Abnormal uterine bleeding is an alarm signal for women's health
Abnormal uterine bleeding is an alarm signal for women's health
The normal menstrual cycle is generally 28 to 30 days, and there are also menstruation once every 21 to 45 days. The appearance of menstruation has a certain regularity, and there may be fluctuations of about 4 days within the cycle. In a normal month, 2 to 7 days, the bleeding volume is 20 to 60 ml. The duration of each menstrual period is less than or equal to 8 days, and the menstrual flow exceeds 80 ml, which is called menorrhagia, and less than 20 ml is called oligomenorrhea.
Abnormal uterine bleeding is a common symptom of gynecology, which can occur at all ages, and refers to the inconsistency of any one of the normal menstrual cycle frequency, regularity, menstrual length, and menstrual bleeding volume. It also includes acute abnormal uterine bleeding and chronic abnormal uterine bleeding. The former refers to a large amount of bleeding, and immediate intervention measures are required to control the severe bleeding; the latter refers to the abnormal bleeding time and volume in the past 6 months.
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Factors that cause abnormal uterine bleeding
Fundamentals
It is more common that there are structural changes in the uterus, such as endometrial polyps, uterine leiomyomas, endometrial malignant transformation or atypical hyperplasia and other diseases, which cause a backlog on the inner lining of the uterus, resulting in the endometrial being unable to fall off normally or It is the necrosis of the lining of the uterus that causes abnormal uterine bleeding. If the patient's menstrual cycle is normal and there is no abnormal ovulation, after excluding other causes, local abnormalities in the endometrium can also cause abnormal uterine bleeding.
**In addition, systemic coagulation diseases, such as von Willebrand disease, coagulation disorders, etc., will cause abnormal coagulation, which will lead to abnormal uterine bleeding; the use of sex hormones or drugs containing estrogen may cause irregular bleeding due to treatment .
predisposing factors
①The long-term existence of irregular work and rest, irregular diet, high work pressure, or long-term negative emotions such as anxiety, depression, irritability, etc., will lead to decreased physical function, endocrine disorders, and induced abnormal uterine bleeding.
② There are many cases of artificial abortion. Repeated curettage can cause severe damage to the uterus, and the lining of the uterus is more fragile and more prone to abnormal uterine bleeding.
③The incidence of various diseases is higher in people who are overweight, and abnormal uterine bleeding is also prone to occur after the occurrence of diseases such as hypertension and breast cancer.
The dangers of abnormal uterine bleeding
If the bleeding continues, or the bleeding time is too long, a large amount of blood will be lost, and the patient will experience symptoms of anemia. If the amount of bleeding is too large, shock will occur.
If women have severe bleeding during the reproductive period, it is easy to cause miscarriage or infertility, which affects the normal life of husband and wife; for adolescent girls, abnormal uterine bleeding will affect the body and mind, cause mental burden, or experience memory loss, Inattention, anorexia, etc., affect learning.
In the case of prolonged bleeding, the incidence of vaginitis will also increase significantly, and the cervix is mostly in a relaxed state, which is more likely to cause retrograde infection of bacteria from the reproductive tract, resulting in pelvic inflammatory diseases or various complications. Repeated episodes of the disorder that causes abnormal uterine bleeding also increase the risk of endometrial hyperplasia and, in severe cases, endometrial cancer. Therefore, when abnormal uterine bleeding occurs, female friends should attach great importance to it and seek medical treatment in time to avoid further development of the disease, increase the difficulty of treatment, and cause patients to suffer more pain.
Text / Yin Lingxian Sichuan Friendship Hospital
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