Profuse menses with clots. Very heavy periods - causes and dangerous symptoms, diagnosis, methods of therapy and prevention Abundant periods are a sign of what

“Strong” periods, what to do if the bleeding is heavy, can it be stopped, and what diseases can be hidden behind such symptoms?

First, let's deal with what should be alarming and what is not. And when you need to see a doctor in an emergency.

This is bad:

bleeding lasts more than 7 days;
in the discharge there are clots larger than 2 cm in diameter, that is, large;
there are unusually severe pain during menstruation (this may be a sign of an ectopic pregnancy, for example);
in 1-2 hours you have to change at least one sanitary napkin, as this way it is completely saturated.

If you suddenly find yourself having heavy periods, what to do in this case? Sometimes menstruation begins quite intensely in the first 1-2 hours, and then sharply subsides. So, call an ambulance or run to the antenatal clinic if you have heavy menstruation within an hour - it's too early. We need to keep an eye on the situation. Another will be the answer to the question of what to do with strong periods that began 10-14 days ahead of time. This is no longer menstruation, but real uterine bleeding. What caused it is the second question. The first is to stop him. How urgently you need to see a doctor depends on the intensity of bleeding. If you change pads every 1-3 hours, go immediately.

Of the gynecological diseases that caused acyclic bleeding, endometrial hyperplasia, including the formation of polyps, is most often diagnosed. The treatment of this pathology is surgical. A woman undergoes curettage of the uterus. The collected material is sent to histological examination. Actually, this is the answer to the question of what to do if menstruation goes very strongly much ahead of schedule. And to prevent a recurrence of the situation, if pregnancy is not planned, oral contraceptives are prescribed. When they are taken, there is no hyperplasia, cysts in the ovaries. Painful periods occur much less frequently. By the way, these same drugs are the prevention of endometriosis. This disease is also often the cause of very heavy menstruation. There are a lot of oral contraceptives on the Russian market, of different price categories. But as for the prevention of endometriosis, doctors often prescribe "Janine" or its cheaper analogue - "Silhouette".

If very “strong” periods with clots, what to do, what examinations to undergo? First of all, a gynecological examination and swabs for infections. They can provoke inflammation in the uterus - endometritis, and as a result, bleeding. It is necessary to do an ultrasound, and preferably in two phases of the cycle. You may need to consult a hematologist if bleeding disorders are found. At iron deficiency anemia an iron supplement is prescribed. By the way, the treatment of anemia also helps to reduce blood loss.
Often, large blood loss provokes an intrauterine contraceptive. Here the only way out is to remove it.

If there is no cardinal solution to the problem, there is no treatment, then the woman needs to choose one of the options for reducing the abundance of menstruation:

taking oral contraceptives, and in the case of planning a pregnancy, a progesterone preparation in the second phase menstrual cycle, after ovulation;
taking painkillers, anti-inflammatory drugs, it is advisable to start two days before the onset of bleeding;
taking hemostatic agents, the most effective remedy from this group is considered to be Traneksam.

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The period of menstruation is very difficult for any woman. And if this condition is also accompanied by severe bleeding, then the representative of the weak may well lose all ability to work. Therefore, with abundant discharge during menstruation, it is urgent to contact a gynecologist. Delay threatens development serious illnesses, transition to chronic form already existing pathologies and the degeneration of pathologically affected cells into malignant ones.

The fact is that too heavy periods, as a rule, are accompanied by a number of really unpleasant and severe symptoms, significantly worsening the well-being of women. Such manifestations make menstruation a difficult time that the fairer sex has to deal with every month. Similar negative signs may be a functional state or a signal of the occurrence of a disease.

The reasons

The main impetus for the development of severe bleeding during menstruation can be:

expressed hormonal disbalance;
endometriosis;
ovarian dysfunction;
polyposis;
adenomyosis;
complications after injection;
oncological diseases of the female genital area;
thrombocytopenia;
von Willebrand's disease;
side effect of some pharmacological preparations;
sexually transmitted infections;
strong inflammatory process;
significant nervous strain;
physical overload;
hard work;
period ;
the first months after the start;
hereditary predisposition;
anomalies in the development of female internal genital organs;
avitaminosis;
higher number of previous abortions;
heavy, especially multiple births;
various diseases of the pelvic organs;
disease endocrine system;
intoxication;
strong;
unbalanced etc.

Such reasons can cause a violation of the synthesis of estrogens and progesterone or the development of various tumor processes.

During menstruation, you need to limit the use of drugs that prevent blood clotting. When taking analgin, aspirin, diclofenac or some antihypertensive drugs, too abundant discharge is often observed.

Symptoms

Usually doctors distinguish three types of violations during critical days. Hyperpolymenorrhea is a failure that manifests itself in constant heavy bleeding during menstruation, when the amount of discharge is one hundred milliliters or more.

