See your doctor about any abnormal menstrual bleeding. Symptoms of abnormal uterine bleeding Symptoms include: bleeding for more than eight days heavy blood loss during the menstrual period — for example, soaking through one or more sanitary pads or tampons every hour for several hours in a row needing to change your pad or tampon during the night have to change or restrict your daily activities due to your heavy bleeding bleeding or spotting between periods intermenstrual bleeding cramping and pain in the lower abdomen fatigue any vaginal bleeding after menopause.
Causes of abnormal uterine bleeding While in many cases it is not possible to determine the exact cause, there are a number of reasons a woman may experience abnormal uterine bleeding. Some of the known causes of abnormal uterine bleeding include: spontaneous miscarriage in pregnancy ectopic pregnancy — lodgement of the fertilised egg in the slender fallopian tube instead of the uterine lining hormonal disorders — conditions such as hypothyroidism low levels of thyroxine , polycystic ovarian syndrome PCOS and hyperprolactinemia can disrupt the menstrual cycle ovulatory dysfunction — this is when the ovary does not release an egg each month.
The progesterone-only treatments commonly cause spotting hormone replacement therapy — used as a treatment for menopausal symptoms fibroids — benign tumours that develop inside the uterus polyps — small, stalk-like projections that grow out of the uterus lining endometrium. Polyps may be associated with fibroids bleeding disorders — may include leukaemia and Von Willebrand disease cancer — most uterine cancers develop in the lining of the uterus, though some cancers grow in the muscle layers of the uterus.
They are most common after menopause. Diagnosis of abnormal uterine bleeding The diagnosis and identification of potential causes of abnormal uterine bleeding involves a number of tests including: general examination medical history menstrual history physical examination cervical screening test blood tests vaginal ultrasound endometrial biopsy.
More information here. Patient — period blood loss chart. Give feedback about this page. Was this page helpful? Heavy for 1 woman may be normal for another. Most women will lose less than 16 teaspoons of blood 80ml during their period, with the average being around 6 to 8 teaspoons. Heavy menstrual bleeding is defined as losing 80ml or more in each period, having periods that last longer than 7 days, or both.
But it's not usually necessary to measure blood loss. Most women have a good idea of how much bleeding is normal for them during their period and can tell when this changes. Your doctor may also ask if any of your family members have had heavy menstrual bleeding. He or she may also have you complete this questionnaire Cdc-pdf [PDF — KB] to help determine if you need to be tested for a possible bleeding disorder. You might want to track your periods by writing down the dates of your periods and how heavy you think your flow is maybe by counting how many pads or tampons you use.
Do this before you visit the doctor so that you can give the doctor as much information as possible. Above is a picture of a chart that is used by some doctors to track your period. You can make your own chart based on the one shown. Your doctor also will do a pelvic exam and might tell you about other tests that can be done to help find out if you have menorrhagia.
Click here to view a larger image. Your doctor might tell you that one or more of the following tests will help find out if you have a bleeding problem:. The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs.
For example, some women do not want to have a period, some want to know when they can usually expect to have their period, and some want just to reduce the amount of bleeding. Some women want to make sure they can still have children in the future.
Others want to lessen the pain more than they want to reduce the amount of bleeding. Abnormal uterine bleeding. American College of Obstetricians and Gynecologists. Accessed April. Cunningham FG, et al.
In: Williams Obstetrics. New York, N. Abnormal uterine bleeding in adolescents. Mayo Clinic; Kaunitz AM. Approach to abnormal uterine bleeding in nonpregnant reproductive-age women. Management of abnormal uterine bleeding.
MR-guided focused ultrasound for uterine fibroids. Radiological Society of North America. Accessed April 15, Butler Tobah YS expert opinion. Mayo Clinic, Rochester, Minn. May 18, Related Blood clots during menstruation: A concern? Heavy periods: Can folic acid help?
0コメント