Uterine fibroids - bleeding. Bleeding when uterine myoma
Frequent complication of uterine fibroids is bleeding. This pathology, especially in the submucosa, and occasionally intramuscular, localization of the tumor, followed by menorrhagia (gipermenstrualnym syndrome). As the disease progresses periods may become so long and heavy, which take on the character of acyclic bleeding (metrorrhagia) and often become a secondary cause of anemia.
To give the appearance of this complication increases the area of endometrial and uterine size in general, the growth of uterine venous plexus with accompanying hyperplastic changes of the mucous membrane, reduced the contractile ability of the modified myomatous uterus, changes in organ vasculature. Dangerous symptom is the appearance of heavy discharge in postmenopausal women. They may be a manifestation of a malignant process.
Uterine bleeding can identify the woman
Uterine bleeding is considered to be blood loss in excess of 80 ml per day. This problem may reveal the woman herself without assistance. There is a simple test: estimated time during which one means of hygiene (tampon or pad) completely collects blood. If it takes less than an hour, there are copious menstruation or bleeding (in the latter case, such results will be obtained several times in a row).
In this case, you should seek immediate medical attention in order to establish the exact cause of the problem and to exclude other pathology, which has similar complications (cancer of the body or cervix). To this end, a number of surveys from the banal to the examination of the diagnostic curettage of the mucous membrane.
When you want to save the uterus, possibly cyclic progestins appointment. Such treatment of submucous or large uterine bleeding to stop will not, it will be quite effective in anovulatory loss of blood. Secondary anemia, iron supplementation and correcting special diet, which consists in increasing the protein intake to 110-120 grams per day from meat, seafood, liver, and eggs. If you hold conservative measures does not give positive results, performed myomectomy (enucleation of myoma nodes) or hysterectomy (removal of the entire uterus).
The increase in protein intake
Patients who wish to preserve fertility and infertility or habitual spontaneous abortions, preferred the first option of surgical treatment, which can be produced by abdominal, laparoscopic access or by hysteroresectoscopy. Currently used as an alternative to uterine artery embolization, which is a minimally invasive organ-preserving intervention.
For women with uncomplicated myoma, which does not seek to preserve fertility, hysterectomy is the method of choice.
Uterine bleeding in the uterine, a pathology that requires urgent specialist advice and the self is not acceptable.
