When ovulation doesn't occur, progesterone is not produced, however estrogen-induced endometrial accumulation continues indefinitely. Progesterone normally balances the effects of estrogen. As a result of this unopposed estrogen, shedding of the thickened endometrium is irregular, happening when it can no longer maintain itself. This pattern is known as estrogen breakthrough bleeding, which results in delayed and unusually heavy periods. A pattern more commonly experienced by peri-menopausal women is estrogen withdrawal bleeding. As estrogen levels decline in the peri-menopause, the endometrium develops inadequately. In this case, irregular shedding results in spotting between periods, or light, frequent, and/or short menstruation.
Many women experience anovulatory bleeding at one time or another during their menstruating lifetime. This condition is more common among girls during the year or two after their first period and among women nearing menopause. Anovulatory bleeding is diagnosed by a women's health care provider or gynaecologist after other causes of irregular uterine bleeding have been eliminated through tests and/or diagnostic procedures.
A variety of factors can cause changes in normal hormonal function and menstruation, including:
Early diagnosis and treatment of anovulatory bleeding are essential. Possible complications include iron deficiency anaemia, infertility, osteoporosis, and endometrial cancer. With appropriate management, normal menstruation can often resume. Treatment generally includes hormonal regulation with birth control pills or progesterone supplementation.
If a woman has been experiencing unusual vaginal bleeding, fever, abdominal pain, dizziness, and/or fainting, it's important to make an appointment to see a women's health care provider or gynaecologist for an evaluation.
Menstruation is the periodic (usually monthly) shedding of the lining of the uterus that occurs under the influence of hormones. Hormones control ovulation (release of an egg from the ovary), the development of the endometrium (uterine lining), and menses (monthly flow). Appropriate hormones in adequate amounts and released in the proper sequence are necessary for the monthly pattern to continue. Without normal hormonal functioning, ovulation does not take place, disrupting the normal monthly pattern.
During a normal menstrual cycle, hormones from the brain stimulate the ovaries to prepare an egg and to release the hormone estrogen, which builds up the endometrium. Following ovulation, the ovary that released the egg secretes the hormone progesterone, which prepares the endometrium for conception. Progesterone secretion declines if pregnancy does not occur, and the menstrual phase of the cycle begins, with the sloughing off of the endometrium in menstrual blood. Periodic, monthly bleeding can only result following ovulation, since it is this event that promotes progesterone production and declines two weeks later, bringing on menses.
For many women" the period" simply means vaginal bleeding without regard to the pattern of bleeding. In this sense, it is possible to bleed without ovulating, but the bleeding will be irregular. This is known as dysfunctional uterine bleeding or anovulatory bleeding. Anovulatory bleeding varies inflow, duration, and schedule, and often is mistaken for a menstrual period.
Lastly, even though women can have bleeding without ovulation, they still need to use birth control if they want to be protected from pregnancy. The timing of ovulation is unpredictable, so it makes sense to be protected.
Vaginal bleeding is a common phenomenon in women. Sometimes it is due to cyclical changes in the cycle, while other times, it may be indicative of something unnatural and perhaps severe. Abnormal vaginal bleeding includes:
Bleeding from the vagina during the pregnancy period in women can be quite a traumatic experience. Bleeding during pregnancy occurs due to several reasons. While some of these reasons can be ignored and are considered natural, the others might be of concern.
Vaginal bleeding accompanied by spotting is common in women within twelve weeks of pregnancy. The cervix getting infected might also be a cause of the bleeding. This pauses by itself after a certain period. However, bleeding from the vaginal area during pregnancy phase may also lead to something as severe as miscarriage or an early born infant.
Once u get bleeding after getting pregnant consult ur doctor as early as possible, it's the doctor who will guide u whether to wait or some action has to be taken.
For proper assessment and control of the bleeding, you should undertake the following actions:
1. Keep a track on the bleeding.
You must have an idea about the amount of blood loss you have had. It will make your doctor's work much easier to understand the intensity and the root of the problem. He will also be able to present you with a control plan. You have to keep a pad in your underwear and let it get soaked. Keep a track on how many pads get used by in a span of 24 hours. Notice the other features of the bleeding as well; whether there is pain or not and the intensity of the bleeding. Keep a constant check on the color and shade of the blood, and mention the presence of blood clots if any to your doctor.
