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Uterine Bleeding Health Feed

How Can Hysteroscopic Treatment Help You With Abnormal Uterine Bleeding?

Dr. Vidya Patil 85% (24 ratings)
MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist, Mumbai
How Can Hysteroscopic Treatment Help You With Abnormal Uterine Bleeding?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding.

242 people found this helpful

After how many days taking modus 10 mg tablet for 5 days OD I will get my periods mam.

Dr. Sameer Kumar 91% (4458 ratings)
MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology
Gynaecologist, Noida
After how many days taking modus 10 mg tablet for 5 days OD I will get my periods mam.
Hello, Ideally you are supposed to take it twice a day for 5 days and then in next 5-7 days , you shall get your withdrawal bleed.
1 person found this helpful
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My mother in law was is facing issues of vaginal bleeding, when we consultant Dr. after test they told there are water balls on kidney/liver and when it's breaks bleeding starts. Also they told that there is no treatment for that. We are badly worried please advise She stays in bangalore. Also be guided that she have removed her uterus earlier. Her age is 52.

Dr. Sathish Erra 92% (446 ratings)
BHMS, Diploma in Dermatology
Homeopath, Hyderabad
My mother in law was is facing issues of vaginal bleeding, when we consultant Dr. after test they told there are wate...
Hi, Hemorragic cyst on kidney: Acquired cystic renal disease. Most patients are asymptomatic, but symptoms may include gross hematuria, flank pain, renal colic, or a palpable renal mass. Hemorrhagic cysts occur in 50% of patients. Medullary sponge kidney (MSK) is usually detected on radiographic evaluation of adults with nephrolithiasis. So once consult a homeopathy doctor in homeoathy treatment this condition is treatable.
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Uterine Bleeding - Can Hysteroscopy Help?

Motherhood 90% (81 ratings)
Speciality Birthing Care
Gynaecologist, Bangalore
Uterine Bleeding - Can Hysteroscopy Help?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding.

Uterine Cancer - Who Is At Risk?

Dr. Dinesh Singh 88% (65 ratings)
MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Uterine Cancer - Who Is At Risk?

Cancer, be it in any part of the body, has an increased success rate of cure and survival, when it is diagnosed early. The same is true with uterine cancer, the most common form of female reproductive cancer. However, unfortunately, a limited section of the society is aware of the necessary information about this fatal disorder, which is incidentally treatable if caught at early stages. To help the cause, here is a brief note on what one should be aware of when it comes to uterine cancer.

What is uterine cancer?
Cancer which begins at the tissue lining of the uterus also referred to as the endometrium, is called uterine or endometrial cancer which occurs due to the abnormal growth of the cells that can invade the other parts of the body. Some people tend to confuse this with uterine sarcomas which start developing when there is cancer growth in the muscles and other supporting tissues in the uterus. Also, uterine sarcomas account for a small percentage of cancers in the uterus.

Who are at higher risk of being affected with uterine cancer?
It is presumed that post-menopausal women are at a higher risk of being affected by uterine cancer. The average women diagnosed with the disease is 60 years. It is very uncommon in women who are aged below 45 years, and the causes are not yet precisely known.

While menopausal and post-menopausal women are at a higher risk of developing uterine cancer, it is crucial to understand that women who don’t belong to any of the risk groups may also be diagnosed with the disease due to other factors such as obesity or hormone therapy for breast cancer.

What are the most common symptoms of uterine cancer?
Abnormal vaginal bleeding, which means bleeding after menopause or between periods, is the most common symptom of uterine cancer. Typically, the bleeding begins as a form of watery blood-streaked discharge that becomes bloodier with the passage of time.

Other signs and symptoms of uterine cancer include:

  • Difficulty or painful sensation while passing urine
  • Pain in the pelvic region
  • Prolonged and heavy episodes of vaginal bleeding
  • Thin and white vaginal discharge
  • Unusual vaginal bleeding
  • Feeling heaviness in the pelvic area

According to experts, a woman who undergoes any of these signs and symptoms should not ignore the condition and seek medical attention immediately. But it is important to note that these symptoms can indicate something more serious or less severe. You should always check with your doctor to know what’s bothering your body.

