What could be causing the bleeding? Internal bleeding during pregnancy. Bleeding due to uterine pathology

Uterine bleeding manifests itself in the form of bloody discharge from the vagina; it can occur due to serious illnesses in women. The essence of treatment is making a diagnosis, correct and rapid therapy. After all, such a disease leads to complex consequences and even to death.

What is uterine bleeding

Uterine bleeding- discharge of blood from the uterus differs from critical days in that the amount and period when discharge occurs changes.

Norms of blood loss during menstruation

Menstruation is physiological process which on average starts at age 11 and ends at age 55. It lasts for 3-7 days and occurs every 28-35 days. During one menstrual cycle, a girl secretes from 50 to 80 ml of blood.

Regular critical days stop during pregnancy and after childbirth. They may also be absent during breastfeeding.

Types and causes of vaginal bleeding

Type of hemorrhageCauses of the disease
OrganicFibroids;
Polyps;
Cancer diseases;
Vaginal ruptures after injury; Intrauterine device;
Medical abortion;
Ectopic pregnancy;
Threatened miscarriage and miscarriage; Postpartum period;
Endometriosis.
DysfunctionalPolycystic ovary syndrome;
Cysts;
Lack of ovulation;
Pituitary gland diseases;
Menopause,
Puberty;
Stress.

Also, the vagina can bleed at certain periods of a woman’s life:

  1. Juvenile– stage of sexual development;
  2. Reproductive– childbearing age;
  3. Menopausal- during menopause.

Based on the nature of bleeding, they are divided into:

Main symptoms of hemorrhage

The main signs of vaginal blood loss:

  • Dysfunctional hemorrhage is painless;
  • After childbirth up to 2 months;
  • Prolonged discharge after abortion;
  • Blood loss while taking hormonal contraception;
  • For polyps in the uterus;
  • Fibroids inside the vagina;
  • Intrauterine pregnancy;
  • Bloody discharge is associated with cancer.

Why is bleeding from the uterus dangerous?

If the uterine hemorrhage does not end long time, then it is difficult to stop, which is why this pathology is very dangerous for women’s health and has the following consequences:

  • Anemia may develop (if the volume of blood that comes out is more than 80 ml);
  • Large blood loss due to hemorrhage, which is difficult to identify, most often requires surgical intervention;
  • The risk of developing an underlying disease that caused hemorrhage;
  • Danger of hemorrhage in pregnant women or during the postpartum period

Signs of uterine bleeding during the reproductive period

During the childbearing period, there are a lot of factors that can cause pathology.

This happens due to:

  • Disturbances in the production of hormones after termination of pregnancy;
  • When under stress;
  • In the presence of infectious diseases;
  • Intoxication;
  • When taking medications.

During pregnancy, and especially during pregnancy early stages, the uterus may bleed due to a miscarriage. On later The uterus may bleed due to placenta previa. It is especially dangerous when it bleeds during and after childbirth, then the amount of blood loss can be very large.

The following diseases can also cause bleeding:

  • Myoma;
  • Endometriosis of the uterine body;
  • Tumors in the cervix;
  • Chronic inflammation of the cervix.

Bleeding during ectopic pregnancy

Symptoms when ectopic pregnancy exactly the same as during normal childbearing:

  • Lack of menstruation;
  • The uterus has enlarged;
  • Breasts fill up;
  • Toxicosis;
  • Change of taste preferences.

Causes of bleeding during pregnancy

Hemorrhages during ectopic pregnancy are a common phenomenon, this happens due to the fact that pregnancy can become the main factor in tubal rupture or termination. The intensity of discharge does not always depend on the mechanism of abortion, although tubal ruptures are accompanied by greater blood loss than with medicinal interruption pregnancy.

Intrauterine hemorrhage during menopause in women

During menopause, women undergo hormonal changes in the body, so the vagina often bleeds. Great care must be taken when dealing with discharge after menstruation has stopped. It is important to immediately consult a doctor at the first signs, since treatment of tumors in the first stages is more successful.

