Dysfunctional uterine bleeding
Dysfunctional uterine bleeding is a pathological phenomenon, which is accompanied by women bleeding from the uterus.
This bleeding can be caused by hormonal disorders, menopause, injuries and diseases of the genital organs.
Causes and symptoms of dysfunctional uterine bleeding
Dysfunctional uterine bleeding is a violation of the functioning of the ovaries. These bleeding different acyclic, the presence of irregular menstrual cycles with alternating periods of prolonged bleeding from 10 days to 2 months.
Dysfunctional uterine bleeding is of several types - juvenile aged 13-17, reproductive aged 18-45 years, and menopause after the age of 50 years. At each of these stages, the main cause of bleeding is a hormonal disorder.
Dysfunctional bleeding in the juvenile period is associated with the development of the reproductive system and is caused by a number of irregularities in the functioning of the sexual organs.
During the reproductive period uterine bleeding is manifested in the menstrual cycle and increase blood loss. Also causes disturbances may be inflammation, endocrine diseases, abortion, stress, etc.
Dysfunctional uterine bleeding menopause is directly linked to the extinction of the sexual and hormonal functions. These are characterized by long periods of bleeding, spotting and symptoms of anemia, such as dizziness and headache, pale skin, fatigue, drowsiness, low blood pressure.
The appearance of bleeding may contribute to physical disorders, trauma, fatigue, vitamin deficiency, adrenal dysfunction, and adverse employment and living conditions.
Dysfunctional uterine bleeding menopause may be associated with taking drugs designed to relieve the symptoms of menopause. In such cases, the attending physician should review the therapy and assign other menopausal drugs.
Diagnosis of the disease
Dysfunctional uterine bleeding is diagnosed in accordance with the age and physical condition of the patient. First of all, you need a constant control over the menstrual cycle, keeping a diary with the chronology of the frequency and intensity of the bleeding, as well as a monthly measurement of basal body temperature to determine ovulation.
The attending physician for an accurate diagnosis appoint a full gynecological examination, and blood tests, endometrial biopsy, ultrasound, and hysteroscopy sonogisterogrammu.
women older than 35 years prescribed biopsy endometrium to exclude endometrial cancer.
Treatment of dysfunctional uterine bleeding
Treatment of dysfunctional uterine bleeding depends on the woman's age period. If the lining of the uterus has thickened, it is necessary to detect the presence of abnormal cells and to carry out surgical removal of tumors or the entire uterus.
For women younger than 35 years who are planning a pregnancy, to prescribe oral contraceptives containing estrogen or estrogenic drugs that reduce bleeding. At the beginning of treatment the dosage is high, but after 2-3 months of supplementation dosage is reduced.
The most effective treatment of dysfunctional uterine bleeding is the appointment of the following groups of products:
- normalize hormones;
- eliminate the symptoms of anemia.
Among the surgical methods of treatment using the laser effects on the uterine lining, curettage and hysterectomy for severe conditions and the absence of results from other methods of treatment.