But if the menstruation lasts more than seven days and has no tendency to complete, and if for two or three days the men are so plentiful that a woman has to get up even at night to replace a hygiene remedy, that is, an occasion to consult a doctor: this condition can not be considered the norm. How to solve this problem, find out in the article on the topic "Months go on time, but very abundant."
What is the reason?
The increase in the monthly volume has a scientific name: hyperspolymenorea. The duration and abundance of bleeding directly depends on the level of the hormone estrogen in the body of a woman. Under its influence, there is an increase in the endometrium, which lining the walls of the uterus and torn during the menstrual period. To strengthen the production of estrogen can lead to various pathological processes in the body. With dysfunction of the thyroid gland (responsible for the production of estrogen), initially there is a thickening of the endometrium. But if the measures are not taken and the level of hormones does not decrease, the situation can worsen: in the endometrium, polyps develop, and in the future even more formidable formation is the endometrial adenocarcinoma. Syndrome of hyperpolymenorrhea can also occur when the contractile activity of the muscular layer of the uterus changes. This happens if a myomatous nodule has grown in the thickness of the uterus, or a complication such as endometriosis has occurred. Here are its symptoms: smearing brown discharge on the eve of menstruation or after intercourse, tenderness in the lower abdomen, which persists after menstruation. In this case, the genetic factor is of great importance. If a woman has an endometriosis, in 80% of cases she will be inherited by her daughter.
Correct examination
To make an accurate diagnosis, and also to appoint adequate treatment in case of profuse monthly a doctor can only after a thorough examination and identify the exact cause of what is happening. The first thing that needs to be done is an intravaginal ultrasound. It is done in the second phase on the 20th-25th day of the cycle. If at this time more than 16 mm of the endometrium grows in the uterine cavity, this is the basis for diagnosing "endometrial hyperplasia". In this case, it is necessary to pass tests on the level of thyroid hormones and make hysteroscopy. Hysteroscopy is a modern method of examination, which is conducted on an outpatient basis and is shown to both giving birth and nulliparous women. A very thin probe is inserted into the uterine cavity, which allows visual examination of the uterine cavity and reveals the smallest structures of the modified endometrium, which are not visible on ultrasound, and also take a piece of tissue for biopsy. The hysteroscope has a diameter of 3 mm, it is flexible and does not require the expansion of the cervical canal. The only thing that needs to be done before the procedure is to pass a urogenital smear, as with inflammation in the vagina the procedure can not be done.
Age-related hyperpolymenorrhea
In a woman's life, there are periods when the onset of hyperpolymenorrhoea is particularly likely. This is the adolescence when menstrual function is taking place. Then an abundant period can go to juvenile bleeding, and this is an urgent reason to see a doctor. After 38-40 years, when there is a reorganization of the body, most cycles become anovulatory, there is an imbalance between the production of estrogens and progesterone. A woman may notice that she is gaining weight much more easily than before, the duration of menstruation has increased, and the intervals between them have decreased. These are the first symptoms of a hormonal change in the background. The prognosis in this case is favorable, since modern medicine allows us to adjust this state in much more gentle ways than it was done in the past.
Prevention
In order to prevent problems with the endometrium, it is necessary to do an annual thyroid examination (ultrasound and thyroid hormone levels in the blood), as well as intravenous ultrasound on the 20th-25th day of the cycle. The risk group includes women with excess weight, since subcutaneous fat is the "depot" of estrogens, which accumulate there and affect the receptors of the breast and endometrium. It is also necessary to monitor the liver. Stagnant phenomena in the bile ducts lead to a disruption of the thyroid gland. It is much easier to prevent these problems than to correct them. Now we know, if the monthly go on time, but very abundant - it is worth to see a doctor.