Causes of uterine hemorrhage during menopause:

  • Copious bloody discharge;
  • Discharge with clots;
  • Bleeding that occurs between critical days;
  • The discharge lasts longer than usual.

Why does vaginal bleeding occur due to nervousness?


Dysfunctional uterine blood loss is said to occur when there is no reason for the appearance of bleeding. They can be due to strong experiences, psychological and emotional stress and nervous soil. The treatment methods will be similar, perhaps the doctor will prescribe an appointment sedatives to relieve stress.

Diagnostics

At the first suspicion of the development of the disease, it is important to see a doctor immediately.

In order to determine the source from which the pathology arose, the following measures are taken:

  • Consultation with a gynecologist;
  • Blood tests;
  • Ultrasound of the uterus;
  • Vaginoscopy;
  • Biopsy of the cervix.

Accurate diagnosis is central to the healing process.

How to stop vaginal bleeding?

In order to stop it, you need to diagnose the main factor in the occurrence of blood loss, then specialists choose a way to stop it. Most often, hemostatic agents are used; if there is a large loss of blood, it is transfused. Also, another way to stop (in case of miscarriage, abortion, or childbirth) is curettage of the uterine cavity; if the bleeding has not been stopped, then doctors resort to surgical interventions.

You can stop bleeding at home by following these rules:

  • Peace;
  • Coldness in the lower abdomen;
  • Drink plenty of fluids;
  • Medicines that restore blood.

It is important to seek advice from a specialist after these measures.

Uterine bleeding always poses a serious danger to a woman and can cause death. Therefore, ignore this symptom It’s not worth it, and if you suspect a pathology, you should take immediate action. What types of uterine bleeding do doctors distinguish? What symptoms do they have? Is it possible to stop blood loss on your own at home? This is what we will talk about.

There are many reasons for blood loss, and they are provoked in every period of life various factors. In their practice, doctors divide them into the following types:


If the pathology is not treated, malignant tumors may develop.

  • Dysfunctional look- main external symptom there will be a disruption of the menstrual cycle in the direction of delay. In this case, bleeding is caused by a violation of the production of reproductive organs. female hormones in the endocrine glands.
  • Hypotonic- develops due to decreased myometrial tone.
  • Breakthrough look- occurs when there is a malfunction hormonal system, if there is an imbalance between the levels of tarragon and progesterone. Blood loss occurs and develops when a woman takes hormonal drugs, such as contraceptives.

Symptoms of pathological blood loss

Sometimes when unidentified menstrual cycle, a woman mistakenly perceives uterine bleeding as just another period. How to distinguish the first from the second? Regarding common features blood loss, these include:

  • dizziness,
  • general weakness,
  • pale skin,
  • attacks of nausea and vomiting,
  • in some cases - fainting, hypotension, weak pulse.

How to recognize bleeding from the uterus by local signs:

  • bleeding from the vagina,
  • during menstruation they come with a large number blood clots, which may also indicate pathology,
  • an increase in the period of menstruation, when the latter last longer normal term for 6−8 days.

These signs include and.

Is it possible to stop uterine bleeding on your own?

In case abnormal development For pathological blood loss, first aid, before the ambulance arrives, may include remedies from the arsenal of traditional medicine.

What to do, both at home and for a teenager, and for women during menopause, before going to see a doctor?

Folk remedies:

In addition to giving the woman a decoction to drink, she is placed in a horizontal position with a pillow placed under her feet, raising them above the body. The patient should place a cold heating pad or an ice pack on her stomach. Leave for 15 minutes, take a break for 5 minutes and then put the cold on the body again. This technique will narrow the blood vessels and reduce blood loss.

A woman needs to drink constantly and should definitely call an ambulance if she cannot stop the blood loss.

Using the same methods, you can stop uterine bleeding with clots before medical help arrives.

The danger of pathological blood loss and possible consequences

Any uterine bleeding is characterized by a rapid increase in intensity - it may not stop for a long time, it is difficult, and sometimes impossible to stop. Due to the development of one or another type of pathology, the following dangers and problems arise:


Whatever the causes of uterine bleeding, treatment should not only be traditional methods. To understand the whole picture, it is important to go through comprehensive examination, after which the doctor will prescribe appropriate medications.

