List of sources
- Podzolkova N.M. Symptom, syndrome, diagnosis. Differential diagnosis in gynecology. Podzolkova N.M., Glazkova O.L. 3rd ed., rev. and additional M.: GEOTAR-Media, 2014;
- Vikhlyaeva, E.M. Guide to endocrine gynecology /ed. EAT. Vikhlyaeva.- M.: Med. information Agency, 2002;
- Gynecology: a textbook for students of medical universities. Kulakov V.I., Serov V.N. Gasparov A.S. – M.: Medical Information Agency LLC. – 2005;
- Smetnik V.P., Tumilovich L.G. “Non-operative gynecology: A guide for doctors”, M.: “Medical Information Agency”, 2000.
Pathologies to watch out for
Alas, one cannot always explain the vagaries of the cycle by menopause. Sometimes they are a signal that the body is being consumed by a serious disease. If you notice pathologies during the primary menopause , contact your gynecologist:
- menstruation has changed in character: the discharge has become thick, the blood is bright brown in color and smells bad;
- Uterine bleeding is normal, but blood clots of a different color are found in it. Pathology indicates a disruption of the endocrine system;
- The bleeding is short but heavy. You change the pad every 30-50 minutes, your stomach hurts a lot, you feel weak and faint.
This is not a complete list, but a basic one. If you don’t find out the cause of the changes in time, you can end up under the surgeon’s knife. And then there is curettage of the uterus, removal of benign or malignant tumors.
Very often, such problems can be avoided by non-hormonal therapy. Phytohormones replace estrogens and maintain women's health at an acceptable level. One of the remedies recommended by doctors is Lignarius. So far, there is simply no analogue to the drug. You can store estrogen for a long time, getting it from food, or take a course of pills to get rid of hot flashes, problems with abnormal discharge and fatigue.
Don't waste your health! Even if you are reassured by another article from the Internet, be vigilant and play it safe. Have a nice day!
How to determine?
Criteria for assessing critical days (monthly):
- duration (normal: no more than 1 week)
- profuseness (the largest amount of blood is released in the first 2-3 days, then only “residues” are released)
- volume of blood loss (in 24 hours the maximum should be 150 ml, and the average amount: 120 ml)
- duration of the intermenstrual period (minimum 21 days)
- presence of painful sensations (pain can be moderate, or even slight discomfort is present, no more)
- bleeding between critical days (this should not happen in healthy females)
Based on the criteria listed above, you can understand for yourself whether you have normal or heavy periods. Abundance is a syndrome whose causes are varied. This may be gynecological or other pathology. That is why it is important to contact a qualified doctor to prescribe tests to discover the true cause. Then it will be possible to decide what to do.
Diagnosis of the problem
At the appointment, the doctor should ask you about your cycle, at what age it began, whether there have been pregnancies or abortions, how long the cycle lasts, how heavy your periods are and whether there are any clots. How much discomfort do you experience? Before your visit, it makes sense to count the number of hygiene products you use per day and over the entire period. After consultation, a number of tests are prescribed:
- blood test for hormones, iron and coagulation;
- Pap test - a painless smear from the cervix to check for cell changes. In serious cases, an intrauterine biopsy is prescribed (the procedure takes about 15 minutes and is well tolerated);
- Ultrasound.
Based on these initial examinations, additional examinations may be prescribed, for example hysteroscopy (a minimally invasive method using an optical tube).
Bleeding due to uterine fibroids, adenomyosis, endometrial and cervical canal polyps
Uterine fibroids, endometriosis and polyps and endometrial hyperplasia are diseases associated with benign growth of uterine tissue. They appear most often during reproductive age.
All this pathology is easily diagnosed using ultrasound. As a rule, no additional examination methods are required. You can read about possible treatment options for uterine fibroids in the corresponding section of the website www. ya-zdorova.ru. In the presence of pathology of the uterine cavity, hysteroscopy with the appropriate amount of surgical intervention is indicated to eliminate the cause of bleeding.