The good news is that endometrial or uterine cancer is treatable and there are several options for treatment when the diagnosis is made at an early stage. Treatment methods involve radiation therapy, chemotherapy, hormone therapy or surgical removal of the uterus depending on the particular scenario. To conclude, it can be said that being aware of the condition can help you in dealing with it. In case you have a concern or query you can always consult an expert & get answers to your questions!

3534 people found this helpful

How Hysteroscopic Treatment Can Help In Treating Abnormal Uterine Bleeding?

MBBS, MD / MS - Obstetrics & Gynaecology
Gynaecologist, Kanpur
How Hysteroscopic Treatment Can Help In Treating Abnormal Uterine Bleeding?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding. In case you have a concern or query you can always consult an expert & get answers to your questions!

2319 people found this helpful

Treatment Of Lump In The Uterus - बच्चेदानी में गांठ का इलाज

Dr. Sanjeev Kumar Singh 87% (52 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Treatment Of Lump In The Uterus - बच्चेदानी में गांठ का इलाज

बच्चेदानी में गाँठ, कई महिलाओं के लिए परेशानी का कारण बन जाती है. इस दौरान गर्भाशय की आंतरिक परत की कोशिकाएं आवश्यकता से अधिक मोटी और बड़ी हो जाती हैं. फाइब्रॉइड होने के कारण जो लक्षण प्रकट होते है वो इस बात पर निर्भर करते है की ये किस जगह स्थित  है , इनका आकार कैसा है और इनकी संख्या कितनी है. यदि फाइब्रॉइड बहुत छोटे हों और कम हों तो किसी प्रकार की तकलीफ नहीं होती और मेनोपॉज होने के बाद या अपने आप सिकुड़ कर मिट जाते है. लेकिन यदि फाइब्रोइड बढ़ जाते है इस प्रकार की परेशानी पैदा हो सकती है. गर्भाशय आकार में नाशपाती जैसा होता है. बच्चेदानी, महिलाओं का वो ख़ास अंग है जहां जन्म से पहले बच्चे को रखती हैं. आप इसे दो भागों में बाँट सकते हैं. एक तो है गर्भाशय ग्रीवा का पहला भाग जो योनी में खुलता है, वहीँ दुसरा भाग जो गर्भाशय का उपरी हिस्सा है जिसे कॉर्पस कहते हैं. महिलाओं के गर्भाशय में गाँठ का एक कारण कैंसर भी हो सकता है. आइए बच्चेदानी के गाँठ के कारणों और इसके संभावित उपचारों पर एक नजर डालें.
 

क्या है बच्चेदानी में गाँठ का कारण
हार्मोन

इस्ट्रोजन और प्रोजेस्ट्रोन नामक हार्मोन ओवरी में बनते है. हार्मोन के कारण हर महीने गर्भाशय में एक परत बनती है. जिसके कारण माहवारी होती है. ये हार्मोन ही इन परत के बनने के दौरान फाइब्रॉइड बनने की वजह भी बनते है.
अनुवांशिकता पारिवारिक कारण
यदि दादी, नानी, माँ या बहन को फाइब्रॉइड की समस्या है तो आपको भी यह होने की पूरी संभावना होती है.
गर्भावस्था
गर्भावस्था के समय एस्ट्रोजन और प्रोजेस्ट्रोन हार्मोन्स का स्राव बढ़ जाता है. इसलिए ऐसे समय फाइब्रॉइड होने संभावना भी बढ़ जाती है.
मोटापा
वजन ज्यादा होने की वजह से भी गर्भाशय में फाइब्रॉइड बनने की संभावना बढ़ जाती है. इसका कारण गलत प्रकार का खान-पान, शारीरिक गतिविधि का अभाव तथा गलत प्रकार की दिनचर्या भी हो सकता है.


क्या हैं इसके लक्षण?

