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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Excess bleeding or menorrhagia is a common kind of abnormal bleeding occurring at the time of menstruation. Menorrhagia causes more blood loss which leads to anaemia. fatigue and breathlessness are common symptoms of anaemia.
Symptoms of excess bleeding
A few of the common symptoms of excessive bleeding are:
- Discharge of large blood clots is a sign of heavy bleeding
- Bleeding during the night which causes disruption in sleep as one has to wake up several times in the night to change the sanitary napkin
- Menstruation lasts longer than usual or more than 5 to 7 days.
- Any menses requiring excess change of pads than usual
Causes of excess bleeding
- Imbalance of hormones: During adolescence and when nearing menopause, the female body undergoes some imbalance in oestrogen and progesterone hormones. At these points of time, heavy bleeding is common among women. But it’s abnormal. So get it evaluated.
- Abortion / Ectopic pregnancy: Conception occurs in mid cycle and so by the time a menses start, one could be a pregnant too. So excess bleeding occurring at menses could be also due to an abortion or miscarriage. Unlike the usual course of pregnancy, if the fertilised egg gets stuck in the fallopian tubes and develops there, It results in Ectopic pregnancy. Excess bleeding can be a sign of ectopic pregnancy too.
- Fibroids: Growth of fleshy solid tumours in the wall of uterus namely Fibroids can lead to excess bleeding.
- Cancer: Cervical, ovarian and uterine cancers are rare causes of heavy bleeding, but it is possible. So early detection of these conditions is better for treatment.
- Adenomyosis: This is common in middle-aged women who have given birth to more than two children. In this case, the glands that appear in the lining of the uterus become deeply embedded in the muscle of the uterus wall. These women with adenomyotic uterus have severe dysmenorrhea ( pain during menses ) and excess bleeding.
- Intrauterine device: IUD used for birth causes more bleeding during menstruation. In some the bleeding reduces over time, but if in excess one must get evaluated.
- Pelvic inflammatory disease: PID is an infection that occurs in the uterus, other reproductive organs and the fallopian tubes. Inflammed reproductive organs bleed more and hence cause menorrhagia.
- Other diseases and disorders: Diseases like that of liver, kidneys and thyroids can cause excess bleeding. Disorders in blood levels or platelets can also be a cause.
Treatment for excess bleeding
Several treatments are available to treat heavy bleeding during menstruation. Choosing the right one mainly depends on the reasons that cause heavy bleeding.
- Hormonal therapy: This therapy is used as a treatment to stabilise the lining of the uterus (endometrium) and thus regulate the menstrual bleeding.
- Non-hormonal medication: A tranexamic acid is a non-hormonal medication prescribed by the doctor that promotes clotting of the blood.
- Nonsteroidal drugs: Nonsteroidal medications that are anti-inflammatory like Ibuprofen, mefenamic acid helps to reduce the blood loss.
- Hysteroscopy: A long and thin scope can be inserted into the uterus through the cervix and the vagina. The doctor observes the lining of the uterus, remove the excess lining or the endometrial polyps that cause bleeding.
- Dilation and curettage: In this procedure, the mouth of the uterus (cervix) to be dilated and the lining of the uterus is scrapped off to make it shed all at once and stop bleeding.
- Hysterectomy: This involves removing the uterus. It is mainly done for uterus having adenomyosis, fibroids, or cancers, or when the patient does not respond to medical therapies.
- Ablation: Ablation or endometrial resection allows removal of the lining of the uterus. But it may be a temporary measure as the lining recurs.
To conclude, proper diagnosis, choosing the right treatment for excess bleeding at menses needs to be done urgently as it affects the overall health of the women suffering from it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Is regestrone 5mg tablet safe to take on a regular basis nearly every mnth to prevent excessive bleeding due to fibroid. Can it be used as a contraceptive as well.
I am 24 years old & I have one baby of 18 months. Present I confirmed 2nd pregnant just 3 weeks confirmed. Presently I am not ready for this pregnancy. Please advise me.