Menorrhagia - acyclic uterine bleeding, accompanied by many negative symptoms.

Metrorrhagia is most common in adolescence and pre menopause. It is characterized by the presence of a large number of secretions. Menstruation usually lasts quite a long time. The menstrual cycle is irregular.

The main signs of heavy bleeding on critical days are:

the need to change pads every hour or an hour and a half;
an abundance of large clots;
and in the lower back;
general malaise;
migraine;
darkening in the eyes;
loss of consciousness;
dizziness;
pallor of the face;
severe fatigue;
shortness of breath, etc.

These symptoms are caused by profuse blood loss, discharge of large layers of the endometrium, slowing down the regeneration processes, the presence of inflammatory processes in the female genital area, the occurrence of iron deficiency anemia and impaired cardiovascular activity.

Most often, such phenomena are observed in girls of eleven to thirteen years old, who first started menstruating or in women during premenopause. Often, intense discharge on critical days is also observed in the postpartum period.

Abundant periods: what to do?

With the development of severe bleeding, it may be necessary to stop it. To do this, you should reduce or completely stop any activity, give up coffee or strong tea, and stop taking any medicines other than those approved by a physician.

It is advisable to apply ice to the lower part several times a day. abdominal cavity. It is required to eat foods rich in ascorbic and folic acid and iron, which promote hematopoiesis and improve vascular permeability. It is also worth taking vitamins PP and K, which increase clotting. Aromatherapy can be helpful.

Abundant periods after childbirth

Sometimes after the birth of a child, a woman has severe bleeding. This usually indicates the development of any adverse processes in her internal genital area.

If the discharge is bright red, then perhaps this is not about menstruation, but about uterine bleeding. In this case, she needs urgent health care.

Such measures are necessary, because too heavy periods after childbirth can indicate that:

were injured internal organs;
significantly disturbed hormonal background;
tissue regeneration is too slow;
there was an ectopia of the cervix;
the processes of epithelialization of damaged areas suffer;
inflammation developed;
an infection has joined;
spikes formed, etc.

These causes provoke damage to the vessels of the uterus or impaired blood circulation in the organ. Sometimes it happens that its contractility or tone is reduced. In such cases, the blood can simply stagnate inside, pouring out then in large portions.

Abundant periods with clots

Normal in menstrual blood some clots may be present. They are large conglomerations of formed elements or individual particles of torn uterine epithelium.

Too intense periods with the appearance of clots from time to time occur in every woman throughout her life. They appear quite rarely, but sometimes they are observed in any representative of the weaker sex, especially during the period of premenopause or the onset of the menstrual cycle in adolescence.

Especially often, clots are noted in the summer, when the load on the vessels is increased and dehydration occurs. In weather-dependent ladies, sudden changes in pressure during the off-season can also cause these symptoms.

But if there are a lot of them or they are too large, then their appearance can be triggered by pathological causes, up to the development serious illnesses.

Too intense bleeding during menstruation, accompanied by the release of clots, is a symptom of the disease. Sometimes it goes unnoticed and only this sign indicates its presence. Most often, this symptom is observed with uterine fibroids. It is usually diagnosed in women between the ages of twenty and fifty. After the onset of menopause, the tumor either disappears or no longer forms.

If the size of the clots significantly exceeds two and a half centimeters in volume, then it is urgent to pay a visit to the gynecologist. Most often, such pathological signs are a clear indication of the occurrence of endometriosis.

Usually, during its development, there are severe pain during menstruation, discomfort during intercourse, frequent urge to urinate and discomfort while walking and running.

Often, similar symptoms accompany adenomyosis. Then there are severe bleeding during menstruation, irregularity of the cycle and pain in the lower abdomen. There are a lot of secretions, and quite large clots are visible in them.

Abundant first periods

As already mentioned, very often teenage girls face severe manifestations of critical days. Usually at this age, an increase in the amount of blood can occur due to nervous strain, increased obesity, passion for various diets, enhanced or metabolic disorders.

In order for the child to stabilize the amount of discharge, most often a simple lifestyle correction is needed. It is necessary to reduce the overall activity, stop classes for a while physical education, eat right, swim, do not lift heavy things and take vitamins regularly.

Surveys

In order to accurately set possible reasons too heavy periods, you need to contact a gynecologist. He will appoint laboratory and instrumental research, and also recommend to consult a general practitioner, endocrinologist, urologist or oncologist.

After a complete differential diagnosis it will be possible to name with certainty the cause of the occurrence of heavy menstruation.

The doctor will prescribe a number of diagnostic measures necessary to identify various diseases.

