Increased Uterine Bleeding

What is Increased Uterine Bleeding?

Increased Uterine Bleeding; The uterus has two layers. The thin inner layer is called the endometrium. The thick outer muscle wall is the myometrium (myo = muscle). Menstruation occurs 10 to 14 days after ovulation. Estrogen levels in the ovaries in women who ovulate and menstruate regularly. Hormone Its production causes the endometrium to thicken each month in preparation for pregnancy.

If the woman does not become pregnant, the endometrial membrane is shed during the menstrual period. With menopause, ovarian hormone production is greatly reduced.Stopsand and the growth and shedding of the uterine wall stops. Under normal circumstances, a woman will have limited bleeding during each menstrual cycle (less than 5 tablespoons or 80 mL).

In patients with irregular or excessively regular menstrual bleeding, bleeding is considered abnormal uterine bleeding. acceptanceis done. Any uterine bleeding is considered abnormal when a woman who is not on hormone therapy reaches menopause and her menstrual cycle ends.

Many different conditions can cause abnormal uterine bleeding.

Increased Uterine Bleeding Symptoms

• Heavy menstrual bleeding.
• Bleeding with many clots or large clots.
• Bleeding that lasts more than 7 days.
• Bleeding that occurs less than 21 days from the last cycle
• Bleeding that occurs 35 days after the last cycle.
• Staining
• Bleeding between periods.

Causes of Increased Uterine Bleeding

Abnormal vaginal bleeding in teenage girls – A prepubescent bleeding (the first period in a girl's life) is always abnormal. Trauma, foreign body (such as toys, coins, or toilet paper), irritation of the genital area (foam bath, soaps, lotions orinfectiondue to urinary tract problems) or urinary tract problems. Bleeding can also occur as a result of sexual abuse.

Adolescents – Many girls experience irregular bleeding during the first few months after their first menstrual period. This usually resolves without treatment once the girl's hormonal cycle and ovulation normalize. If irregular bleeding continues beyond this time or if the bleeding is heavy,Further evaluation is required.

Abnormal bleeding in adolescents, including pregnancy, infection and bleeding disorder or other medical illness be It can also be any of the conditions that cause bleeding in all premenopausal women.

Premenopausal women – Many different conditions, puberty and menopause May cause abnormal bleeding in women. Sudden changes in hormone levels during ovulation can cause vaginal spotting or a small amount of bleeding. Irregular or unpredictable bleeding may also occur in premenopausal women who use hormonal birth control methods.

Some women do not ovulate regularly and may experience unpredictable light or heavy vaginal bleeding. Irregular ovulation, when periods first start andperimenopause It can occur at any time during the reproductive years, although it is most common during the reproductive years.

Hormonal birth control – Girls and women who use hormonal birth control (eg pills, ring, patch) may experience “sudden” bleeding between menstrual periods. If this occurs within the first few months, it may be due to changes in the lining of the uterus. If it lasts more than a few months, evaluation may be required and/or a different birth control pill may be recommended.

Women in the menopausal transition – Before their menstrual period ends, women go through a period called the menopausal transition or perimenopause. During the menopause transition, the timing of menses begins to change as ovulation becomes less regular. 

In perimenopausal women, the ovaries continue to produce estrogen, while progesterone secretion decreases. These hormonal changes can cause the endometrium to grow and produce excess tissue, increasing the likelihood of polyps or endometrial hyperplasia (thickening).

Diagnostic Procedures

Endometrial Biopsy

If necessary, tissue diagnosis is needed to understand the cause of increased vaginal bleeding. These procedures can mostly be performed in office conditions without the need for anesthesia.

Hysteroscopy

In some cases, the physician needs to look directly into the uterus with a camera, this is done in operating room conditions with a method called hysteroscopy.

Non-Surgical Treatments

The vast majority of increased vaginal bleeding can be treated without the need for surgery.

Intrauterine Device with Endometrial Hormone Hormone

spirals placed in the uterus are used both for contraception and for the treatment of bleeding.

Hysterectomy (Womb Removal)

Rarely, when there is no response to other methods, a definitive result is achieved in the treatment of increased bleeding with hysterectomy surgery to remove the uterus. With an experienced surgeon, this procedure can be completed laparoscopically/robotically in most of the cases.

Increased Uterine Bleeding; The uterus has two layers. The thin inner layer is called the endometrium. The thick outer muscle wall is the myometrium (myo = muscle). Menstruation occurs 10 to 14 days after ovulation. In women who ovulate and menstruate regularly, the production of estrogen hormone by the ovaries causes the endometrium to thicken each month in preparation for pregnancy.

To my academic study evaluating the surgical procedures used in removing the uterus  https://link.springer.com/article/10.1245/s10434-020-09265-0 from the link you can reach