Traditional methods of stopping uterine bleeding on video:

Uterine bleeding is the discharge of blood from the vagina, characterized by abundance and duration. This pathological condition poses a danger to the life and health of a woman and is a sign serious illnesses reproductive system.

To save the patient, it is important to immediately provide her with first aid and find out the cause of the bleeding.

Natural bleeding from the vagina is called menstruation. Menstrual bleeding characterized by cyclicity, repeating at regular intervals. The period between menstruation usually lasts 25–30 days.

Blood from the vagina should not be released for more than 8 days, otherwise we can talk about pathology. Menstrual irregularities are a reason to immediately consult a gynecologist. The doctor will find out the cause of the pathological phenomenon and help get rid of the disease at an early stage, before complications arise.

Causes of uterine bleeding

The likelihood of uterine bleeding depends on the age of the patient. In girls from 12 to 18 years old, copious discharge of blood from the vagina is a consequence of a disorder hormonal levels. And at a young age they arise due to:

  • physical injury or emotional distress;
  • deterioration of the functioning of the endocrine glands;
  • poor nutrition, deficiency of vitamins in the body;
  • pregnancy with complications, difficult childbirth;
  • genital tuberculosis;
  • bleeding disorders;
  • suffered severe infectious diseases.

In mature women, uterine bleeding - rare occurrence, usually associated with ovarian dysfunction. In this case, provocateurs pathological condition are:

  • stress, overwork, nervous tension, mental disorders;
  • uterine fibroids;
  • advanced endometritis;
  • oncology of the uterus or cervix;
  • tumor formations in the ovaries;
  • ectopic pregnancy, miscarriage, medical or instrumental abortion;
  • infectious diseases reproductive organs;
  • climate change, unfavorable environmental situation in the place of residence, harmful conditions labor;
  • taking medications that can disrupt the systemic functioning of the hypothalamus and pituitary gland.

Uterine bleeding is often observed in women during menopause. This is due to a decrease in the synthesis of gonadotropin by the pituitary gland.

As a result, in female body The level of sex hormones begins to jump, gets lost, and the formation of follicles in the ovaries is disrupted. Common reasons bleeding from the uterus at the age of decline reproductive function are:

  • uterine fibroids;
  • endometriosis;
  • uterine polyposis;
  • hormone-dependent ovarian tumors.

Symptoms of uterine bleeding

Common signs abnormal bleeding from the uterus are:

  • weakness;
  • fainting;
  • dizziness;
  • nausea;
  • paleness skin;
  • lowering blood pressure.

Specific symptoms of uterine bleeding are:

  • copious bleeding from the vagina;
  • presence of clots in blood discharge;
  • change the pad every 2 hours, even more often;
  • duration of bleeding more than 8 days;
  • increased bleeding after sexual intercourse;
  • painless bleeding when the pathology is of dysfunctional origin;
  • discrepancy between the onset of bleeding and the period of menstruation.

The duration of menstruation normally does not exceed 8 days, and bleeding that persists longer than normal is pathological. Vaginal bleeding, the period between which is less than 21 days, should be considered unhealthy.

During menstruation, 80–120 ml of blood flows per day; during uterine bleeding, the daily blood volume is more than 120 ml.

Types of uterine bleeding

Bleeding from the uterus, depending on the age of the patient, is divided into five types.

  1. During infancy. In the first week of life, a newborn girl may experience slight bleeding from the vagina. This is not pathological phenomenon, medical intervention the child does not need it. Infant bleeding is caused by a sharp change in hormonal levels in a newborn girl and disappears on its own.
  2. During the period before puberty. During this period, vaginal bleeding in girls is rare. The cause of the pathological condition is most often a hormone-dependent ovarian tumor, due to which the sex gland synthesizes too many hormones. As a result, the girl experiences false maturation of the reproductive system.
  3. IN puberty. Uterine bleeding during puberty, which occurs between 12 and 18 years of age, is called juvenile bleeding.
  4. IN reproductive period. Bleeding from the uterus, observed between 18 and 45 years, can be organic, dysfunctional, breakthrough, or caused by pregnancy and childbirth.
  5. IN menopause. During the period of decline of reproductive function, bleeding from the vagina is most often associated with pathologies of the genital organs or with a decrease in the synthesis of hormones.