Usually carried out:

examination in the chair;
histological and cytological examination;
ultrasound scanning;
hysteroscopy;
separate diagnostic curettage;
salpingoscopy;
radiography;
CT scan;
Magnetic resonance imaging;
blood test for VSC and DC;
smear on microflora;
PCR diagnostics;
study of the hormonal spectrum;
clinical analysis blood, etc.

Such activities make it possible to exclude the development of an oncological process, identify uterine myoma or the formation of an adhesive process, diagnose hematological diseases, determine the presence of inflammation, analyze the hormonal composition of the blood, or detect the causative agent of a sexually transmitted infection.

For the most complete collection of data, it is necessary to collect an anamnesis, analyze the patient's complaints, and establish her existing and past illnesses. The doctor will also ask about the regime of work and rest, food and medications taken.

Most often, the examination reveals a hormonal imbalance that occurs in women of any age. It is usually associated with uncontrolled reception contraceptives, side effects of pharmacological drugs or irregular sexual life. The synthesis of estrogens also changes after childbirth or a medical abortion.

Therefore, it is necessary to undergo an examination by a specialist once a year. Those women who suffer from any gynecological diseases, are at risk or have crossed the forty-five-year milestone, should be seen by a doctor once every six months.

Even a simple examination in a chair using mirrors increases the chances of timely diagnosis various pathologies. If in doubt, the specialist will refer you to an ultrasound scan, x-ray or other studies.

The gynecologist will be able to establish what was the impetus for the development of bleeding and prescribe the appropriate treatment. It will be conservative or surgical, depending on the identified pathology.

Drugs and medicines for heavy periods

Therapy pharmacological agents usually aimed at eliminating the reasons for which the volume of blood released during menstruation is exceeded.

Depending on the underlying factor, appropriate treatment is prescribed. Medicines are prescribed when functional disorders, diseases of the internal female genital area, changes in hormonal levels or a decrease in platelet synthesis.

Usually applied:

hemostatic agents;
drugs that increase the tone of the uterus;
hormones;
drugs that restore impaired metabolism;
anti-inflammatory drugs;
antispasmodics;
venotonics;
immunostimulants;
tranquilizers;
sedatives;
wound healing agents;
vitamins.

With severe hormonal disorders, preparations containing natural and synthetic estrogens are prescribed.

When slowing down the recovery processes after childbirth, abortion or gynecological operations, immunostimulants and wound healing agents are prescribed.

If an infectious process is detected, then antibiotics are needed or antifungal drugs.

Such medicines can stabilize the synthesis of estrogens, reduce the volume of blood lost, increase its coagulability, eliminate the inflammatory process, strengthen vascular wall, strengthen the body's defenses and make up for the deficiency biologically active substances.

If conservative methods of treatment do not bring the desired results and heavy periods continue to recur, it is recommended surgical intervention.

In addition, it is required to observe measures that contribute to the prevention of the development of heavy bleeding on critical days.

It is advisable to avoid conflicts, nervous shocks and experiences. You need to eat a balanced diet and drink more fluids. Smoking and alcohol should be strictly prohibited.

Requires complete scheduled examination body and in the presence of any diseases, begin appropriate treatment.

Therefore, in order to avoid the development of bleeding, it is worth avoiding the influence of all kinds of negative causes, during menopause it is necessary to take hormones, and in case of youthful bleeding, strictly observe the daily routine and lead a correct lifestyle.

If you follow all the doctor's recommendations, undergo gynecological examinations on time and take appropriate medications, the menstrual cycle is completely normal. It will become regular, the volume of discharge will not exceed eighty milliliters, and the soreness will completely disappear.

Signs of heavy periods

Too intense flow of menstrual blood is considered a deviation from the norm in such situations.

Menstruation lasts more than 7 days.
The total mass of secretions is more than 140 ml - this is somewhere around seven or even more pad changes per day.
Menstruation is accompanied by signs of anemia - severe blood loss: fatigue, apathy, drowsiness, dilated pupils.
The menstrual current is heterogeneous, accompanied by.
Abundant menstruation is accompanied by pulling constant pains in the lower abdomen and in the sacrum.
Sometimes bruises of unknown origin appear on the body.

If you have all or most of these symptoms, you should seek help.

Increased production of estrogen

Menstrual bleeding is the removal from the body of an unfertilized egg and the uterine mucosa - the endometrium that grows every month in anticipation of the appearance of an embryo, which should be implanted in this layer.

Influences the growth of the endometrium female hormone estrogen, which is more produced in the first part of the cycle. With a hormonal failure, this process is disrupted. The reason may be hidden in diseases thyroid gland, just responsible for the hormonal background of the woman's body. With an excess of estrogen, in addition to heavy periods, there are also severe headaches, swelling mammary glands and their hypersensitivity, painful PMS.

Treatment in this case is selected for each woman individually. The age of the patient, lifestyle, features of the reproductive system, the presence of other diseases of the body are taken into account. At drug therapy vitamin complexes and antioxidant agents are prescribed.

