CAUSES AND SYMPTOMS OF METROMENORRHAGIA

Metromenorrhagia can be caused by many disorders: anatomic abnormalities of the uterus, hormonal imbalances, certain medical conditions, medications, and malignancy. Common anatomic causes are uterine fibroids and Adenomyosis. Irregular menstrual cycles resulting from hormonal imbalances can be associated with metromenorrhagia. Medical conditions such as blood clotting disorders and liver or thyroid disease contribute to metromenorrhagia. Medications that prevent blood clotting, such as coumadin or heparin, can lead to increased menstrual flow. Uterine and other reproductive tract cancers can result in unusually heavy menstrual flow. Symptoms of metromenorrhagia are uterine bleeding that is excessive (more than 80 milliliters) and/or bleeding that lasts for more than seven days. Unlike metrorrhagia, bleeding occurs at regular intervals. The patient can become anemic and exhibit symptoms of either acute or chronic blood loss. Symptoms and signs which suggest the cause of metromenorrhagia may be present, such as large palpable fibroids, or evidence of hypothyroidism or liver disease.

TREATMENT AND THERAPY

Metromenorrhagia can be treated via conventional medical or surgical methods. The selection of treatment often depends on the cause and severity of the metromenorrhagia. If metromenorrhagia is the result of conditions amenable to medical treatment (such as a thyroid disorder), then control of these conditions may decrease the bleeding. If the patient has irregular cycles (for example, because of lack of ovulation), then hormones such as oral contraceptive pills or medroxyprogesterone may be used to regulate the cycles and decrease menstrual flow. A patient who is nearing the menopause can receive hormone injections that place her into an earlier artificial menopause, and hence eliminate menstrual bleeding altogether. If the patient encounters acute and profuse bleeding, then high-dose estrogens may be given.

If metromenorrhagia is resistant to medical management, then surgical treatment may be necessary. Examples of procedural treatments for metromenorrhagia are dilation and curettage (D & C), for acute, profuse bleeding; thermal ablation of the endometrial lining; hysteroscopic resection of endometrial polyps or fibroids; and placement of a progesterone-impregnated intrauterine device (IUD). Hysterectomy is the definitive surgery for metromenorrhagia, no matter what the cause, since menstrual bleeding cannot occur without the uterus. Patients with large fibroids or Adenomyosis often are not responsive to medical management. These patients would be candidates for hysterectomy. In patients with large fibroids and metromenorrhagia who wish to retain childbearing potential, a myomectomy may be performed instead of hysterectomy. Finally, patients can become severely anemic from metromenorrhagia, and blood transfusion may be necessary. Mild anemia can be treated with iron supplementation.

These treatments have had limited success, and most sufferers of metromenorrhagia find the side effects of these methods as bad, or worse than, the condition itsself. Alternative and holistic medical researchers have had great success with natural remedies.

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In the first part of this article, we looked at endometriosis and uterine fibroids as causes of chronic back and pelvic pain. The following two gynecological conditions may also cause such symptoms.

Adenomyosis

Adenomyosis is similar to endometriosis in that it entails the irregular growth of the tissue that lines the uterus. In Adenomyosis, however, the tissue intrudes upon the uterus itself and not other structures. Endometrium is the lining of the uterus that sheds during menstruation, and myometrium is the thick muscle wall that supports the uterus and gives it its shape. Adenomyosis is present when the endometrium intrudes upon the myometrium.

The endometrium that is embedded in the uterine muscle can't shed normally during menstruation. This can cause the uterus to swell, sometimes doubling or tripling in size.

Some common symptoms of this condition include:

Severe cramping and sharp pains during period
Heavy or prolonged periods
Painful intercourse
Worsening menstrual pain with age as uterus enlarges
Pain as feces pass through bowels or bladder fills with urine, pressing on uterus
Passing of blood clots during period

Adenomyosis may easily be misdiagnosed as endometriosis or uterine fibroids. It is most common in women over 35 who have had children. Like most other pelvic disorders, its cause is not known for sure. It is thought that pelvic surgery such as fibroid removal or C-section can cause the two tissues to mix, or that genetic abnormalities at birth may cause this to occur. A pelvic exam, ultrasound and/or MRI may be used to diagnose the condition. Treating adenomyosis usually involves treating the symptoms, as the condition is generally not serious beyond the pain it causes. Hormone medications that alleviate painful periods often help. In rare cases, hysterectomy might be in order.

Pelvic Inflammatory Disease (PID)

This gynecological condition stands out from the other three in that it is better understood by the medical community. PID is caused when bacteria from the vagina travels up into other pelvic organs, like the ovaries, uterus and fallopian tubes. Most of the time, the bacteria involved are sexually transmitted, usually in the form of gonorrhea or chlamydia. PID is startlingly common; according to the National Center for Biotechnology Information's website, about 1 in 8 sexually active females develop PID before age 20.

Bacterial infection causes inflammation. The body's inflammatory response rushes to infected areas to 1) block off the threat from other body parts and 2) attempt to kill the infection. This leads to chronic inflammation of the affected pelvic organs.

Not all women with PID have symptoms, but for those that do, common symptoms include:

Fever
Chronic pelvic and lower back pain
Ectopic pregnancy or infertility
Vaginal discharge with odd consistency, color or smell

As with the other gynecological conditions discussed, PID can cause menstrual abnormalities and pain during intercourse.

A pelvic examination can reveal abnormal cervical conditions like bleeding and pain that indicate pelvic inflammatory disease. Blood work may also be done to detect infection. STI testing, which involves collecting a culture of your vagina or cervix, can detect gonorrhea or chlamydia. An ultrasound or CT scan can rule out other possible causes of your symptoms.

If you have chronic pelvic and back pain accompanied by fever, menstrual irregularities, infertility and painful intercourse, the cause of your pain is likely gynecological. It is a good idea to keep track of your symptoms in a log or pain diary so that your doctor can more easily help you reach a diagnosis. There are many causes of pelvic pain in women; narrowing yours down to a gynecological cause is one step closer to relieving your pain.

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At first, she paid no care for it. Until earlier this year, she found that she had menstruation twice a month. And between two menstruations, the brown vaginal discharge always existed. So she had no choice but went to the hospital.

 

The result of leucorrhea routine examination showed that the cleanliness was Ⅳ, and there were no trichomoniasis or mold. The colposcopy examination revealed the moderate cervical erosion while the pathological examination showed the chronic inflammation. Under the doctor's recommendation, she took the western medicine such as doxycycline and ofloxacin, but the results were not so good, the recheck result was still mycoplasma. Since then, she stopped the treatment, but turned the traditional Chinese medicine for help.

 

Occasionally, she heard the TCM Fuyan pills, and had a try. During medication, she paid more attention on the board feedback and successful cases on our website, and kept all tips in her mind. Fortunately, she kept a good diet habits and limited the sex life with her husband. After a course of Fuyan pills taking, she obviously found that the amount of vaginal discharge reduces and the color changed into white, and without other obvious abnormalities. She then continued to take a course.

 

In the second course of treatment, Ms. Huang told us that the intercourse pain and moderate cervical erosion was gone, and menstrual blood clots were no longer black and dysmenorrhea only appeared on the first day of menstruation. She felt thankful for it.

 

Considering the repeated infection of mycoplasma, especially the cross-infection between husband and wife, we recommended her to consolidate a course of treatment, and urged her had a check in the hospital as well as her husband. After three courses, the mycoplasma was no longer positive. She said that Fuyan pill gave her the new hope for life.

 

If you don’t know how to do when you get such kind of disease, you can turn Fuyan pill for help. It is the traditional medicine and it will give you an unexpected result.

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