  • माहवारी के समय या बीच में ज्यादा रक्तस्राव जिसमें थक्के शामिल होते है.
  • नाभि के नीचे पेट में दर्द या पीठ के निचले हिस्से में दर्द.
  • पेशाब बार बार आना.
  • मासिक धर्म के समय दर्द की लहर चलना.
  • यौन सम्बन्ध बनाते समय दर्द होना.
  • मासिक धर्म का सामान्य से अधिक दिनों तक चलना.
  • नाभि के नीचे पेट में दबाव या भारीपन महसूस होना.
  • एनीमिया.
  • पैरों में दर्द.
  • पेट की समस्याएं सूजन.
  • सम्भोग के समय दबाव महसूस होना.
  • फाइब्रॉइड का पता कैसे चलता है

यदि उपरोक्त लक्षण दिखाई दें तो महिला चिकित्सक से जाँच करानी चाहिए. जाँच करने के बाद यदि उन्हें गर्भाशय में गांठ यानि फाइब्रॉइड होने का शक हो डॉक्टर सोनोग्राफी कराने के लिए कह सकते है. सोनोग्राफी से गर्भाशय की सही स्थिति का पता चलता है. कहाँ, कितनी संख्या और कितने बड़े फायब्रॉयड है इसका भी पता चल जाता है. यह सोनोग्राफी दो तरह से होती है – पहली समान्य प्रकार से पेट के ऊपर से और दूसरी योनी के अंदर से जिसे ट्रांसवेजिनल अल्ट्रासॉउन्ड कहते है.
योनि के अंदर से सोनोग्राफी होने पर फाइब्रॉइड की स्थिति का ज्यादा स्पष्ट रूप से पता चलता है. क्योंकि उसमे मशीन गर्भाशय के ज्यादा पास तक पहुँच पाती है. डॉक्टर के बताये अनुसार सोनोग्राफी कराने से किस प्रकार का इलाज  होना चाहिए यह पता चलता है. इसके अलावा एम.आर.आई., एक्सरे या सीटी स्केन की जरुरत के अनुसार कराने की सलाह दी जा सकती है.
 

क्या है इसका उपचार
यदि फाइब्रोइड के कारण किसी प्रकार की तकलीफ ना हो तो सामान्यतः किसी प्रकार के इलाज की आवश्यकता  नहीं होती है. यहाँ तक की थोड़ा बहुत अधिक रक्तस्राव की स्थिति से निपट सकें तो कोई इलाज ना लें तो चलता है.
मेनोपॉज होने के बाद इसके कारण हो रही तकलीफ कम हो जाती है या कभी कभी बिल्कुल मिट भी जाती है. लेकिन यदि तकलीफ ज्यादा होती है तो इलाज लेना जरुरी हो जाता है.
फायब्रॉइड का इलाज उम्र , शारीरिक स्थिति , फाइब्रॉइड का आकार , उनकी संख्या और उनकी स्थिति के अनुसार तय किया जाता है. हो सकता है कुछ दवाओं से फाइब्रॉइड ठीक हो जाएँ अन्यथा ऑपरेशन की जरुरत भी पड़ सकती है. आपरेशन कई प्रकार से होते है. जिसमें मशीनों की सहायता से फाइब्रॉइड को बिना किसी चीर फाड़ के लेजर से नष्ट किया जाता है.
यदि इसके द्वारा इलाज संभव नहीं हो तो गर्भाशय को निकाल देना पड़ता है. उस स्थिति में माँ बनने की संभावना समाप्त हो जाती है. इस आपरेशन में ओवरी निकाल देनी है या नहीं यह डॉक्टर मरीज की परिस्थिति और जरुरत को देखते हुए निर्णय लेते है.
फाइब्रोइड होने पर डॉक्टर से इस प्रकार के प्रश्न किये जा सकते है. इनके जवाब समझने पर यह निर्णय करना आसान होता है कि अब क्या करना चाहिए. दवा लें या सर्जरी करायें. डॉक्टर की राय भी ली जा सकती है ताकि निर्णय लेना आसान हो जाये.
यदि गर्भाशय में मौजूद गांठ या रसौली प्रारंभिक अवस्था में हो या छोटी हों तो आयुर्वेदिक दवाओं से या होमिओपेथिक दवाओं से इन्हें ठीक करने की कोशिश की जा सकती है. ज्यादा बड़े फाइब्रॉइड होने पर और ब्लीडिंग अधिक होने पर सर्जरी जरुरी हो जाती है. सर्जरी के बाद महीने डेढ़ महीने कुछ परहेज रखने की जरुरत होती है. सर्जरी के बाद सभी तरह की परेशानियों से मुक्ति मिल जाती है.