To normalize the production of estrogen, a hormonal course of drugs is prescribed. If the process is too advanced and complex drug therapy does not help, they resort to surgical intervention: removal of the ovaries.

Pathologies of the development of the endometrium

Violation of the process of normal growth of the endometrium can lead to the development of several diseases.

endometriosis

Inflammation of the inner layers of the walls of the uterus, caused by uncontrolled growth of the endometrium. The symptoms of the disease are:

profuse menstruation;
brown discharge before or after menstruation;
temperature rise;
weakness;
pain in the abdomen and back.

Will help hormone therapy carefully selected by the gynecologist for each patient. It is aimed at increasing the level of progesterone production, which normalizes the process of endometrial formation. A specialized diet and daily routine, vitamins and homeopathic remedies are prescribed. If therapy does not justify itself in six months, they resort to surgical intervention.

Endometrial polyps

Growths on the walls of the uterus, the appearance of which is also caused by hormonal failure. Pronounced symptoms of neoplasms do not give. There may be mild discomfort during exercise, discharge on different days of the cycle, long and heavy menstruation. To identify polyps and decide what to do, doctors suggest using a conventional ultrasound of the pelvic organs. Next, drug therapy or treatment with hysteroscopy is prescribed.

Myoma

This is a benign tumor in the uterus. An ultrasound or MRI can detect it. The symptoms are also not very obvious. Possible delays, heavy menstruation, sometimes - dark discharge before the onset of menstruation.

The cause of the development of the tumor also becomes a hormonal imbalance: and an insufficient amount of progesterone. In some cases, pain is noted before the start of the cycle. It is possible to eliminate fibroids without surgical intervention. This is complex hormone replacement therapy (HRT) or an innovative method: ablation, the destruction of myomatous formations using an ultrasound beam.

Uterine adenocarcinoma

it cancer when metastases cover exactly the layer of the endometrium. Manifested sharp pains in the abdomen, heavy and long periods, and at a later stage - bleeding on other days of the cycle. X-ray of the uterus and ultrasound will tell oncologists what to do, how and where to perform surgery.

The problem is that with a cancerous tumor, the uterus is completely removed, in later stages - along with the ovaries and nearby lymph nodes.

endometrial hyperplasia

Chaotic superfast growth of the endometrium with the formation of new vessels and glands. In more than half of the cases, a genetic factor leads to the development of this disease. That is hereditary predisposition. Usually, surgery is chosen to treat hyperplasia - cleaning the uterus. After that, complex hormonal therapy is prescribed, in order to restore normal growth endometrium.

Other causes of heavy periods

If a woman usually has periods within the normal range, but suddenly the situation changes, and she notices that the menstrual current is strong, more abundant than usual, you should immediately seek medical advice.

One of the reasons for this phenomenon may be a violation of blood clotting. In this case, the woman has more abundant periods, and the type of discharge also changes. So you can see a large blood clot on the panties, and the color of the discharge itself will be darker. The causes of the violation are a decrease in the level of hemoglobin, a lack of vitamin K, and this may also be a sign of the presence of oncological diseases.

A complete blood count will help clarify the diagnosis, then drugs are prescribed to help restore the normal level of clotting and compensate for the lack of the vitamin. A course of iron-containing preparations should be prescribed.

Cause heavy menstrual bleeding can be incorrectly selected hormonal contraceptives or insertion of an intrauterine device. In this case, the gynecologist will cancel the previously prescribed drug, prescribe a hormone replacement course to restore functions reproductive system, and then pick up a new contraceptive. But the spiral will have to be changed or abandoned altogether.

Menstruation may become more abundant and prolonged in such situations.

The use of a highly restricted diet for weight loss, in which immunity is reduced, there is a shortage useful substances and hormonal imbalance.
Lack of vitamins and minerals that also affect the metabolic process and the production of progesterone: these are calcium, vitamins C and K.
Long term stress.
Long-term use of various antibiotics.
debilitating physical exercise.

When the cause is eliminated, the normalization of nutrition and lifestyle, the course of menstruation also normalizes.

age problems

In the pubertal period, when the girl has not yet fully established the menstrual cycle, there may be one-time cases of heavy periods. It is caused by simple external causes, and should not be disturbed. It is necessary to ensure that the girl eats well, drinks less liquids before the onset of menstruation, does not experience stress and avoids increased physical exertion. However, if heavy periods are repeated, it is better to consult a gynecologist.

Heavy menstruation in women over 45 may be a sign of premenopause. The level of progesterone falls, there is a general hormonal failure, the restructuring of the body begins - menopause. In this case, you should definitely consult a gynecologist. He will prescribe proper treatment, drugs that will help a woman to more easily endure this life stage.

