Heavy Or Prolonged Menstrual Bleeding (Menorrhagia) (Beyond The Basics)” – Patient Education: Abnormal Uterine Bleeding (Beyond The Basics)

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Some women do not ovulate regularly and may experience unpredictable light or heavy vaginal bleeding. It can occur at any time in the course of the reproductive years, anovulation is most common when periods first begin and during perimenopause. Most common causes of such bleeding are uterine fibroids, uterine adenomyosis, or endometrial polyps. Patient education. Some women who ovulate regularly experience excessive blood loss during their periods or bleed between periods. These conditions are common causes of abnormal uterine bleeding. Fibroids, adenomyosis and polyps can also occur in anovulatory women. While adenomyosis is a condition in which the lining of the uterus grows into the myometrium, fibroids are benign masses in the muscle layer of the uterus. Endometrial polyps are fleshy growths of tissue which project into the uterine cavity. Anyway, breakthrough bleeding can also happen if a hormonal birth control method is forgotten or taken late. In this situation, look, there’s a risk that the woman could become pregnant if she has sex. Women in the menopausal transition are also at risk for other conditions that cause abnormal bleeding, including cancer, infection, and bodywide illnesses. Now pay attention please. Abnormal bleeding in teens can also be caused by most of the conditions that cause bleeding in all premenopausal women.

Abnormal uterine bleeding can be caused by many different conditions.

The inside of the uterus has two layers.

The thick outer muscular wall is the myometrium. I’m sure that the endometrial lining is shed in the course of the menstrual period, if the woman does not become pregnant. Certainly, the thin inner layer is called the endometrium. In women who ovulate and menstruate regularly, the endometrium thickens every month in preparation for pregnancy. Menstruation occurs 10 to 14 days after ovulation. Therefore, this article might be updated as needed on our web site. Throughout the pelvic exam, the clinician will look for any obvious lesions and will examine the size and shape of the uterus. You should take it into account. Throughout the biopsy, a thin instrument is inserted through the vagina into the uterus to obtain a small sample of endometrial tissue. Basically the biopsy can be performed in a healthcare provider’s office without anesthesia.

Throughout the menopausal transition, birth control pills and similar hormonal therapy can be used to regulate the menstrual cycle and prevent excessive growth of the endometrium.

Progestins may also be given in other ways, similar to in an injection, an implant, or an intrauterine device.

These treatments are discussed in detail in a separate topic review. Anyway, some women completely stop having menstrual bleeding for a reason of the IUD, that is reversible when the IUD is removed. Progestinreleasing IUDs decrease menstrual blood loss by more than 50 percent and decrease pain associated with periods. Considering the above said. I am sure that the most definitive surgical treatment for abnormal uterine bleeding is hysterectomy, or removal of the entire uterus. At the time of hysterectomy, the ovaries might be left in place or removed. Women with fibroids can have surgical treatment of their fibroids, either by removing the fibroid or by reducing the blood supply of the fibroids. Also, more information about these treatments is available separately. Hysterectomy might be performed by conventional laparoscopy or robotic laparoscopy, through the vagina, or by an open incision on the abdomen. Pregnancy itself can cause abnormal bleeding, Women in the menopausal transition still ovulate plenty of the time and can become pregnant.

Under normal circumstances, a woman’s uterus sheds a limited quantity of blood during any menstrual period. Bleeding that occurs erratically or excessive regular menstrual bleeding is considered to be abnormal uterine bleeding.

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