Dysfunctional bleeding

This type of uterine bleeding observed during the reproductive period is the most common. The pathological condition is diagnosed in both girls and older women during menopause. The cause of dysfunctional bleeding is a failure of the synthesis of sex hormones by the endocrine glands.

The endocrine system, which includes the pituitary gland, hypothalamus, ovaries and adrenal glands, controls the production of sex hormones. If this work complex system If it malfunctions, it is disrupted, the duration and abundance of menstruation changes, and the likelihood of infertility and spontaneous abortion increases. Therefore, if there are any changes in the menstrual cycle, you should immediately contact a gynecologist.

Dysfunctional uterine bleeding can be ovulatory or anovulatory. Ovulatory bleeding manifested by a change in the duration and abundance of blood discharge during menstruation. Anovulatory bleeding is observed more often and is caused by the lack of ovulation due to impaired synthesis of sex hormones.

Organic bleeding

Such bleeding is caused either by severe pathologies of the reproductive organs, or by blood diseases, or by serious disturbances in the functioning of internal organs.

Breakthrough bleeding

Such uterine bleeding is also called iatrogenic. They are diagnosed after exceeding the dosage and course of taking certain medications, frequent use hormonal contraceptive drugs, as well as after surgery to install a spiral and after other surgical manipulations on the organs of the reproductive system.

Upon admission hormonal drugs There is usually scant bleeding, which means that the body is adapting to synthetic hormones. In this situation, it is recommended to consult a doctor about changing the dosage of the medication.

In most cases, with breakthrough bleeding, gynecologists advise patients to certain time increase dosage hormonal agent. If after this measure the amount of blood released does not decrease, but increases, then you need to urgently undergo medical examination. In this case, the cause of the pathological condition may be serious illness reproductive system.

If uterine bleeding occurred after insertion of the IUD, then the contraceptive device most likely injured the walls of the uterus. In this situation, you should immediately remove the IUD and wait for the uterine walls to heal.

Bleeding due to pregnancy and childbirth

In the first months of pregnancy, bleeding from the uterus is a sign of either a threatened spontaneous abortion or an ectopic fetus. In these pathological conditions, severe pain in the lower abdomen is noted.

A pregnant woman who experiences uterine bleeding should immediately consult a supervising physician.

When a spontaneous abortion begins, the fetus can be saved if it is started in time. correct treatment. In the last stages of a miscarriage, you will have to say goodbye to the pregnancy; in this case, curettage is prescribed.

In an ectopic pregnancy, the embryo develops in the fallopian tube or cervix. Menstruation is delayed, some symptoms of pregnancy are noted, but no embryo is found in the uterus. When the embryo reaches a certain stage of development, bleeding occurs. In this situation, the woman needs urgent medical care.

In the third trimester of pregnancy, uterine bleeding is deadly for both the mother and the developing child in the womb.

The causes of the pathological condition in the late stages of gestation are placental previa or placental abruption, rupture of the uterine walls. In these cases, the woman urgently needs medical attention, which is usually carried out C-section. Patients who are at high risk of the above pathologies should be kept under observation.

Uterine bleeding can also occur during childbirth. In this case, its causes may be the following pathological conditions:

  • placenta previa;
  • blood clotting disorder;
  • low contractility of the uterus;
  • placental abruption;
  • afterbirth stuck in the uterus.

If bleeding from the uterus occurs several days after birth, you should immediately call ambulance. The young mother will require emergency hospitalization.

First emergency aid before doctors arrive

Heavy bleeding from the vagina must be stopped or at least reduced before doctors arrive. This is a matter of life and death for a woman. In most cases, with proper first aid, bleeding stops, but in 15% of cases pathological process ends fatally.