2. Take sufficient amount of rest.
Untroubled, peaceful bed rest for long duration is the primary treatment to prevent pregnancy bleeding. During the early days of bleeding, total bed rest is recommended by all doctors. In case the bleeding cannot be checked regardless of sufficient rest, you should call the doctor.
3. Abstain from any form of heavy physical work.
Any kind of physical labor which produces strain in the body such as running, jogging, jumping, cycling or going up and down a staircase quite often should be strictly prohibited during pregnancy. Undertaking these activities causes the uterus to jerk, and may lead to the breakage of delicate blood vessels within the placenta. On the off chance that the bleeding is less, activities of this kind should be still strictly avoided. Even after the bleeding stops, keep away from any strain for two more weeks.
4. Do not indulge in sexual intercourse.
Sexual intercourse during pregnancy can enhance vaginal bleeding to a great extent. For women facing bleeding during this phase, it is advised to keep away from having sex until your doctor advises.
Pregnancy bleeding is a serious issue, and it must not be neglected in the slightest of extent.
Menorrhagia refers to very heavy and prolonged menstrual bleeding or periods in women. The bleeding is abnormal in nature, and if this continues for a long time, a hysterectomy surgery needs to be carried out to solve the problem.
Bleeding during the night time and passage of large blood clots during menstruation are other symptoms of Menorrhagia.
The various possible causes of this kind of heavy menstrual bleeding are:
Hormonal imbalance, specifically of estrogen and progesterone is a common cause, which is more likely in adolescents and in women nearing menopause. Dysfunction in the ovaries also causes hormonal imbalance.
Non-cancerous tumors or fibroids may also be responsible for menorrhagia.
Using blood thinners may lead to menorrhagia.
An intrauterine device used for birth control measures can cause disturbance and may lead to heavy menstruation.
A condition known as adenomyosis, where the glands in the uterus lining get embedded in the walls of the uterus, also causes menorrhagia.
Pelvic inflammatory diseases, infection in the uterus or fallopian tubes are other common causes.
Heavy bleeding may occur in patients with ovarian or cervical cancer.
Diseases of the kidney, liver or thyroid diseases may also cause menorrhagia.
Several tests and methods are carried out for the diagnosis of menorrhagia. They are:
A general physical examination.
Bleeding diary of the woman.
Blood tests to detect anemia or thyroid.
Ultrasound for evaluation of pelvic organs like uterus, ovaries and pelvis.
Hysteroscopy, where a camera is inserted into the uterus to observe the linings.
Sonohysterography, where fluid gets instilled into the uterus along with an ultrasound test.
Certain drugs are used to treat menorrhagia. They include:
Iron supplements for treating anemia.
NSAIDS or non-steroidal anti-inflammatories for treating and reducing blood loss.
Tranexamic acid is used for reducing menstrual bleeding.
Several oral contraceptives are used for regulation of the menstrual cycle. Oral progesterone corrects the hormonal imbalance and reduces bleeding.
Surgical procedures for the treatment of menorrhagia include:
Hysteroscopy, dilation and curettage, where uterus lining is scraped and evaluated.
Uterine artery embolization treats menorrhagia with fibroids.
Focused ultrasound ablation enables the killing of the fibroid tissue.
Hysterectomy surgery is the penultimate solution, where the uterus, cervix or ovaries are completely removed.
Menorrhagia is characterized by abnormally heavy menstrual bleeding in women. This is quite unhealthy and proper measures must be taken for curing the heavy bleeding.
Slight discomfort and pain is normally associated with every woman's monthly menstrual cycle. However, for some women, this discomfort can restrict their normal activities and put them in a lot of pain. This is often accompanied by heavy menstrual bleeding. Medication is usually the first line of treatment for heavy periods, but if this is not effective surgical options may need to be looked at. Amongst the surgical ways to deal with painful menstruation and heavy bleeding is a procedure known as endometrial ablation.