My mother had a surgery name D&C ,polypectomy and mirena coil insertion on 10 april 2018 still she has very very light spotting of blood whether it will get cure by having T.TRAPIC 500 mg 1-1-1 days.

Dr. Girish Dani 90% (4136 ratings)
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Very likely. Most of medical problems need personally taking detailed medical history and examination with need of reports sometimes so if required to meet. Treating gynecologist.
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Abnormal Uterine Bleeding - Causes and Treatments!

Dr. Veena Vidyasagar 92% (552 ratings)
Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Abnormal Uterine Bleeding - Causes and Treatments!

Are you experiencing abnormal uterine bleeding? The term Abnormal uterine bleeding is used when the menstrual period doesn't conform to normal pattern. Any menstrual cycle, which has interval of less than 21 days or longer than 35 days, the duration is less than 2 days or more than 7 days, the flow is more or less than normal and there is bleeding apart from the menstrual period is an abnormal form of uterine bleeding

Causes of Abnormal Uterine Bleeding: 
The various causes of abnormal uterine bleeding are as follows: 

  1. One of the main causes is hormonal imbalance, as the balance between female hormones, estrogen and progesterone gets disrupted. This balance is required for the regulation and development of endometrium (lining of uterus). Proper development of endometrium is disrupted because of the hormonal imbalance resulting in abnormal bleeding. 
  2. Uterine fibroids, which are non cancerous tumours, may lead to prolonged and excessive uterine bleeding. 
  3. Polyps are small benign developments on the uterus lining which cause abnormal bleeding. They mostly occur because of hormonal imbalance. 
  4. Adenomyosis is a condition which develops when the endometrial glands get embedded in the uterine muscle, leading to excessive uterine bleeding and pain during menstruation
  5. Using intrauterine devices or IUDs also may cause abnormal uterine bleeding. Uterine cancers, ovarian cancers and cervical conditions may be responsible as well. 
  6. Inherited bleeding disorder is another likely cause. 
  7. Several drugs e.g. some painkillers, drugs used to curb inflammation and drugs used in coagulation disorders can cause abnormal uterine bleeding. 
  8. Medical conditions such as pelvic inflammatory disease, endometriosis, liver and kidney disease or thyroid problems can also cause abnormal uterine bleeding. 
  9. One should exclude Ectopic pregnancy during management of Abnormal uterine bleeding. 

Treatment: 
Treatment of abnormal uterine bleeding, depends upon the cause of bleeding and the patient’s age. 

  1. Medications: Several medicines are used for the treatment of abnormal uterine bleeding. Hormonal medicines and birth control pills are used to improve the regularity of periods. There are some haemostatic drugs which can be used to manage excessive uterine bleeding. 
  2. Surgery: In many cases, a woman has to undergo a surgery for the removal of polyps and fibroids, which cause excessive bleeding. Certain fibroids are removed via hysteroscopy. Other methods are by laparoscopy and by laparotomy ( by opening of abdomen). 
  3. Endometrial ablation: Endometrial ablation can be carried out to manage the bleeding. This treatment aims at permanent reduction of the excess bleeding. Hysterectomy has to be carried out when other treatments are unsuccessful. This is a major surgery and after it, a woman will no longer have periods. 

In case of abnormal uterine bleeding, you must consult a doctor as soon as possible. This will enable early treatment and prevent the development of further complications.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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