Nature has given women a remarkable ability to bear children. For the implementation of the conception, gestation and birth of a child in a woman's body there is a special mechanism - the menstrual cycle, which is supported by hormones.

Is there a way to delay monthly?

Today, in case of emergency a woman can delay the monthly using hormonal contraceptives. But this is not an easy operation, it can cause severe menstrual disorders, so it can only be done once, and then only if the hormones are prescribed by a doctor after the required examination.

Unscreened women to apply such a method can not be deferred monthly, as well as generally used hormonal contraceptives. The fact that the hormonal contraceptive can only woman who in the course of examination showed no inflammatory processes and tumors - hormonal contraceptives contribute to the spread of inflammation and tumor growth. Contraindications such drugs are also vaginal bleeding of unknown origin, severe diseases of the cardiovascular system and liver, thrombophlebitis, diabetes Diabetes - threatening and incurable disease Complicated by vascular disorders, migraine I have a migraine. What to do? Accompanied by neurological symptoms, hypersensitivity to the drug. Not recommended to prescribe these drugs and smoking women older than 35 years. All indications and contraindications for hormonal contraceptives can understand a doctor.

How do hormonal contraceptives

Current hormonal contraceptives are typically combined and consist of two hormones, one of which is a synthetic analogue of the estrogen and the other - progesterone. As a result of the complex action of the drug is suppressed, as the first phase of the menstrual cycle (egg maturation and its exit from the ovary) and second (development and functioning of the corpus luteum). This is because a large number of female hormones inhibit the secretion of pituitary gonadotropins.

In the first phase of the menstrual cycle, the pituitary gland releases follicle-stimulating hormone (FSH), which promotes the maturation of the egg in the ovary. If FSH secretion is suppressed, the egg does not mature and, therefore, can not ovulate.

Out egg from the ovary normally carried out under the influence of the pituitary luteinizing hormone (LH), and the place of the ruptured follicle forms a temporary endocrine gland corpus luteum secretes progesterone Progesterone - norm and pathology . An analogue of progesterone, which is contained in hormonal contraceptives suppress LH secretion, which further inhibits ovulation Ovulation - How to determine as accurately as possible? . Thus, the body is supported PU concentration of female sex hormones (which prevents rejection of the mucosa of the uterus, which is accompanied by a menstrual bleeding) and, at the same time inhibits the secretion of pituitary hormones that promote oocyte maturation and ovulation.

How to defer monthly using hormonal contraceptives

Usually taking hormonal contraceptives for three weeks, then make a week break. The mucous membrane of the uterus, deprived of hormonal support, rejected that menstrualnopodobnoe accompanied by bleeding.

If you want to delay the onset of menstruation, after three weeks of receiving a package of hormonal contraceptives should immediately start taking pills from the second package. They need to take as many days as needed to delay periods, but still not more than three weeks. After that you need to do a seven-day break.

Sometimes, while taking tablets from the second package could begin fairly heavy menstrual bleeding or spotting.

Use this method of delay menstruation often can not - you can achieve persistent violations of the menstrual cycle. In any case, the use of this method requires a monthly delay consulting a doctor.

In some cases, the woman is required to move the start of menstruation to another day of the week. To achieve this effect it is necessary to simply reduce the regular tablet-free interval to the desired number of days. If such a break is very short, it does not exclude the possibility of the emergence of a strong menstrualnopodobnoe bleeding or spotting while taking hormonal contraceptives.

Postpone month today it is quite possible, that is whether to do it, because any interference with the woman's menstrual cycle is fraught with unpredictable consequences, including its persistent violations.

Galina Romanenko

It is no secret that deliver a lot of inconvenience to menstruating women. And if the same monthly long and abundant? Undoubtedly, this is the first sign of alarm bell, indicative of a malfunction in the body. You should not start to "drift" phenomenon such as prolonged and heavy menstruation, since they can lead to various complications. Tips girlfriends in this case irrelevant, to understand each situation can only be a specialist. Often long and heavy menstruation can become a cause of uterine bleeding, and the reason for calling an ambulance and hospitalization.

The normal menstrual cycle

First, the follicular phase in the ovaries begin to actively under the influence of pituitary follicle-stimulating hormone, to produce estrogen. Against the background of their synthesis in the mucosa of the uterus occur secretory changes (it grows and thickens). After the release of a mature egg from the dominant follicle estrogen level falls, the site of the follicle forms the corpus luteum, which begins to produce progesterone Progesterone - norm and pathology . Start of production of progesterone marks the second or luteal phase of the menstrual cycle. Progesterone prepares the endometrium for implantation of a fertilized egg (in the lining of the uterus occur proliferative processes). If fertilization has occurred, the progesterone level drops and begins the rejection of the functional layer of the endometrium or menstruation. The duration of normal menstruation should not exceed seven days.

Long-term and heavy menstruation

Long-term and heavy periods that start on a regular basis, but last for more than a week, called menorrhagia Menorrhagia (menorrhagia) - excessive blood loss . About menorrhagia say, if a woman is forced to change the pad or tampon more often than every two hours, including at night. Normally the menses decrease in resting or sleeping Dreams: how to understand our dreams .

Diagnostics

The success of treatment in the presence of menorrhagia in women is directly related to the definition of their causes. The doctor at the time of inspection and examination of the patient should find out three things:

• identify the source of bleeding Spotting - it is important to rule out pathology   from the genital tract (or other uterine bleeding);
• identify the origin of bleeding (dysfunctional or organic);
• clarify the nature of bleeding (presence or absence of ovulation).

Diagnosis begins with menorrhagia gynecological examination, during which the expert determines the presence or absence of lesions of the cervix (cervicitis, erosion, cervical polyp), and the presence or absence of abnormal structures in the pelvic organs. The next step is the ultrasound examination of the pelvic organs, hysteroscopy (examination of the uterus special apparatus - hysteroscope) metrosalpingography (X-ray examination of the uterus and fallopian tubes). In addition, a determination is mandatory sick and hormonal analysis of blood coagulation and biochemical analysis.

Causes

Causes prolonged and heavy menstruation can be both gynecological diseases and pathology of other organs and systems. There are the following factors menorrhagia:

Organic pathology of the uterus and appendages:

• uterine fibroids;
• adenomyosis (endometriosis of the uterus);
• chronic endometritis and salpingo;
• endometrial hyperplasia;
• endometrial polyps;
• uterine cancer.

Pathology of pregnancy:

• spontaneous abortion;
• missed abortion;
• ectopic pregnancy;
• trophoblastic disease (hydatidiform mole).

Disorders of blood coagulation:

• lack of platelets;
• systemic diseases (systemic lupus erythematosus);
• leukemia and other.

Violations of the liver:

• chronic liver disease;
• pathology of the biliary tract;
• inadequate education of liver enzymes.

Iatrogenic factors:

• the presence of an intrauterine device;
• hormonal contraceptives;
• reception of other hormones.

Anna Sozinova