Bleeding in the middle of the cycle may be an indication of how rules and pathology. For example, normally considered short-term minor bleeding in the middle of the menstrual cycle, which are not accompanied by any more than other symptoms. Heavy intermenstrual bleeding mid-cycle - this is certainly not the norm.
Minor bleeding midcycle
Slight transient (usually within days) at mid-cycle bleeding normally associated with ovulation
Ovulation - How to determine as accurately as possible?
- Follicle rupture (bubble), wherein the matured follicle. This is normal.
When combined oral contraceptives (COCs) when there is a transfer of the natural menstrual cycle on artificial bleeding may also occur in the middle of the cycle. This is because in the first three months of hormonal failures may occur, which manifest themselves in the form of minor bleeding at midcycle.
If you have an intrauterine contraceptive (IUD) is also quite possibly the appearance of small bleeding in the middle of the cycle, which is associated with a slight inflammation that cause the IUD in the uterine wall.
Why does heavy bleeding mid-cycle
Such bleeding can not be the norm. Excessive bleeding in the middle of the cycle can be a manifestation of dysfunctional uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
(MQM). Most often, the MQM develops in the transitional age periods - during puberty
Puberty child - stages of a complex path
(juvenile bleeding), and during menopause.
The mechanism of DMK involves a violation of the rhythm of secretion of ovarian hormones, occurring in lesions of the hypothalamic - pituitary - ovary - uterus. The cause dysfunction of this system can be stress, exercise, change of climate, overwork, poor nutrition, hypovitaminosis, various acute and chronic diseases, surgery, trauma.
As a result of one or more of these factors lead to abnormalities in the hypothalamic-pituitary system, followed by the appearance of changes in the ovaries and uterus. Sometimes the opposite is true: changes in the ovaries and uterus (infectious-inflammatory processes, trauma, tumors, cysts) on the basis of feedback causes changes in the hypothalamic-pituitary system.
If MQM are three types of hormonal changes:
- High acyclic character release follicle stimulating hormone (FSH - a hormone 1 phase of the menstrual cycle) and luteinizing (LH - hormone 2 phase of the menstrual cycle) pituitary hormones;
- a moderate reduction in the secretion of FSH and LH from the acyclic nature of the allocation;
- a significant reduction in the secretion of FSH and LH.
Forms of dysfunctional uterine bleeding
MQM split into two types - ovulatory and anovulatory. If ovulatory MQM saved ovulation and possible conception, with anovulatory egg remains in the ovary, ovulation does not occur, so it is impossible to conceive.
The most rasprstranennymi are two types of anovulatory DUB: the type of persistence and the type of atresia. When the DMC-type persistence 1-2 follicles reach maturity and do not break, and continue to operate, allocating a large amount of estrogen. It causes changes in hormone-dependent organs - the uterus and vagina. After a long growths lining of the uterus (endometrium), or immediately rejected the whole (heavy bleeding) or rejected gradually (long, then decreased, or increased bleeding).
DMK on the type of atresia of the follicle is more common in adolescence. In the maturation stage it is several follicles, but the maturity they reach and are subject to atresia (a reversal). Atresia follicles manifested wavy release small amounts of estrogen with small fluctuations. Such prolonged exposure to even small doses of estrogen leads to proliferation of the endometrium. Once the amount of estrogen decreases, there is a long uneven rejection of the endometrium and the same long wavy bleeding.
How to manifest dysfunctional uterine bleeding
MQM for anovulatory type may occur only intermenstrual hemorrhage (severe bleeding mid-cycle), or only menstrual bleeding. But these violations in different cycles can alternate. Menstrual bleeding usually occurs after a considerable delay.
As a teenager on a background of a lack of estrogen may be a lag in physical development and in the development of secondary sexual characteristics.
How to treat dysfunctional uterine bleeding
Treatment MQM held only after a complete examination and detection of diseases which could affect the reproductive system. If such diseases detected, they are treated. The structure of the complex treatment of MQM should include hormonal correction, drugs that reduce the uterine smooth muscle (muscle cutting, squeezing the blood vessels and bleeding stops), restorative treatment, vitamin, healthy eating
Healthy eating - do not limit yourself to eating
and a healthy lifestyle.