Every woman should know how to help herself before the doctors arrive, what she can do and what she can’t do.

A sick woman, while waiting for doctors at home, should do the following:

  • lie on your back, remove the pillow from under your head;
  • place a high cushion made of towels or a blanket under your shins;
  • put a bottle of water on your stomach cold water or a heating pad filled with ice;
  • drink cold still water.

In case of uterine bleeding, it is strictly prohibited:

  • be in a standing and sitting position;
  • lie with your legs pressed to your stomach;
  • take a hot bath;
  • do douching;
  • put a heating pad on your stomach;
  • drink hot drinks;
  • take any medications.

Drug therapy

Treatment of diseases that cause bleeding from the uterus is carried out in inpatient conditions. Additionally, the doctor prescribes medications to the patient to help stop the bleeding.

Hemostatic medications are taken only as recommended medical specialist, taking medications at your own discretion is strictly prohibited.

Below is a list of medications most commonly used to stop bleeding.

  • Etamzilat. This drug stimulates thromboplastin synthesis, changes permeability blood vessels. Blood clotting increases, resulting in decreased bleeding. The medication is intended for intramuscular injection.
  • Oxytocin. Hormonal medicine, often used during childbirth to improve uterine contractility. As a result of contraction of the uterine muscles, bleeding stops. The drug is prescribed for intravenous administration with the addition of glucose has a large list of contraindications.
  • Aminocaproic acid. This medicinal substance prevents blood clots from dissolving under the influence of certain factors, thereby reducing bleeding. The medicine is either taken orally or administered intravenously. Treatment of uterine bleeding with aminocaproic acid is carried out under close medical supervision.
  • Vikasol. The drug is based on vitamin K. With a deficiency of this vitamin in the body, blood clotting worsens. The medication is prescribed to patients who have a tendency to uterine bleeding. However, vitamin K begins to act only 10–12 hours after entering the body, so it is not advisable to use the drug to stop bleeding in emergency cases.
  • Calcium gluconate. The drug is prescribed for calcium deficiency in the body. Deficiency increases permeability vascular walls, impairs blood clotting. This medicine is also not suitable for use in emergency cases, but is used to strengthen blood vessels in patients prone to bleeding.

Treatment with folk remedies

To stop and prevent uterine bleeding, you can use decoctions and infusions medicinal plants. The most popular and effective ones are listed below. folk recipes to stop bleeding.

  • Yarrow infusion. You need to take 2 teaspoons of dried plant material and pour a glass of boiling water. The solution is infused for about an hour, then filtered. The infusion is taken a quarter glass 4 times a day before meals.
  • Nettle decoction. Take a tablespoon of dried nettle leaves and pour a glass of boiling water. The solution is simmered over low heat for 10 minutes, then filtered. The prepared decoction is taken one tablespoon 3 times a day before meals.
  • Infusion shepherd's purse . Take a tablespoon of dried plant material and pour a glass of boiling water. The container with the solution is wrapped in a warm towel and left for an hour to infuse. The finished infusion is filtered and taken a tablespoon 3 times a day before meals.

It must be remembered that folk remedies cannot be a complete replacement for medications; they are used only as an addition to the main therapy.

Higher education(Cardiology). Cardiologist, therapist, doctor functional diagnostics. I am well versed in the diagnosis and treatment of diseases respiratory system, gastrointestinal tract And cardiovascular system. Graduated from the academy (full-time), with extensive work experience behind her. Specialty: Cardiologist, Therapist, Functional diagnostics doctor. .

Uterine bleeding includes bleeding from the uterus that varies in nature and cause.. Similar symptom testifies about hormonal imbalances in the body, the presence serious gynecological or other pathology.

And even with minor bleeding This issue cannot be ignored. The consequences can be quite dire.