Endometrial ablation is a surgical procedure that removes the lining of the uterus or endometrium. The procedure is usually performed under spinal or local anesthesia and takes less than a hour. In some cases, the patient may need to go under general anesthesia. This surgery is often performed as an outpatient procedure. This can be performed in a number of ways. Some of the common forms of endometrial ablation are:
1. Laser ablation
2. Heat ablation using either heated saline or radio frequency
3. Electric removal of uterine lining
5. Microwave removal
Though the procedure is performed as an outpatient procedure, it can take up to 2 weeks for complete recovery. The woman may notice watery discharge for a day or two accompanied by cramps and nausea. However, after such a procedure, most women do not have a period for the next few months. While this may stop menstrual bleeding completely for older women, younger women should see reduced menstrual bleeding, but may also need a repeat procedure later.
Though many women can conceive after such a procedure, endometrial ablation is usually not recommended for women who intend on having children later. It is usually suggested as an alternative to a hysterectomy. It is also not recommended for women who have a high risk of developing endometrial cancer. An endometrial ablation can be performed if the woman suffers from minor fibroids, but is avoidable if the woman suffers from large fibroids. A vaginal or pelvic infection of any kind will also prevent a woman from undergoing this procedure.
Like any other procedure, this one is associated with a number of certain risks as well, such as
1. Infection and bleeding
2. Rupturing the uterine wall or bowel walls
3. Excessive fluid in the bloodstream
Thus in order to reduce the risks associated, utmost care must be taken, both by doctor and patient and in case of any bleeding that lasts longer than two days should be immediately brought to your doctor's notice.
Vaginal bleeding is something that most women experience between their periods when they are not due for a menstrual cycle. It is considered as an abnormal occurrence when you bleed before you are expecting your menstrual period, or after you are done with your monthly cycle. It is usually characterised by bouts of spots where a thick brown reddish discharge may be experienced. Also, this kind of bleeding is considered abnormal if it occurs during pregnancy or menopause.
Here are a few causes of abnormal vaginal bleeding:
- Hormones: An imbalance in the hormones like the estrogen and progesterone can lead to abnormal vaginal bleeding. These are the hormones that help in the regulation of the monthly menstrual cycles. An imbalance can occur due to side effects caused by birth control pills that may not suit the individual, a contraceptive patch, or even contraceptive implants and injections. Further, an intrauterine device may also be the cause of this kind of bleeding. The hormonal balance can also get affected due to internal ailments like a dysfunctional thyroid gland and ovaries.
- Pregnancy and Delivery: Some amount of spotting is considered normal in the first trimester of one's pregnancy. Yet, severe bleeding and persistent spotting must be reported to the gynaecologist immediately. Women also bleed for a while after the delivery of the baby, in the post-partum period. This may also happen when an abortion takes place as the uterus may not have come back to its original size and due to remaining foetal tissues within. Complications during the pregnancy like an ectopic pregnancy or a miscarriage can also lead to such kind of bleeding. An ectopic pregnancy is one where the egg gets implanted in the fallopian tube instead of entering and implanting itself in the uterus.
- Fibroids: Uterine fibroids are usually considered as non-malignant and non-cancerous growths within the uterus. These are common in many women who have gone through childbirth. These fibroids can also cause some amount of bleeding and spotting.
- Infections: When there is an infection in the reproductive organs like the ovaries and uterus of the patient, there may be some amount of bleeding. An infection in this area can also cause inflammation, which is one of the primary causes of abnormal bleeding. This can also occur due to a sexually transmitted disease or STD, as well as painful intercourse and sexual abuse which can lead to scarring as well.
- Cancer: One of the least common causes includes cervical, ovarian and other forms of cancer.
The cycle changes and the bleeding become heavier.
Bleeding lasts for 7 days or more.
A tender or dry vagina.
Abnormal mood swings.
Excessive body hair, especially on the back, chest and face.
The ovaries do not release an egg.
Changes in the hormone level.
Lower levels of oestrogen or progesterone.
Thickening of the uterine wall in women above 40 years of age.
Certain birth control pills can also cause abnormal bleeding.
Some women also complain of abnormal bleeding in their first few weeks of pregnancy.
The physician first checks the haemoglobin levels of the woman.
An ultrasound of the pelvic region is done to check for physical injuries.
Sometimes, an endometrial biopsy (the doctor checks a sample of the endometrium, which is the lining of the uterus) is also used to test the condition of the uterine lining.