Hormone replacement therapy will be the main one. With HRT, the normal production of progesterone and estrogen is temporarily restored, which significantly improves the overall well-being of a woman and makes the fading menstrual cycle more stable. But such therapy cannot be delayed, since menopause is a natural state, and the cessation of menstruation cannot be avoided anyway. But HRT serves as an excellent prevention of the development of cancer in the menopause.

If a woman, in the second phase of premenopause, suddenly began to menstruate anew, and they are plentiful, besides, the blood flow goes with clots, you should immediately contact a specialist and undergo an examination. These may be signs of polyps or fibroids in the uterus. Then surgery or more will be prescribed intensive therapy resorption of neoplasms.

Abundant periods in a woman are far from always a sign of the development of serious diseases, but you should carefully monitor your health so that you can understand when deviations in the menstrual cycle are only a reaction of the body to external factors, and when they indicate the occurrence of pathology.

Menstruation for a woman is a familiar and understandable phenomenon. However, it is not always possible to say with certainty what is happening: either menstruation or bleeding.

The rate of discharge during menstruation

To understand what is happening, bleeding or menstruation, you should know the main norms of discharges, which are given in the table:

How to determine - heavy periods or bleeding?
sign	Normal	Excess from the norm
Duration	3 – 7 days	Over 7 days
Volume of allocations	20 - 50 ml on average per day. If in 3 - 4 hours the hygiene product is completely filled - these are the limits of the norm	Change pads more frequently
Blood loss (volume)	200 - 250 ml per cycle	Over 250 ml
Length of the menstrual cycle	From 21 to 35 days - average indicators of the norm	Up to 21 days
Discharge color	At the beginning of menstruation, the discharge looks like a daub. A day later, its color changes to bright red with clots. Day 3 of menstruation is characterized by moderate discharge, dark color. The discharge may continue for several more days in the form of a dark brown or even black daub.	scarlet color

Interesting fact! In women, before the onset of menstruation, there are so-called precursors. Before the onset of critical days, you can feel bursting, tingling in the chest area, pain in the lower abdomen of a pulling nature may appear. Mood changes too often.

Abundant menstruation, its symptoms

Abundant periods or bleeding: how to determine - knowledge of the main symptom will help heavy menstruation- excessive discharge lasting more than 7 days.

There are other symptoms that experts identify:

severe aching pains that were not there before;
the need for frequent change (intervals of 1.5 - 2 hours) of sanitary pads, tampons;

Knowing how and by what parameters it is possible to distinguish heavy periods from bleeding is imperative, since an unidentified cause of bleeding in time can lead to death

the interval between menstruation is less than 3 weeks;
the need to change the pad, tampon at night;
dizziness;
weakness, feeling unwell;
bruising;
temporary disability.

Causes of bleeding

The reasons why bleeding occurs are varied. Among them are diseases of the reproductive system, problems in blood clotting.

Blood clotting disorders. In this case, a number of other signs may be present: prolonged bleeding for more than 10 minutes even from a small wound, nosebleeds, bruising on their own, profuse bleeding after tooth extraction. Such symptoms must be taken into account and reported to the doctor. Blood diseases are a real threat to a woman's life.

Hemorrhagic vasculitis.
Infectious and inflammatory processes in the organs of the reproductive system - endocervicosis, endometritis, cervicitis, vaginitis, erosion.
Malignant neoplasms in the genitals. If the tumor has reached a large size, then it may grow into nearby vessels.
Injury to polyps located in the vagina.
Reception of thinners medical devices during menstruation and anticoanulants.
Taking a hot shower, bath, sauna or bath at the beginning of menstruation.

Miscarriage.
Injury to the abdomen or birth canal.
Ectopic pregnancy. The fertilized egg, located in the fallopian tube, increases. If appropriate measures are not taken in time, this can lead to rupture of the fallopian tube and bleeding.
Infectious diseases such as abdominal type, measles, sepsis, influenza.
Lack of vitamins in the body, mainly C, K.
Cirrhosis.
Atherosclerosis, high blood pressure.
Dysfunction of the thyroid gland.
Scar on the uterus.
Low location of the placenta, its presentation.
Myoma.

The main symptoms of bleeding

Bleeding or heavy periods, how to identify and distinguish between these pathologies, the following signs will help to understand, which may indicate the onset of bleeding. Symptoms noted by gynecologists:

bleeding does not decrease, a few days after the onset of menstruation, they become more intense;
menstruation, which came at the wrong time, ahead of time, with copious bloody discharge that does not subside; the blood becomes scarlet;
the appearance of bleeding after an abdominal injury;
during menopause, a woman developed copious scarlet discharge; Prior to this, menstruation was absent for many years.
fainting;
pallor of the skin;
lowering blood pressure;
the pulse becomes rapid or weak;
vomiting and nausea appeared.

