Types uterine bleeding
Obstetric uterine bleeding can occur during pregnancy, during the birth and the postpartum period.They start suddenly and dangerous that is rapidly developing a large blood loss, leading to disruption of vital functions.The treatment of such bleeding is carried out in a hospital.
Dysfunctional uterine bleeding develops due to disorders of the organs, regulate the menstrual cycle.There are ovulatory and anovulyatronye dysfunctional bleeding.Ovulatory appear in women of reproductive age, anovulatory occur in puberty or menopause.
Treatment of uterine bleeding
In the first stage of treatment dysfunctional uterine bleeding use drugs tranexamic acid or aminocaproic."Tranexamic acid" is administered orally in an amount of 4-5 g for 1 hour, and then - 1 g each hour until the bleeding stops.
significant decrease in blood loss occurs when using monophasic combined oral contraceptives, NSAIDs ("Nimesulide", "Ibuprofen") and "danazol"."Ibuprofen" take 400 mg every 4-6 hours. The daily amount is 1200-3200 mg."Nimesulide" administered at 50 mg three times a day.
the purpose of treatment of dysfunctional uterine bleeding often use low-dose combined oral contraceptives (COCs) containing progestogens 3rd generation ("Desogestrel" or "Gestodene").Popular following regimen: within 4 days take 1 tab.4 times, then for 3 days drink 1 tab.3 times a day, then take 1 tab.twice a day, followed by 1 tablet.per day until the end of the second package of the drug.Out of bleeding to regulate menstruation cycle taking COCs for 3 cycles on 1 tab.per day (21 days - reception, 7 days - a break).
In order to stop bleeding apply only monophasic preparations.Studies have shown a high efficiency single-phase low-dose COCs ("regulon" "Marvelon" Rigevidon "," Janine ") for ½ tab.every 4 hours until the bleeding stops.In the following days the dose is reduced to 1/2 tab.in a day.The duration of the hormone depend on the severity of iron deficiency anemia and hemoglobin levels of the recovery process.