Thursday, 23 January 2014

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Bleeding Between Periods: How To React?

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Metrorrhagia corresponds to the occurrence of bleeding outside the menstrual period. Sometimes they are associated with abnormally heavy periods: this is called menorrhagia. If your bleeding is scarce, it is spotting.

The amount of such bleeding is unpredictable, but their impact on daily life is often very difficult.

How to identify bleeding?
The bleeding can occur at any age, but often seem more disturbing at the age of menopause. When they appear, it is important that you note their appearance, the date, the color of blood (red, brown, blackish) and the existence of debris (blood clots...).

Before consulting your doctor, it is important to note some information that will be useful to determine if you suffer from bleeding:

* Save the date of your last period: this is very important information for your doctor.
* You may feel pain in the lower abdomen.
* Your breasts may give directions, they have grown or the "milk" flowing, write it down.
* Due to blood loss Anemia signs may be present: you are out of breath, pale or very tired.

Several possible causes for bleeding

If no cause is identified, it is probably functional metrorrhagia due to a hormone imbalance (more common in adolescents) or an abnormality of ovulation.
You can also be pregnant. Pregnancy is not always synonymous with the absence of rules. Indeed, bleeding may occur during a complicated pregnancy (egg unseated, ectopic pregnancy...), But also announce a miscarriage.

Uterus and uterine tubes. (Photo credit: Wikipedia)

Other causes are possible among them:

* Injury of the uterus (hyperplasia, endometriosis...);
* A fibroid polyp or uterine bleeding; Genital infection;
* Trauma (sexual intercourse...);
* Medications such as anticoagulants, a wrong dosage pill;
* A forgotten pill, some IUDs;
* Cancer of the uterus (most common in postmenopausal women).


If you are postmenopausal, your bleeding may also be due to hormone replacement therapy poorly measured or atrophy of the endometrium (tissue that covers the uterus) by estrogen deficiency.

What tests should I do in case of bleeding?

After a detailed gynecological examination (vaginal, placing a speculum...), your doctor or gynecologist may need to prescribe additional tests.

You can then do a blood test and be required to have an ultrasound. Sometimes other more specific tests you will be offered:
* Colposcopy and hysteroscopy, that is to say, an examination of the cervix or uterus itself via an optical apparatus, are sometimes performed. Withdrawals can be made in some cases.

* Sometimes, you must undergo a hysterography (radiography accompanied by an injection of contrast medium into the uterus) or laparoscopy (examination of the interior of the abdomen by means of optical devices).

What treatments for bleeding what?

Treatment obviously varies depending on the cause. Whatever it is, the doctor or gynecologist will prescribe iron for a few weeks or months to treat anemia often associated with such bleeding.

If your bleeding is functional, that is to say, due to a hormonal imbalance, you may be required to take antifibrinolytics, progestin (progesterone derivatives) orally or through a specific IUD containing a derivative progesterone, anti-inflammatory and in some cases of estrogen. If you are on hormone replacement therapy for menopause, it will be well-balanced.

If the IUD is in question, it may be removed and replaced by other means of contraception.

In case of organic pathology (injury or disease is found), the hormonal or surgical treatment will be.

This article is originally written by , a doctor of sports physician, internal medicine and infectious diseases.

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