Symptoms of uterine bleeding

Discharge from uterine bleeding can be as follows: insignificant, smearing, so and quite intense. In the latter case, the woman feels unwell, weakness, drowsiness, increased fatigue, dizziness, palpitations, nausea, darkening of the eyes, and headache. Decrease in circulating blood volume (CBV) leads to hypoxia of the brain and other organs, which is manifested by a drop in pressure, increased heart rate, pallor of the skin and mucous membranes, shortness of breath, sweating, fainting. If you notice these symptoms, you should not hesitate. In case of significant blood loss, feeling unwell or pregnant, it is better to call a doctor rather than go to the hospital yourself. The sooner you start treatment, the higher the chance of avoiding possible consequences.

There are cases when uterine bleeding is disguised as normal menstruation. Measures should be taken when:

Prolonged periods (more than a week),
- intense discharge (more abundant than usual),
- frequent periods that disrupt the usual schedule,
- accompanied by intense pain in the lower abdomen, lumbar department, sacrum, perineum, rectum.

Causes and types of uterine bleeding

There are several main types of uterine bleeding.

1 . Dysfunctional bleeding occurs due to a malfunction of the organs that control the menstrual cycle and related processes. This is caused by various reasons. These include:

Hormonal disorders (including during menopause),
- blood pathology,
- excessive,
- gynecological diseases (endometriosis, tumors, including fibroids, etc.),
- installed intrauterine device,
- infection of the female genital organs,
- chronic or acute stress, overwork,
- acclimatization, hypothermia,
- excess weight, strict diet,
- side effect of medications, starting or stopping contraceptives drugs,
- invasive gynecological manipulation.

To the group of dysfunctional uterine bleeding includes those that occur V menopause period, as well as those occurring in girls at the initial stage of puberty.

Distinctive feature dysfunctional bleeding is that it is often painless.

Uterine bleeding, which occurs in the middle of the menstrual cycle, occurs in about a third of women. As a rule, they have a spotting character, small duration(up to three days) and are not associated with any diseases. This phenomenon is due hormonal changes.

Uterine bleeding in young girls can be caused by mental or physical stress, poor diet, viral disease, dysfunction of the genital organs, or hormonal imbalance. It should be emphasized that you need to take the problem seriously, even if you managed to eliminate the blood loss on your own.

2. Obstetric bleeding is associated with pregnancy and childbirth. They can occur at various stages of pregnancy, during labor or after childbirth. Pregnant women may experience very light discharge without accompanied deterioration in health. Even in this case, you should immediately contact a gynecologist. The condition can worsen sharply and have serious consequences. Extremely severe, massive bleeding can occur with placental abruption or uterine rupture.

Spontaneous miscarriage is also a cause of uterine bleeding. This can also happen in the early stages, when a woman does not even suspect she is pregnant. Abortion procedure, including medicinal, is also accompanied by bleeding.

3. The development of tumors leads to uterine bleeding due to destruction of the layers of the uterine wall, damage to blood vessels. At the same time neoplasm may have like benign character, so be it malignant. It should be remembered that the earlier the disease is detected, the easier it is to fight it and the greater the chances of getting rid of it completely.

4. Trauma to the abdomen or surrounding areas may also cause uterine bleeding Internal bleeding poses a particular danger. In this case, discharge from the genital tract may be minimal or absent altogether. In this case, the signs of blood loss indicated earlier appear in the abdominal area at the same time there are intense concerns painful sensations, symptoms of peritoneal irritation are determined (Kulenkampf's symptom).

Sometimes bloody discharge from the genital tract occurs after intimacy. Reason occurrence of such bleeding may be:

Mechanical damage as a result of too active or rough actions,
- existing inflammatory process in the genitals,
- diseases of the genital tract leading to wall damage vagina or uterus (polyps, erosion, tumor),
- while taking certain medications, contraceptives,
- miscarriage, ectopic pregnancy,
- blood diseases.

In some cases, the spotting may be the partner's blood. This can happen, for example, when the frenulum of the penis ruptures during sexual intercourse.

It should be understood that prolonged or intense uterine bleeding can lead to anemia, the development of such a life-threatening condition as hemorrhagic shock and have other negative consequences, including death. Uterine bleeding is sometimes the first and the only symptom serious illnesses requiring immediate appeal for medical help.

