Uterine bleeding

Uterine bleeding - all bleeding from the uterus, normal menstrual and physiological bleeding during childbirth. There are several forms of uterine hemorrhage: bleeding associated with menstrual days (circular), manifested in excessive blood loss or long periods (menorrhagia); uterine bleeding not associated with the menstrual cycle (acyclic), called metrorragii.
Uterine bleeding in its etiology can be attributed to the following groups: 1) associated with pregnancy, 2) bleeding with tumors of the cervical and uterine body, 3) in endocrine disorders, menstrual 4) in inflammatory diseases of the genital organs.
Uterine bleeding occur when threatened miscarriage, placental the polyp, for ectopic pregnancy. In these cases, bleeding occurs more often after a small delay menstruation. Bleeding if the uterine fibroids are more likely to have the character of menorrhagia, but when repeating from cycle to cycle, to lead to significant anemizatsii patients. Bleeding in cancer as cervical and uterine body usually have the character of acyclic; at the beginning of the disease uterine bleeding scarce, later can be very rich. Uterine bleeding is often associated with disorders in the complex system (the hypothalamus - pituitary - ovaries), regulates the menstrual function (functional bleeding). These include uterine bleeding in pathological anovulatory cycle (see), metropolii (see). Uterine bleeding seen in inflammatory diseases, often in chronic adnexitis (see).
Uterine bleeding may also be associated with diseases of the blood (hemorrhagic diathesis), cardiovascular system.
The life stages are distinguished: juvenile bleeding, bleeding in the Mature age at menopause and menopause. Juvenile bleeding observed in the period of puberty and often manifest violations in formation of the menstrual cycle; with regard to its duration and the tendency to relapse they can lead to anemia, therefore, a need treatment in a hospital environment. Bleeding in Mature (childbearing) age more frequently associated with disorders of pregnancy, are observed in succession and postpartum periods (see Childbirth). Uterine bleeding menopause often due to changes in the endocrine system of the body. However, at this age, uterine bleeding can be a symptom of cancer of the cervix and uterus. In the first years of menopause uterine bleeding can also be endocrine origin; late coming in menopause uterine bleeding often associated with carcinoma of the uterus.
Diagnosis of uterine bleeding should be on the basis of carefully collected on the history of ascertaining the date of the last normal menstrual period, the nature of the violations cycle and a thorough examination of the patient (see Anovulatory cycle). You bimanual vaginal examination in women and girls - the study of internal genital organs through the rectum. To eliminate cervical cancer every woman (except girls) mandatory inspection of the vaginal mirrors. An important component recognition uterine bleeding is diagnostic curettage (see) of the uterus with histological examination of scraping. Prolonged bleeding, especially functional, valuable is the graphical representation of the terms of bleeding (monogramme).
Treatment for uterine bleeding should be conducted on the basis of the etiology of the disease. Each patient with bleeding requires strict bed rest and should be examined by a doctor. To stop uterine bleeding apply hemostatic uterine funds (see), scraping mucous membrane of the uterus. For bleeding on the ground chronic of adnexitis effective intravenous chloride calcium (10%-10 ml), autohemotherapy, physiotherapy.
Uterine bleeding endocrine etiology spend hormone therapy. When heavy bleeding as a temporary measure during transportation shown vaginal tamponade; this neck bared mirror and lift and in the vagina long tweezers introduced a sterile bandage tightly plugging vaginal vault and vagina.