Treatment For Vaginal Bleeding
Normal uterine bleeding
During the normal menstrual cycle, the body produces estrogen and progesterone, which tells the body to build up the uterine lining. If there is an imbalance of hormones, the uterine lining may be too thick, which can lead to heavy bleeding.
The uterine lining can also become damaged or diseased. Other conditions that can cause abnormal uterine bleeding include polyps in the uterus, an infection, and fibroids. It is important to get proper treatment for uterine bleeding. It can affect a woman’s fertility and daily life.
In most cases, abnormal uterine bleeding is caused by a hormonal imbalance. Several medications, such as birth control pills, may be prescribed to treat this condition. Women with this condition may also need to take hormone injections. In addition, an intrauterine device may be implanted to help regulate the uterine lining.
A blood test can help diagnose abnormal uterine bleeding. In addition, an imaging study can be performed to evaluate the appearance of the uterus. If the cause of the bleeding is not obvious, a hysteroscopy or a laparotomy may be necessary. The doctor will ask questions about the amount of spotting, the timing of your periods, and the length of your cycles. In addition, he or she will inquire about your desire for fertility, sexual health, and other factors.
If the bleeding is severe or the bleeding lasts for more than a week, the woman may need to be treated in an emergency setting. The doctor will perform a variety of tests, including an ultrasound, to see if the uterus is leaking. He or she may also prescribe an antibiotic. Some women may need to use tampons every hour to stop the bleeding. The physician will want to rule out any other causes of the bleeding, such as infections, malignancy, or a problem with the cervix.
Other common medical treatments include the use of birth control pills, hormone-releasing IUDs, and hormone injections. A number of surgical options are available as well, such as myomectomy and endometrial ablation. These procedures remove the growths or tissue that is causing the bleeding.
Depending on the severity of the spotting, the doctor may also perform an ultrasound. This imaging technique is used to look at the inside of the uterus, and it will produce pictures of the ovaries, uterine lining, and the walls of the uterus. In addition, an endometrial biopsy can be performed to check for small uterine masses. The doctor may also perform saline-infusion sonohysterography to see if there are any uterine growths present.
If the bleeding is due to an infection, the doctor may need to order a series of blood cultures. If the bleeding is due to a disease, such as a tumor, the doctor may require a consultation with an obstetrics and gynecology specialist. In addition, a hysteroscopy may be needed to evaluate the uterus. A laparotomy may be necessary if the bleeding is due to a hemorrhagic shock.
The most common causes of abnormal uterine bleeding in the reproductive years are ovulatory dysfunction and pregnancy. Other causes are hormonal imbalance, infection, and cancer. In the latter, the uterine lining can become damaged, leading to anemia or infertility.
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