Bleeding after childbirth

Very often women after giving birth for the first menstruation take spotting Spotting - it is important to rule out pathology That begin immediately after birth and are called lohiyami. This is wrong, because the cause of uterine bleeding Uterine bleeding outside of menstruation - a sign of a serious breach   It related to the physiological characteristics of the uterus after childbirth. The uterus after childbirth is an extensive wound surface due to the removal of the placenta (afterbirth) during childbirth. In fact - it is an open wound. And any injury required some time to heal. Normally, in the postpartum period is a healing takes six to eight weeks, when the first week of continued bleeding, then fuckers are sero-sukrovichnymi and then yellowish. But sometimes this process is delayed due to any pathological factors, the uterus begins to contract and bad talking about it subinvolution. In this case, you must consult your doctor and he will appoint the appropriate treatment.

Factors affecting the recovery of the menstrual cycle after birth

First and foremost the restoration of the menstrual cycle after birth and breastfeeding affect its character:

• if the mother feeds her baby only breast milk, but not yet on the clock, and on-demand, the menstrual period begins after the end of the lactation period;
• if the child is the lure, then milk it starts to consume less, menstruation can occur before the end of breast-feeding;
• If the child is mixed feeding, menstruation begins in the third or fourth month;
• if the child is not receiving breast milk due to some reason, begin menstruation at 10-12 weeks.

In addition, the restoration of the menstrual cycle after birth is influenced by:

• hormonal drugs for contraception;
• the nature of childbirth (drug delivery) and the use of different, especially hormonal drugs during childbirth;
• the early introduction of complementary foods Introduce solid foods - how not to be mistaken with a choice of products? ;
• early weaning;
• during pregnancy;
• age of the woman;
• proper and adequate nutrition;
• chronic diseases;
• adherence of the day and relax.

What is the reason the absence of menstruation after childbirth

The absence of menstruation after delivery is directly connected with the process of breastfeeding. During lactation, endocrine system, the hormone prolactin is produced by the mother, who is responsible for the secretion of milk. Prolactin process suppresses hormone and ovarian follicle maturation, and, consequently, the release of an egg does not occur. One of the mistakes lactating women - absence from their side of contraceptive methods. But if you do not have menstruation, it does not mean that there is no ovulation Ovulation - How to determine as accurately as possible? . Therefore, you need to be protected, especially when feeding the baby in less than six times per day.

What are the changes of the menstrual cycle are possible after birth

Usually the first menstrual cycle is anovulatory .  His recovery is for four to six months .  During this period of menstruation can come regularly, before, later, their term will range from three to seven days .  If the period is greater than or become painful menstruation, with an unpleasant odor, you should consult your doctor, as this indicates some gynecological diseases (inflammation, endometriosis or tumors) .  But normal menstruation after childbirth can be a painless (if before the pain was), it is connected with a bend and recovery of the uterus in the pelvis arrangement of internal organs after childbirth .  Also, some women say that after giving birth changed and duration of menstrual bleeding - menstruation became shorter and more abundant .  This is also due to the physiological characteristics: the cervix after childbirth has become shorter and the cervical canal freely .

Anna Sozinova

How to treat amenorrhea: methods of dealing with the problem

How to treat amenorrhea? Ways to treat this condition a lot. But every woman will only fit a few of them - it all depends on what caused the development of amenorrhea. Depending on the type and causes amenorrhea Causes of amenorrhea - different circumstances   the doctor prescribes a bracing, medication, surgery, physiotherapy, reflexology Reflexology - a policy of non-drug therapies   and so on.

Restorative therapy

Restorative therapy is important for all types of amenorrhea irrespective of the reasons the disease. The fact is that if any violations: high physical and neuropsychiatric stress, poor diet, insomnia, sedentary lifestyle affected the whole system neurohormonal women. Therefore, any kind of amenorrhea is so important to get enough sleep, to change the sedentary lifestyle to moderate exercise, eliminate all the high load, stress, eating right.

As a restorative treatment of women prescribed vitamins and minerals and adaptageny - substances of natural origin, which increase the body's resistance to any outside influences (Rhodiola rosea, ginseng, devil, Siberian ginseng, echinacea, and so on).

Medication

Medical treatment for amenorrhea appointed strictly individually according to the survey.

Some types of infertility to stimulate ovarian function used drugs - synthetic analogues of gonadotropin-Riesling-releasing hormone (GnRH) of the hypothalamus. These drugs include, for example, Diferelin. Cyclic application of this preparation together with pituitary gonadotropins allows stimulation of ovarian function, improve the quality and speed of maturation of ovarian follicles and hence the probability of conception. GnRH analogues are also used in certain types of central amenorrhea.

To stimulate ovulation Ovulation - How to determine as accurately as possible?   used as drugs from the group of stimulants, gonadotropin secretion of pituitary hormones, such as clomiphene.

Treatment of amenorrhea-galactorrhea syndrome is usually conservative. Prescribe drugs that suppress the secretion of prolactin, such as parlodel. The operation is performed only when the prolactinoma shows no sensitivity to Parlodel, as well as large prolactinoma, compressing the surrounding tissue.

When ovarian failure (for example, premature ovarian failure) is the treatment female hormones. In the first half of the menstrual cycle, estrogen analogues are used, the second - the analogues of progesterone. For estrogen analogs include drugs such as proginova, Divigel (for external use), and others. Because progesterone analogues for the treatment of amenorrhea is most often used utrozhestan Utrozhestan - corrects the deficiency of progesterone   and djufaston.

In some types of amenorrhea (e.g., in polycystic ovaries) in the blood of women increases the content of male sex hormones, which leads to suppression of secretion of female hormones and changes of the body of male type. In this case, a part of complex treatment include medicaments with antiandrogenic effect, e.g., finasteride. The same effect can give modern low-dose oral contraceptives, which contain synthetic versions of progesterone (progestin) of the last generation - gestodene (logest, lindinet), desogestrel (regulon, Novinet) norgestimate (Silest).

The regulation of the menstrual cycle can help such as herbal as Remens, mastodinon, klimadinon, decoctions and infusions of herbs. But they can be used only on prescription.

Surgical treatment

Surgical treatment of amenorrhea is held with certain types of tumors of the hypothalamus and pituitary gland, at the functional failure of the ovaries and fallopian types of amenorrhea (false amenorrhea).

Benign tumors of the pituitary gland and the hypothalamus is removed except for small prolactin - pituitary tumors that produce the hormone prolactin, which causes amenorrhea. This type of tumor is usually treated with medication - inhibits the secretion of prolactin.

When operations are conducted polycystic ovaries, ovarian wedge resection and removal of its shell - the field of ovarian function can partially recover.

When uterine form of amenorrhea depends on the type of operation that prevents the leakage of menstrual blood. If it spikes, they disconnect the probe, dissected using a hysteroscope or just scrape the uterine cavity, followed by the appointment of estrogen.

If an obstacle to the outflow of menstrual blood is the lack of openings in the hymen, the operation is conducted perforation of the hymen - it makes a small hole.

Treatment of amenorrhea is usually long. Picked it individually for each woman. Independently treat amenorrhea using drugs prescribed when a neighbor makes no sense.