Hysteroscopy, using a hysteroscope, is used to test the insides of the uterus. A hysteroscope is a thin tube that is inserted into the vagina for the examination of cervix as well as the insides of the uterus.
Younger women in the range of 18-23 years of age are usually treated using low doses of birth control pills.
Oestrogen therapy is used.
Painkillers such as ibuprofen are also prescribed before the beginning of the menstrual periods.
The increase of ‘progesterone’ through IUD. An IUD (intrauterine device) is a contraceptive device that is inserted into the uterus.
Cyclic hormone therapy is given to women above 40 years of age (Progesterone is administered in a periodic interval, usually about 4 weeks).
Women considering pregnancy are recommended hormone therapy to increase ovulation.
Excessive release or flow of blood during the menstrual cycle or periods is referred to as menorrhagia. It is an abnormally long-lasting and heavy menstrual period at regular intervals. It usually occurs in premenopausal women, affecting their overall health, decreasing the quality of life, weakness and many interruptions in their lifestyle.
As a treatment for menorrhagia, homeopathy has shown proven results. The medicines maintain the emotional, mental, physiological and immune reactions of the person to guarantee long lasting and permanent help. The medicines will necessarily have to be prescribed by a doctor.
A few women have almost no issue with their menstrual cycles, however, others suffer every month. A variety of distressing side effects may occur with premenstrual women. These include irritation, mood swings, headaches, bloating, excessive urination, and soreness of the breasts. Periods can be irregular and disturbed, with cramping, heavy flow, anxiety and discomfort. Here are a few homeopathic treatments for this problem:
Menstrual cycles are really hectic for a woman to tackle all the time. Sometimes they result to different abnormalities which can be caused due to a lot of various reasons. But if you are experiencing some serious problems every month then you should visit the doctor and do a checkup. You should never neglect any kind of medical disorder which is often related to your menstrual cycle.
One of the most common problem which many women face is abnormal uterine bleeding. It is a serious problem in which the bleeding from the uterus is longer than expected and can occur at irregular time. You may face bleeding at unusual times and randomly. So it becomes really hectic to manage if you have a hectic schedule.
Abnormal uterine bleeding can be caused due to a variety of reasons. Here are some of the most important of them which affects majority of the women.
● AUB can occur when the female ovaries do not release the egg.
● Thickening of the uterine wall or lining can also result to heavy bleeding at unusual times.
● Uterine polyps may also lead to bleeding.
● If the person is suffering from any cancer which has affected the ovaries, uterus, cervix, or vagina.
● If the women takes hormonal birth control pills.
● Infection in the uterus or cervix can also lead to heavy unusual bleeding.
These are the most common causes of AUB which most of the women tend to experience. Now we will have a look at the symptoms of AUB which will help you to identify it.
Abnormal uterine bleeding can be identified if the following symptoms have been experienced.
● If there is heavy bleeding or spotting from the vagina between periods
● If the Periods occur less than 28 days apart or more than 35 days apart.
● If the time period between the periods changes frequently each month.
● The bleeding may last for more days than normal or for more than a week.
So these are the symptoms of AUB which you should be well aware of and if you identify any of them, make sure you visit your doctor or gynaecologist for a checkup.
AUB can possess different risks to the women who are facing it. Even though most women tend to experience it at least once in their lifetime, sometimes it can become really serious and needs to be treated so that it does not affect your health in a negative way. The most common risks which are involved in Abnormal uterine bleeding are -
● If AUB is affecting the woman very frequently and if it is not treated properly, it can result to infertility or the condition which does not let a woman conceive.
● Women can also experience severe anemia due to heavy blood loss.
● Untreated AUB can be really dangerous and can also result to endometrial cancer.
So, here are the different information related to Abnormal uterine bleeding which you should know about and if you experience anything serious related to it make sure you visit the doctor immediately.
Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of an egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.
What is Menorrhagia?
Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.
Common Causes Behind It
Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.
History of miscarriage or failed pregnancies.
Use of contraceptives
How can you treat heavy bleeding during menses
Some non-steroidal anti-inflammatory drugs such as ibuprofen may be prescribed to reduce blood loss.
Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.
Increasing magnesium intake to balance out levels of oestrogen.
It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.
If the bleeding cannot be controlled even after a change of diet and home remedies, you must visit the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.