Note! If the drug Postinor was used, then it will not be difficult to determine heavy periods or bleeding, since this remedy can cause bleeding. This is one of the possible side effects this medicinal product.

Why is bleeding dangerous?

The main danger is that the bleeding is rapidly increasing, long time does not stop and stops badly. There is a profuse loss of blood, which in itself is dangerous.

The following consequences may occur:

Anemia, if blood loss is moderate but regular.
There will be a need for surgical intervention with a large loss of blood.
The underlying disease may progress. Even slight bleeding can lead to an advanced stage of the disease.
A state of shock in a woman carrying a child. The same applies to the postpartum period.

Abundant periods or bleeding: how to distinguish

Due to the following series of signs, heavy periods or bleeding, as it becomes possible to determine.

Volumes blood secretions. If the volume exceeds 90 g per cycle, then the question of how to determine heavy periods or bleeding becomes irrelevant, since such a volume of discharge indicates the presence of bleeding.
Frequency in changing pads. If there is a need to change them every hour, then experts consider this bleeding.

Mismatch with the date of the beginning of the menstrual cycle. If the discharge appeared ahead of time with increasing volumes of blood discharge, then gynecologists talk about bleeding.
The shade of highlights. If the blood has a dark color, this is heavy menstruation, if it is scarlet or bright red, this is a sign of bleeding.
duration. If the discharge occurs for more than a week, then this is a sign of bleeding.

When to see a doctor urgently

In case of uterine bleeding, call immediately ambulance. In this situation, the deterioration occurs too quickly, so every minute counts.

If a woman began to tire quickly after the usual physical exertion. Her skin turned pale, her hair began to fall out, her nails became brittle and pale, bleeding appeared between periods, and menstruation was irregular - this is a reason to seek help from a doctor.

Important to remember! Abundant periods (menorrhagia) - a reason to visit a gynecologist. They require drug therapy, as they may indicate quite serious diseases.

Particular caution should be exercised by pregnant women. If there are bloody issues from the genital tract, this may indicate a miscarriage, premature detachment of the placenta.

It is imperative to call an ambulance, since blood loss for a pregnant woman is a reason for hospitalization.

What to do with heavy periods

With heavy menstrual flow, a number of recommendations should be followed:

drink plenty of water;
avoid heavy physical labor;
should not lift weights;
rest a lot and in sufficient quantity;
baths, steam rooms are prohibited;
you should not bathe in a hot bath;
alcoholic beverages and coffee should be banned.

If bleeding how to stop the bleeding

Measures that can be used to stop bleeding are as follows:

Compliance with bed rest. Feet should be placed on a hill (roller, pillow). Thanks to this position, the functioning of the blood in the vital organs will not be disturbed. And with a large blood loss, the risk of fainting and serious complications will decrease.

Place a cloth-wrapped ice pack on your lower abdomen. Hold for 10 - 15 minutes, then a break for 5 minutes. The duration of the manipulation is at least 1 - 2 hours or until the ambulance arrives.
Put a dropper to replenish the loss of fluid in the body. In the absence of such an opportunity, it is necessary to provide plenty of fluids. It can be rosehip broth, tea is always sweet, plain water.
Medical treatment. Can be started only after a doctor's prescription. Apply drugs Dicinon, Calcium gluconate, Aminocaproic acid, Vikasol, tincture of water pepper or nettle. These medicines should not be taken during pregnancy.

Any bleeding that is not associated with menstruation in women is a very dangerous phenomenon that should be examined immediately to prevent health complications.

In the event of bleeding that has begun and there is a fear that this is not menstruation, it is urgent to contact a gynecologist for advice and recommendations for taking the necessary measures.

Abundant periods or bleeding: how to determine?

Uterine bleeding and how to distinguish it from menstruation:

Abundant periods are a real problem for a girl. Normally, menstruation lasts up to 7 days, and up to 150 milliliters of blood is lost. But for some the situation is different.

Abundant menstruation not only disrupts the usual rhythm of life, but also greatly depletes the body. To fix this, you must first understand the causes, and then proceed to treatment. However, this is what we are going to talk about now.

hypermenstrual syndrome

That is the name of the phenomenon we are talking about now. It is often characterized not by an increase in the volume and duration of menstruation, but by its constant presence. The periods just don't stop.

The reasons can be very different, here is just a short list of them:

Inflammation in the appendages and in the uterus.
genital infections.
Pathologies of the endocrine nature.
Malignant and benign tumors.
Hematological diseases.
Operational and traumatic injuries of the genital organs.
Intoxication.
Infectious and somatic diseases.
Intrauterine contraception.

There are also certain risk factors, which include smoking, sudden climate change, adverse living conditions and depression.

If a woman loses more than 80 ml of blood during each menstruation, then she is immediately placed at risk of developing a disease known as iron deficiency anemia.