Diagnosis and treatment of uterine bleeding

In case of uterine bleeding, first of all, it is necessary to replenish the blood volume, ensure reliable hemostasis, correct complications. And, of course, you should undergo an examination in order to identify the cause of the uterine bleeding and its subsequent elimination. The gynecologist will examine and will collect material for research. You will need to do a blood test and evaluate psychological woman's condition. Perhaps the doctor will prescribe an ultrasound or biopsy. In some cases, you will have to go through a procedure of mechanical cleansing of the uterus. If there was psychological factor, sedatives may be prescribed. It happens that it is not possible to avoid surgical intervention, possibly multiple ones.

Diagnosis and treatment should only be carried out by a doctor. No self-medication! The bleeding could be caused by a complex of different reasons. To effectively solve the problem and prevent relapse, they all must be eliminated. The duration of treatment depends on the cause of the bleeding and the amount of blood loss.

All representatives of the fair sex are well aware that menstruation is a normal physiological process. However, not everyone is always able to distinguish normal menstruation from pathological uterine bleeding. Incorrect diagnosis and late presentation to the hospital jeopardizes the possibility of having children in the future. In addition, this is dangerous due to the development of massive uterine bleeding, which without timely medical intervention leads to fatal outcome. So how can you tell the difference between menstruation and bleeding?

Bleeding during menstruation is normal

The release of blood during a normal menstrual cycle has its own characteristic features, well known to every girl:

  1. The duration of menstruation ranges from 3 days to 1 week and does not exceed the specified periods.
  2. Menstruation occurs after a certain period of time (from 21 to 35 days), which is individual for each girl.
  3. Menstruation begins with scanty, spotting bloody discharge. On days 2-3, more profuse bleeding, which disappears by the end of menstruation.
  4. The color of the bloody discharge is scarlet at first, then bright red. At the end of menstruation, the blood turns dark burgundy or black.
  5. During normal periods, blood clots disappear, however, in small quantities and mainly on the 1st-2nd day of menstruation.

Important! It is important for every girl to know the difference between normal menstrual bleeding and pathological bleeding. This way you can consult a doctor in time if you suspect uterine bleeding.

You also need to know that with normal menstruation, no more than 4 pads are required per day. In this case, menstruation is considered to be of physiological volume, not abundant.

Painful symptoms are present only at the beginning of menstruation, then the pain and discomfort in the lower abdomen goes away. The pain is easily relieved by taking antispasmodics and painkillers, and does not interfere with the performance of usual, everyday activities.

Pathological uterine bleeding: signs

To distinguish bleeding from menstruation, pay attention to the nature of the spotting, its quantity and time of onset. Uterine bleeding is characterized by the following symptoms:

  • Premature or late onset of “menstruation”.
  • Heavy bleeding. One day requires up to 10 or more pads.
  • The bleeding lasts for more than a week, the volume of blood loss does not decrease.
  • Released during menstruation large number blood clots bright red color.
  • Menstruation is accompanied by symptoms of weakness, fatigue. There is drowsiness, thirst and dry mouth, increased sweating. The girl, as a rule, complains of intense pain in the lower abdomen of a tightening or pulling nature. Pain syndrome can be so painful that it forces you to take a forced position: with your knees brought to your stomach. Pain interferes with daily activities.

How to distinguish periods from bleeding after childbirth

Bleeding after childbirth is a normal physiological process. Normally, a woman has at least 4 more weeks postpartum period There is a discharge of spotting bloody discharge - lochia. It is quite simple to distinguish the beginning of bleeding from lochia:

  • Bleeding occurs with copious discharge blood (lochia - scanty).
  • The color of blood during bleeding is scarlet, bright red (in lochia it is rusty, brown, or colorless).
  • Lochia has a specific unpleasant odor.
  • Lochia is separated without blood clots.

Bleeding after pregnancy poses a particular danger to a woman’s life. Accompanied by symptoms general weakness, headaches, low blood pressure. Women complain of pain in the lower abdomen.