If normal occasion, blood coming outside of your body will raise some concern, but for women it is a matter of routine. Each month, every normal woman brings forth about 5 tablespoons of blood on menstrual cycle. But if heavy bleeding occurred for reasons other than the menstrual period, this surely become a problem.
It is very important for you to find the cause of bleeding and where it comes from. It can be originated from uterus, vagina and other tissues in your body. Right away, an effort should be made to stop the movement of blood from your body.
There are numerous causes of dysfunctional bleeding disorders, but our main objective is to look for specific bleeding disorders called dysfunctional uterine bleeding (DUB). This is the case where abnormal uterine bleeding is happened where we could not detect organic cause.
What we must do is to find a little history or background of abnormal bleeding in general.
The objectives of controlling or treatment of dysfunctional uterine bleeding is to control the bleeding. Then it is necessary to prevent endometrial hyperplasia (cancer). Another side effect of this disease is anemia. When the diagnosis is proven to be dysfunctional uterine bleeding (DUB), the treatment that should be choose should be medical not surgical treatment.
In acute uterine bleeding, 10 mg of oral conjugated estrogen are given daily. It is effective in one dose of 2.5 mg four times daily. Given higher dose (20 mg) of estrogen can be effective if the bleeding is not controlled in the first day (24 hours).
This oral therapy is continued with the same dosage for the subsequent 21 days but with additional hormonal like progestin such as medroxy progesterone acetate (MPA), 10 mg day should be added in 21 days in the last 7 to 10 days. Instead, the patient can be given 200 to 400 mg per day of progesterone in to replace medroxy progesterone acetate. After 21 days, the two hormones consumption should be stop when the patient expects a slight withdrawal bleeding should. At that time, a scheme for long-term time management will be formulated.
The oral contraceptives with progesterone and estrogen are common to stop acute bleeding. The combination of those two hormones may not as effective as high doses of estrogen alone. Giving 3 tablets of oral contraceptive containing 35 mcg progesterone plus estrogen taken every 24 hours (one tablet every eight hours) is generally sufficient to prevent estrogen acute bleeding, while providing a progestin. Treatment continues for at least a week after the bleeding cease. From this stage, therapist can select from a variety of schemes as an effective treatment.
There are several of treatment of choice for chronic anovulatory bleeding, mostly is still using product progestin. There are combination medroxy progesterone acetate (MPA) or norethindrone (NE) at a dose of 5 to 10 mg daily or oral micronized progesterone (prometrium or higher) 200 to 400 mg daily for 14 days from day 14 of the menstrual cycle. Patients can stop the medication when menstruation began before the end of progesterone.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may be in some cases in combination with oral contraceptive or progesterone to reduce blood loss. Other, more complicated medical treatments used to intervene, including GnRH agonists (Lupron), androgenic steroids (danazol) or; Brinolytic agent. However, the options are German? Can side effects and their use is to meet women who are not limited to, other methods for managing medication and surgery will not do.
Progesterone-releasing coils IUD (Mirena) are quite popular because no side affects being reported. It can reduce blood in menstrual blood flow up to 60 to 80 percent.
Basically, three surgical alternatives can be considered a case by case: endometrial ablation, dilation and curettage (D&C), or hysterectomy.
The endometrial ablation is a process of where endometrial tissue to destroy it. It is very popular because of the ease of treatment, success and low incidence of complications. Many types of detachment is now the original ball or loop electro excision unipolar bipolar evaporation method, a bipolar power grid, a balloon? Dextrose in water heated to 200 degrees Fahrenheit? For hot water and a microwave, and CRYO-technology detectors, too. The method used depends on physician preference, then select Properties from the uterus. All ablations require IV sedation or general anesthesia and can not be tolerated in an office, because of the pain of the process.
Dilation and curettage (D&C) as a treatment can be both diagnostic and therapeutic. Dilation and curettage is the fastest way to stop the bleeding. It is a preferred treatment option for women with dysfunctional uterine bleeding who are anemic due to heavy menstrual blood loss or acute unstable.
Hysterectomy is one of the surgical treatments where the uterus is removed. It should be reserved for women with other indications for hysterectomy, as uterine prolapse, uterine fibroids, or atypical hyperplasia. If bleeding problems a hysterectomy is made, there is usually not necessary to remove the ovaries.