The amount of menstrual blood on average 50-200 g, and the number of loose blood during menstruation varies from 20 to 60 g (the rest falls on the secret uterine glands). If blood loss during menstruation influence on the General condition of women, causing weakness, dizziness, pallor, and sometimes unconscious, then such abnormal blood loss during menstruation called menorrhagia.
Thus, menorragia time corresponds menstruation, but is different from normal menstrual period or heavy blood loss (hypermenorrhea), or heavy and prolonged blood loss by shortening mejmenstrualnah intervals. If during normal menstruation blood won't curdle, when menorrhagia patients often report highlighting when menstruation blood clots.
Cause menorrhagia may be different.
Among the common diseases that cause menorrhagia, can be attributed diseases of the nervous system, some forms of anemia, severe infectious diseases.
Diseases, emerging out of the sexual sphere, can lead to menorrhagia or due to direct damage of the endometrium, or due to the violation of blood circulation in pelvic cavity. For example, in infectious diseases (typhoid, influenza and other) menorragia cause inflammation that can occur in the lining of the uterus, while diseases of the heart and lungs, liver cirrhosis, enterobiose, chronic constipation cause menorrhagia is congestive hyperemia of the pelvic organs. Disorders of blood circulation in the small pelvis can also be caused by incorrect position of the uterus (retroflexa it), ptosis and prolapse of the uterus and vagina, varicose veins. Congestion in the pelvis are observed also for those long-term leading a sedentary lifestyle.
Menorrhagia observed at abnormal sexual life, with long-term thermal stimuli, such as hot sedentary and foot baths made about various diseases. Much more often the cause of menorrhagia are inflammatory processes in endometrium and myometrium, the occurrence of which is usually due to acute or chronic gonorrhea, and infections due to abortions, especially criminal.
Inflammation in the pelvic cavity (inflammation of the pelvic peritoneum, and fiber, inflammation of appendages of a uterus) also cause menorrhagia, in the acute period due to hyperemia of the pelvic organs, and in the chronic phase - bad uterine contractions due to adhesions and binding to other organs and tissues.
In addition, fibroids uterine can also cause menorrhagia; intersticialna situated and especially submucosal fibroids, causing severe blood loss, often lead to the development of secondary anemia. When joining women in menopause, when dying of ovarian activity is often observed menorrhagia, and in such cases, bleeding are usually the result of age-related changes in the muscle of the uterus and blood vessels. Strong development of connective tissue due to muscular and related arteriosclerosis, violate the right contractility of the uterus and blood vessels, promote menorrhagia. However, it is without a detailed examination of the patient to discuss such bleeding through menopause. We must remember that at this age are usually more malignant neoplasm of the uterus, causing bleeding.
A special form of menorrhagia is the so-called hemorrhagic Metropolia, which arises due to the abnormal activity of the ovary with the formation of persisting follicle (folliculus persistens). The essence of such a disorder of the function of the ovary is that Mature follicle does not reach ovulation, not broken, and thus does not allow to develop a yellow body. Hormones such a long-standing persisting follicle affect the uterine lining, keeping a sharp hyperplasia and hyperemia last for a long time, and the mucous membrane of the uterus does not pass into the phase of a desquamation of the surface layers of epithelium (desquamation) and menstruation ceases. However, after some time thickened, hyperemic and swollen mucous membrane of the uterus is subjected to a superficial necrosis, leading to the collapse of the mucosa and bleeding.
Hemorrhagic Metropolia sometimes caused by excessive stimulation of the endometrium estrogens, secretiruemy ovarian cysts, tumors, developed from cells granulosa, fibroids, ovarian, etc.
When menorragiah menopause appropriate to send the patient to a specialist to solve the question of the necessity test curettage. You cannot reassure patients that at their age bleeding will stop without any interference due to the approaching menopause, and you can at any menorrhagia be limited hemostatic means, if the diagnosis is not precisely set, as you can see beginning uterine cancer.