In any case, to determine the exact cause of heavy bleeding, you need to go to the gynecologist. The doctor will perform a Pap smear, hysteroscopy, endometrial biopsy and ultrasound of the pelvic organs. After studying the results, the woman will be diagnosed and adequate treatment will be prescribed.

Hormonal disorders

This is one of the most common causes of heavy periods. They are usually caused by failures in the normal functioning of the hormonal system.

Most often, imbalance occurs in young girls during their first menstruation, and this is normal. Then the cycle is normalized, and the amount of blood released too.

This reason is also relevant for adult women. Their discharge may increase several years before menopause.

Also, an imbalance can provoke the intake of improperly selected birth control pills and hormonal drugs.

But why are there exactly abundant periods, and not meager ones? The fact is that the ovaries of a healthy female body produce estrogen and progesterone. Under their influence, the uterus becomes thicker and begins to put pressure on And during menstruation, its upper layer seems to be cleared. These fragments are excreted from the body along with the secretions.

And if a woman has reduced level testosterone and an increased amount of estrogen, which means that the ovulation process is going wrong. In such cases, the uterine membrane becomes extremely thick, which provokes copious discharge.

Pathology of the uterus

This is the next common reason why many women have heavy periods. The most common pathology is myomatosis, in which the internal area of the uterus increases and its shape changes. Because of this, it takes much longer to separate the endometrium, and therefore bleeding is characterized by profuseness.

Some women are also diagnosed with endometriosis. It manifests itself in the pathological growth of the endometrium into the muscular layer of the uterus. At the same time, the separation is also accompanied by unbearable pain, in addition to profuse blood loss. Often there are intermenstrual discharge.

Another reason for heavy periods may be It is characterized by the formation of intrauterine connective tissue adhesions. This disease not only entails endometritis and pain, but also makes it impossible to conceive. Because of these adhesions, there is no normal outflow of blood. It just lingers inside and curls up under the influence of temperature, and then comes out in the form of clots in a frightening in large numbers.

It is recommended to be wary of the appearance of very heavy periods after 45 years. Especially when they are with clots, and if the woman has already entered the menopause. Such anomalies usually indicate the presence of cancer.

postpartum sequelae

When a woman is pregnant, her body undergoes various changes and stresses for 9 months. After giving birth, he expects a long and difficult recovery. And it starts with heavy periods.

Such discharge cannot be called a standard menstruation. These are actually the consequences of a bleeding, unhealed uterus, from which the placenta was exfoliated during childbirth along with the fetus. But they are accompanied by the release of large clots, so that they can be confused with menstruation.

Abundant periods after childbirth last about 40 days. During this time, the structure of the uterus is restored and its functioning is normalized.

After the end of the discharge, menstruation is completely absent for a rather long period due to breastfeeding. But ovulation occurs despite this.

Then, when menstruation is restored, it will last about 5 days. Sometimes the period is from a week or more, but this is already a cause for concern. The reason for this duration is the uterus that has increased during pregnancy and the stretched endometrium.

Also, women who have experienced any of the following are prone to very heavy periods after childbirth:

Inflammatory processes in the urinary system.
C-section or difficult births.
Change in the balance of prolactin, which is responsible for childbearing function and the normalization of the menstrual cycle.
Iron deficiency anemia.
Constant stress and tension during and after pregnancy.
Advanced chronic diseases.

By the way, a separate cause may be particles of the placenta remaining inside or an ectopic pregnancy.

uterine fibroids

If a woman has very heavy periods, then it is likely that she has formed this benign hormone-dependent formation.

The exact cause of uterine fibroids is unknown to this day. Doctors are inclined to believe that this is due to a violation of the hormonal function of the ovaries, which produce estrogens in large quantities.

Also, risk factors include abortion, cyst, inflammatory diseases, difficult childbirth, obesity, endocrine and immune disorders, as well as a hereditary factor.

The main symptom indicating the presence of fibroids is long and heavy periods with clots, acyclic uterine bleeding and anemia developing against their background. Accompanied by the growth of the formation of pain in the lower back and lower abdomen. If the fibroid grows slowly, then these sensations do not go away.

Also, since fibroids compress nearby organs, which include the rectum and bladder, a woman has problems with urination (it becomes either difficult or rapid) and suffers from constipation.

Advanced disease entails more serious consequences - heart problems, shortness of breath and abnormal pressure surges.

