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It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.
The following are considered to be abnormal or dysfunctional uterine bleeding:
- A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
- No period for 3–6 months (amenorrhea) is abnormal
- Spotting or bleeding between periods
- Spotting or bleeding after intercourse
- Bleeding that is heavier or lasts longer than usual
- Spotting or bleeding after menopause
What can cause such a situation?
Some of the common causes leading to abnormal bleeding are as follows:
- Ectopic pregnancy
- Cervical or uterine infections
- Hormonal imbalances
- Problems with blood clotting
- Polycystic ovarian
- Endometrial hyperplasia
- Cancer of the reproductive tract
How to Diagnose it?
Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.
- Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
- Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
- Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding
How Best to Treat It?
This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.
- Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
- Antibiotics may be useful if there is infection of the pelvic organs.
- Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
- Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
- Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.
Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways. If you wish to discuss any specific problem, you can consult a gynaecologist.
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It is important to know when something is wrong with your sex life, as early intervention could save you.
Sex is supposed to be fun, and also an intimate way to connect with a partner. This does not mean it doesn't come with its own set of challenges.
While some sexual challenges can be solves easily with the right tools, others usually need medical intervention or even therapy. Below are 6 kinds of sex problems that requires help.
#1 Persistent problems. If you experience a hard time “getting up” or getting hard, and this problem persists for two weeks or more, this is a sign that there could be a deeper underlying issue that needs to be looked at by a professional. This is the same for other performance-related issues that are out of your control.
#2 Painful. Sex should give you pleasure. If you feel unusual pain when you’re having sex, chances are, you *and/or your partner* have health-related problems. Consulting a therapist can help you find the best medical-based advice on what positions will best lessen the pain, what positions and deeds are most comfortable, and what techniques you can employ to make the most of your time in bed
#3 No climax. Maybe you don’t have a partner and you’re used to having a go at it on your own. Then suddenly, you find yourself not reaching climax. Again, if this problem is persistent for a few months, or each time you masturbate, this can be due to an underlying issue that an expert can help sort out for you.
#4 Sex arguments. It may start with casual teasing about how your partner slept on you as you were about to do the deed…but then it happens again and again—so much so that you start to bicker about it. If you are arguing about your sex life and are complaining about it, it can help to seek a therapist before your problems in bed overflow to other aspects of your relationship.
#5 Unsatisfactory sex life. While you may both be very polite or don’t want your sex life to be the main drive for your happiness in your relationship, having one *or both* partners dissatisfied in the bedroom is a recipe for disaster. Maybe you or your partner is having erectile dysfunction or premature ejaculation and you don’t want to tell the other party about it, or you are experiencing trouble reaching orgasm. This means you need help.
#6 Strained relationships. If your sexual performance and intimacy issues are causing a strain in your relationship, this is also a good reason to bring in an expert. Maybe you’re not having as much sex as you used to, or you are not performing well in bed, and this is causing your partner a great deal of frustration or disappointment that carries over, out of the bedroom. After all, a lack of sex can cause distance between couples and cause frequent bickering. If you want to save your relationship and enjoy sex with your partner again, you really should go see someone
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