I am 18 years old and my girlfriend is too 18 years old. We had sex on her 6 th day of periods. She has still bleeding in 6th day also, we continued sex used condoms. During sex she has no bleeding but after she had some bleeding, after she had pain in her vagina. This is our first sex, we are afraid that there will be any problem for my girlfriend. Does she get any pregnancy, we are bothering about that main confusion. Please give me answer and clear our confusion and tension. Is she will be alright or not. Some friends told that after sex we gain weight and increase in body. Really that happens or it's just a gossip. We are son tensed in matter of pregnancy only, we used condoms during our intercourse also.
I'm unable to feed my new born baby due to lack of breast milk. I need a pharmaceutical solution for this ? Not ayurvedic.
Hi, My baby is 25 days old. I am breast feeding her. But milk was not sufficient for her. She is not drinking formula milk at all. Please suggest me how to increase breast milk. What does lactate granule means? And is it help full in increasing breast milk?
Me and my girlfriend in the mid of june had non penetrative sexual making out with skin contacts and with some very little traces of sperm near and around the lower abdomen. She had her last period on 2nd June (After a 40 days cycle) and its been 40 days (12th July, till now she haven't got her periods. We are totally stressed up on whats happening? And is it possible for a person to get pregnant without penetration as illustrated in certain internet websites? Is it practically possible? Hav you came across any patients f such cases?
Hello my periods started on 11th of may and on 22nd of may I have sex with my husband will I get pregnant? I am having 40 days of Cycle period.
Hi doctor I'm taking now ayurvedic medicines for healthy follicle egg growing My question is doctor giving kouthaja triphala lehyam it is for egg growing know 3 months over now that medicines taking I don't have ovarian cyst but egg not maturing it is so small last 3 months before scanning doctor told to me now it is growing know for that lehyam please tell me gynecology told to me clomifene tablets 6 months you have to take for egg growing please tell me.
Sexual dysfunction includes any problems that prevent a person or couple from achieving sexual satisfaction. Sexual dysfunction can occur at any point of the of the sexual response cycle, including arousal and desire, plateau, orgasm, and resolution. While many are shy to talk about sexual dysfunction, it’s surprisingly more common than you may think. About 31% of men experience sexual dysfunction, and 43% of women experience it.
Talk to a medical doctor if you are concerned you have a sexual dysfunction disorder in order to obtain a diagnosis and treatment.
Look into the categories of sexual disorder. While most everyone experiences nights of not being “in the mood”, disorders occur when problems occur regularly and impact the experience of sex. Think about when the problems occur and how they influence the experience of sex. The following are 4 different types of disorders:
- Desire disorder: This occurs when you have little or no interest in sex for an ongoing amount of time. For women, things like contraceptives can greatly lower or eliminate desire.
- Arousal disorder: Arousal disorder occurs when you want to have sex, yet your body does not respond.
- Orgasm disorder: Your body and emotions may be engaged in sexual activity, yet you are unable to climax, which can leave you feeling frustrated.
- Pain disorder: Pain disorder occurs when any part of sexual activity is painful, particularly intercourse.
Identify difficulties with orgasm. A lack of orgasm is called anorgasmia. Your provider may ask you questions about psychological and emotional factors that may cause anorgasmia, such as sexual inhibition, lack of experience, feelings of guilt or anxiety, or a history of sexual trauma or abuse. Some medications or chronic diseases can cause problems with arousal and orgasm.
- Sometimes anorgasmia can be helped with sufficient stimulation.
Identify the medical causes of sexual dysfunction. Stress if often a major culprit for sexual dysfunction. However, medical and psychological factors may affect sexual satisfaction. Diagnoses such as diabetes, heart disease, neurological disorders, and hormone imbalances can also cause sexual dysfunction. Medication side-effects, drugs, and alcohol can also influence sex.
- If you’re above the age of 65, the likelihood of experiencing lower sexual response is increased.
Discuss psychological causes. There are some sexual problems that can result from psychological causes. These can include having poor body image, mood disorders, relationship problems, or past sexual trauma.
- Psychological causes can result in a lowered libido, decreased desire or arousal, failure to achieve orgasm, or a lack of sensitivity in the genitals.