Hemostatic pills

So, what can be the cause of heavy periods and why they go in such quantity is clear. It is important to make a reservation just in case: everything is very individual here, and only a doctor can make an accurate diagnosis. He then prescribes treatment. As a rule, the following tablets are prescribed:

"Vikasol". This medication is an artificial analogue of vitamin K. It makes up for its lack in female body, which helps to normalize blood clotting and stimulate the formation of prothrombins. There are contraindications. In the presence of allergies, a rash, hives, bronchospasm and itching may occur.
"Dicinon"(uh tamzilat). If a the girl is interested in how to stop heavy periods, then you should pay attention to this drug. These tablets can improve blood microcirculation and normalize vascular permeability. Etamzilat does not affect clotting, but it is incompatible with any other drugs.
"Ascorutin". The composition of these medicines includes ascorbic acid. The drug reduces the permeability of blood vessels, makes them stronger and more elastic, and also has a hemostatic effect. With regular intake, menstruation becomes not only less abundant, but also shorter. This drug is indicated for women who have entered the period of menopause, as well as those who have undergone a caesarean section.

What exactly will be assigned to the girl depends on the reason why she has abundant periods. In the presence of a serious illness, the doctor may even prescribe a detailed course of therapy with the appointment of several drugs.

Hemostatic injections

The drugs prescribed for heavy menstruation were listed above. But also the girl can be prescribed injections. Injections have a faster therapeutic effect. Tablets begin to act after at least an hour, and injections - after 5-15 minutes.

One of three drugs is usually prescribed:

"Tranexam". This is a hemostatic medication aimed at stopping heavy hemorrhages. Works almost instantly. It also has anti-inflammatory and anti-allergic effects.
"Oxytocin". This tool shrinks the uterus and helps stop blood loss. It is prescribed, as a rule, to women after childbirth. Introduced into a vein or muscle.

Depending on the specifics of the discharge, other medications may be prescribed.

Taking contraceptives

For most girls, gynecologists prescribe oral contraceptives to normalize their cycle. And this is one of the best and most versatile methods. Properly selected contraceptives have a lot of positive effects on the body:

Normalize heavy periods, make them more scarce.
Reduce the duration of menstruation. In some girls, after the start of taking oral contraceptives, it lasts three days.
Correct dysmenorrhea (eliminate pain during menstruation).
Treat posthemorrhagic anemia.
Help to deal with inflammatory diseases pelvic organs.
Correct hyperandrogenism (reduces androgen levels) and PMS.

In addition, contraceptives are one of the most effective means contraception. Their reliability reaches 98-99% (under conditions of use in accordance with the instructions). And for condoms, this figure is only 87%.

The most famous oral contraceptives include pills such as Yarina, Jess, Janine, Lindinet, Chloe, Silhouette and Regulon. There are other firms as well. In any case, the tablets are prescribed by the gynecologist on the basis of a survey of the patient and the results of her tests.

If you believe the reviews, heavy periods can be reduced without the use of drugs (although it is not recommended to postpone a visit to the doctor). For this you need:

Reduce physical activity.
Minimize the amount of alcohol and coffee consumed, and if possible, completely refuse.
Stop taking vasodilators. But before that, you should consult with your doctor. If possible, find analogues.
Diversify your diet with foods high in iron, vitamin C and folic acid. They contribute to the normalization of blood circulation.
Every day, apply a cool heating pad to the lower abdomen (for a maximum of fifteen minutes).
Do acupressure. It's simple: thirty finger pressure on the area of \u200b\u200bthe hollow that connects upper lip and base of the nose.
Do aromatherapy.

Of course, these methods will not give such an effect as injections or taking drugs, but as a preventive measure they are quite suitable.

Folk remedies

Sometimes it is not possible to immediately get to the gynecologist with heavy periods. What to do in this case, how to alleviate your condition at least for a while? You can also try folk remedies. Here are some simple recipes:

Take one tablespoon of the following herbs: valerian root, knotweed, white mistletoe and a shepherd's bag. Pour boiling water (0.5 l). Infuse for fifteen minutes, and then dilute with a liter clean water. Boil and strain through cheesecloth. Drink half a cup twice a day.
Take twenty-five grams of erect cinquefoil root, yarrow and shepherd's purse, as well as ten grams of oak bark. Pour a liter of water and boil, then insist and strain. Drink twice a day for 1 tbsp.
1 tbsp pour a glass of boiling water. Boil, strain. Divide into three parts. Drink each of them during the day before meals.
1 tsp lilac seeds pour a glass of boiling water. Let it brew for fifteen minutes, stirring occasionally. Then put on a small fire for five minutes and cook. Drink in the amount of 2 tbsp. in the morning.
Pour twenty grams of dry dioecious grass with a glass of boiling water and boil for fifteen minutes. It is recommended to drink fifty milliliters (one glass) every three hours. Nettle will not only stop bleeding, but will also relieve inflammation and resist infections, if any.
Pour one hundred grams of crushed viburnum bark with a glass of water. Cook over low heat for an hour. Then drink 2 tbsp. every three hours.

It is worth noting that the listed funds are effective hemostatic during heavy periods, even if they are done at home.