Giperpolimenoreya - it's long and heavy period with saving regularly.Timely onset of menstruation when giperpolimenoree distinguishes it from other menstrual disorders and is an important diagnostic feature.
When giperpolimenoree month come in time, but takes too long and is accompanied by excessive blood loss, as well as delayed menstruation, the interval between them is shortened accordingly.
Not all patients unambiguously interpret the concept of menstrual "norm", so if the violations continue for many years or have existed since puberty, your menstrual cycle a woman considers "normal".In fact, clear criteria for the "right of menstruation" does not exist, but the boundaries of reasonable "rules" is still there.As a rule, considered to be the physiological menstrual period, coming in about equal intervals of time (25 - 35 days) and continued for at least two, but not longer than seven days.The number of lost blood also has its limits (40 - 100 ml), but for women it is
should be noted that abnormal menstruation is considered only that which brings harm to the health or reproductive function.When long and heavy periods (as well as meager and short) exist at the woman initially without causing other abnormalities, they are individual physiological norm.
giperpolimenorei laid the basis of incorrect rejection of the internal mechanisms of the mucous layer of the uterus (the endometrium) for a very large number of reasons, including neginekologicheskogo origin.
Giperpolimenoreya is a symptom, and never appeared in the final diagnosis on their own.Therefore, this condition is not treated in isolation from its causes.
Unit abundant and prolonged menstrual period may come with no apparent pathological reasons under the influence of excessive emotional stress, incorrect dosage of physical activity (including the gym), climate change the background exposure.After removing the unwanted provoking factor physiological menstrual disorders self-destruct or be terminated after a simple medical procedures.
Physiological giperpolimenoreya is also associated with the natural hormonal changes in ovarian function: in adolescents it is associated with the period of its development (puberty), and in elderly patients - with extinction (menopause).
The menstrual cycle is a sequential cyclic process of updating internal mucous layer of the uterus.Under the direction of the central nervous system (hypothalamus and pituitary) takes place in the ovaries regular synthesis of sex steroids (estrogen and progesterone), their number varies depending on the phase of the cycle.
first phase is controlled by follicle stimulating hormone (FSH), a hormone the pituitary gland.It stimulates the synthesis of estrogen by the ovaries, necessary for the maturation of the follicle with the egg during the first half of the cycle.Parallel aging egg in the uterus grows inner mucosal layer, it becomes voluminous and loose, sprouting new blood vessels.When the egg becomes an "adult" and leaves the follicle (ovulation), hormonal situation changes.In the absence of fertilization, all changes occurred eliminated: during the second half of the cycle, followed by overgrown mucosa gradually torn away.
second phase control loop is another pituitary hormone - luteinizing (LH).The ovaries stop producing estrogen much, conceding a lead role progesterone.The culmination of all the structural changes of the second phase is menstruating.
giperpolimenorei pathological causes are always associated with a change of due process of rejection of the endometrium.
If the uterus is abnormal formation (fibroids, polyps, adenomyosis), during menstruation, it is sure to prevent rejection of the right of the mucous layer and uterine wall, causing prolonged, heavy bleeding.
most common cause of ovarian dysfunction giperpolimenorei considered.Incorrect ratio of hormones (FSH, LH, estradiol and progesterone), and more often hyperestrogenia leads to overgrowth of the endometrium and its long-term exclusion.
Sometimes the origins of heavy and prolonged menstruation are neginekologicheskie reasons.Diseases of the liver, which is responsible for the disposal of excess estrogen, and often lead to menstrual irregularities.Indirectly, the changing nature of menstruation affect endocrine diseases, disorders of the coagulation system.
About giperpolimenoree say in the presence of complaints of prolonged (more than a week) and excessively heavy menstrual bleeding "clots" regular.Typically, the greatest amount of blood lost during three days.
presence of clots in the blood is due to uneven rejection mucosa.Before to pour out the blood clot in time to the uterine cavity.
giperpolimenorei Symptoms depend on the cause of occurrence, amount of blood loss and the presence of concomitant diseases.The large volume of lost blood regularly provokes the appearance of anemia.The patient feels constant fatigue and dizziness, and during menstruation may occur fainting.
presence of fibroids or polyps cause menstrual cramps.
To restore the proper nature of menstruation, should be to find and eliminate the cause giperpolimenorei.Diagnostic search consists of a large number of consecutive events.It begins with the most simple methods of diagnosis and may result in the most difficult of them.Consistently executed:
- conversation.It is important to know the patient, when and how it changed the nature of menstruation.
- Gynecological examination.Palpation of the uterus and appendages help establish the presence of inflammatory processes, suspected presence of fibroids or polyps.
- Laboratory diagnostics.Includes the study of the presence of anemia (blood count), infections (smear "flora", bakposev PCR) as well as the determination of the level of hormones in the different phases of the cycle.
- Ultrasound scanning of the pelvic area.Evaluates the condition of the endometrium and ovaries, allows you to see any formation of genitalia.
- Hysteroscopy.Carried out not only for diagnostic purposes, when you want to take the material from the uterus for research, but also with the medical to remove the polyp or ovarian cysts.
any treatment of menstrual dysfunction, including giperpolimenoreyu, begins with identifying the reasons for its accuracy.In fact, the removal of heavy and prolonged menstruation appropriate treatment of the disease, which causes them.
should be noted that to reduce blood loss and shorten its duration may independently symptomatic means, stops bleeding (Vikasol, Traneskam and the like), and help prevent menstrual pain antispasmodics (No-spa, Traneskam etc.).However, elimination of symptoms does not mean the elimination of their causes.Unfortunately, often a woman for a long time "treat" giperpolimenoreyu independently, and the true cause menstrual dysfunction remains unaddressed.
If menstrual irregularities persist after three consecutive cycles, consult your doctor for detailed examination and proper treatment.
hormonal dysfunction provoking giperpolimenoreyu eliminated adequate hormonal therapy.Preparations are selected only according to laboratory research "hormones."Most often used in the treatment of cyclic oral contraceptives (Utrozhestan, Duphaston, norethisterone and others).
Uterine and cervical polyps must be surgically removed, and uterine fibroids requires further examination and individualized treatment.
protivoanemicheskim funds compensate iron deficiency and folate deficiency, restoring the normal state of health.
Unclear regular bleeding require mechanical removal of the entire inner mucus layer.Endometrial scraping implements two important tasks: allows histological examination of mucous removed and quickly stops profuse bleeding.