-acting injection or subcutaneous implantation technique drug contraceptive when advised of a similar scenario from happening, but with time it has been gradually improving, or gradually, will go up in a timely manner, the doctors to evaluate your suitability for such a contraceptive method.

Hypothesis 2: infection

Related terms: pelvic inflammatory disease, vaginitis

Genital mutilation is another of inflammation causing abnormal vaginal bleeding of common cause.

We all know that female genital mutilation are not completely closed, between it and the outside half open channel to have access to a variety of factors from the outside world. When you are anxious, nervous, tired, and so make their defensive function scenario, various factors may be able to take advantage and lead to the occurrence of various inflammatory, enabling local vascular fragile, difficult to set time of bleeding, often caused by the increase in the quantity and the period of extension. If you recently her condition overall, vaginal bleeding with more capacity or waist pain in lower abdomen, increased vaginal discharge, color or smell exception, fever and pain, frequent urination, we should consider a genital infection.

Strategy: tackling various infection of universal remedy is sufficient rest, plenty of drinking water and light meals, so mild infection could be improved; otherwise, you will need time to see the doctor to use effective antibiotics for treatment.

Hypothesis 3: abortion or abnormal pregnancy

Related terms: incomplete abortion and ectopic and molar pregnancy

Mature women with abnormal vaginal bleeding, sometimes associated with pregnancy complications, if your menstruation usually very punctual, but for no reason was more than a week or ten days, after like open gate like poured down stream, also with more than usual blood clots or organizational structures, the time is longer than usual.

So, this is most likely a small event of abortion. Similar events more often at abortion (either surgical or medical abortion), especially after medical abortion, 5% ~ 10% chance of miscarriage failed or incomplete abortion. In addition if the accompanying increase in vaginal bleeding, also appears in panic, dizziness, sweating, stomach pain or even syncope condition, it may be a sign of ectopic pregnancy.

Solution: most simple self-test is pregnancy: morning urine tests can have an approximate estimate of the situation.

But this method is not entirely reliable, sometimes in cases of abortion, hormone levels have declined and a negative result. If you have vaginal bleeding in a short time to increase too much too quickly, or bleeding time is too long, or other symptoms occur, contact the doctor immediately.

Hypothesis 4: endometriosis

Related terms: ovarian endometriosis, uterine adenomyosis

Simply endometriosis is originally the long in the uterine wall lining of tissue appears in a different location.

These "ectopic" endometrial, interfere with the genital mutilation of normal function, often accompanied by various menstrual disorder — the periods of excessive blood, anterior bleeding secondary dysmenorrhea drops, and so on. If your menstrual amount gradually increase, and with increasingly severe dysmenorrhea; if you and your lover intimacy when consciously YenTo discomfort and even pain; if you find yourself zhengdangnian and pregnancy efforts have suffered ... Note that you may have already been suffering from endometriosis.

Strategies: first, a clear diagnosis of the problem, although experienced gynaecologists through simple pelvic examination or ultrasound scanning can find endometriosis some typical manifestations, but confirmed this disease but require a laparoscopy.

Appropriate treatment include oral hormonal regulation of drugs or surgery. If you have family planning, mild patients are also available through pregnancy and childbirth process that alleviate disease development.

Hypothesis 5: tumor

Related terms: uterine fibroids, uterine endometrial polyps, cervical cancer, endometrial cancer

Women of childbearing age women most commonly genital cancer than the uterine fibroids.

The incidence of uterine Leiomyoma is very high, up to 20% to 25%, but please don't be afraid, because 99. 5% are benign. Causes of menorrhagia only intramuscular and submucous myoma of two types. Endometrial polyps in fact is a chronic inflammatory disease, in recent years the incidence of cervical cancer, and has gradually reducing the trend. The initial symptoms of cervical cancer is caused by bleeding after sexual intercourse, in this case particularly conspicuous walking around, sometimes even can cause fatal bleeding. Are you a progressive increase of menstruation, or combined with other menstrual abnormalities such as menstrual cycles shorten, lengthen, irregular bleeding, intermenstrual bleeding or ... All time please check the gynaecologist.

Countermeasures: yearly standard gynecologic examination, including pelvic examinations, PAP and if necessary, of pelvic ultrasonography laparoscopy or Hysteroscopy, can help you in early detection and treatment of the above-mentioned exceptions.

Hypothesis 6: Hematologic disease

Related links: Thrombocytopenic Purpura, hemophilia, leukemia, aplastic anemia

Increased menstruation may or may not be the issue of reproductive organ itself, but rather a sign of blood diseases.

Also due to menstrual bleeding and other volunteers to be self regulation of blood coagulation system. If an exception occurs the coagulation system, such as: congenital deficiency of a clotting factor, because the blood of patients with hemophilia are not easily solidification causes each menstrual bleeding heavily and long time. And menorrhagia is sometimes the only female performance in patients with hemophilia! other common malignancies such as Thrombocytopenic Purpura, leukemia, aplastic anemia, easy-to-involving the coagulation system enables increased menstrual quantity. If you're prone to infections, fever (particularly hyperpyrexia), in addition to the regular menstruation has increased, but also appear ecchymoses, nose bleeding, gum bleeding, and other conditions ... These abnormal bleeding more likely is the coagulation system problems — that is, the blood disease.

Countermeasures: especially young women, if long-term face menorrhagia, but after checking the obstetricians and can not find any cause, then you should consider accepting more blood test to see if suffering from blood diseases.

Hypothesis 7: function exception

Related terms: anovulatory menses, ovulatory Breakthrough bleeding, luteal, uterine endarterectomy insufficiency

If the above conditions are not your problem, you should consider whether there might be dysfunctional.

Many people often mentioned the endocrine disorders as is the case. But everyone's situation is different, such as professional doctors can according to your different menstrual phase, endocrinal, blood hormone determination combined with diagnostic curettage, ultrasound scans, MRI and other auxiliary means of inspection, the difference what type of hormone imbalance and its possible causes, and so on, and then targeted for treatment. If you often appear irregular menstruation, quantity is often small, menstrual, premenstrual symptoms such as bits of bleeding, but can not find other obvious reasons, then it is likely that dysfunction at work.

Countermeasures: the above scenario you through their own judgments often cannot determine the cause, it is recommended to let experienced doctors to research the cause, in the first rule out previously described various other causes of "organic" to be confirmed.

(Edit: Zheng Yan internships, MD)

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