Istanbul Medipol Hospital Gynecology and Obstetrics Specialist Op. Dr. Sema Ovalı stated that normal menstrual bleeding was defined as hemorrhage which was seen every 24 to 35 days, less than seven days and less than 80 ml in total, and abnormal bleeding was irregular menstrual bleeding or unstoppable hemorrhage without any cause.
Ovali said that 10 to 30 percent of women in reproductive age and abnormal bleeding in 50 percent of women with menopause were seen, "Most of the bleeding occurs because there is no regular laying. Since there is no ovulation and there is no progesterone to be exposed to estrogen in the first stage, thickening is observed in the inner part of the uterus, and the normal function of the tissues is impaired. Sometimes there is frequent bleeding after the delay, "he said.
Kiss. Dr. Sema Ovalı is used in cases of newborns with such menstruation or hormonal diseases such as irregular study of polycystic ovary syndrome or adrenal gland in the recent menopausal period, in cases where the thyroid gland is more or less functioning, the prolactin hormone is excessive, early menopausal symptoms are excessive appetite and can not eat (anorexia) -dependent hypothalamus stress disorder.
'The main reason for treatment must be uncovered'
Kiss. Dr. Sema Ovalı, "Treatment of abnormal bleeding; the main cause leading to abnormal bleeding should first be uncovered and therapies directed to this cause should be performed. On the other hand, medicines containing progesterone or estrogen, or contraceptive pills containing both, or intrauterine devices containing progesterone may be considered. "
"Another cause of abnormal bleeding is regular ovulation, but there are vascular and tissue disorders in the uterus," Op. Dr. Sema Ovalı, "This type of bleeding is very rare; hormone treatments are generally ineffective, but pain relief medications and complaints may recur. The bleedings seen in women using intrauterine contraceptive devices can also be reduced with these methods. "
Reminiscent of pregnancy, ectopic pregnancy and low likelihood first, when there is irregular bleeding in a woman in the age of fertility, Op. Dr. Sema Ovali stated that irregular bleeding due to breastfeeding may occur if the woman had a new birth.
Diagnosis, examination and ultrasonography are important
Endometrium cancer or pre-cancer hyperplasia, cervical cancer or pre-cancer lesions, myomas, polyps and chronic infections are considered to be among the most feared causes of abnormal hemorrhages. Dr. Sema Ovalı, said: "Diagnosis, examination and ultrasonography are the most important methods. Cervical cancer screening, examination of material with abortion in case of increase in intrauterine thickness, ultrasonography by giving fluid inside (endometrial biopsy), observation of the inside of the uterus by hysteroscopy which both diagnosis and treatment can be performed and removal of occurrences like polyps or myomas, burning of bleeding tissues SeanSta can be done. "
If the endometrial thickness of the premenopausal women is 12 mm regardless of the menstrual period, it is recommended that Op. Dr. Sema Ovalı, "Also, if women under the age of 35 do not respond to treatment bleeders, irregular bleeding in women over the age of 35, there must be done immediately," he said.
After the cause is revealed, the necessary surgical interventions can be done in laparoscopic or open surgery depending on the situation. Op. Dr. "Sometimes, laparoscopic hysterectomy is a convenient method of treatment, leaving no cervix in women who are close to the menopause and who do not want to have children," he said, "when no cause of abnormal bleeding is found and drug treatments are ineffective."
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