Uterine bleeding: what is it?

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Uterine hemorrhage is excessive bleeding from blood vessels in the uterus, often unrelated to menstruation. It can be caused by malignancies, pregnancy trauma, anovulation, infections, and medications. Diagnosis is done through ultrasound or biopsy.

A uterine hemorrhage is an instance of excessive bleeding from blood vessels within the uterus. This bleeding is usually unrelated to menstruation, except in the case of anovulation, and is considered abnormal and a medical emergency occasion. Bleeding generally results in rapid bleeding that can cause a woman to lose so much blood that she goes into shock. Malignancies, pregnancy trauma, and anovulation account for the majority of cases of abnormal bleeding in the uterus. Often, chronic or infectious diseases can also cause uterine bleeding.

In most cases, a uterine hemorrhage can last from two days to seven days. Adolescent girls and adult women are primarily affected. A female infant or child, however, can experience bleeding due to estrogen-related cancers, according to medical research.

Pregnancy-related bleeding includes postpartum bleeding and bleeding due to miscarriage or ectopic pregnancy. During postpartum hemorrhages, uterine contractions fail to close blood vessels in the uterus that have been torn by placenta abruption and delivery. When these contractions are too slow or insufficient to stop the vessels from bleeding, hemorrhage occurs, causing some women to lose up to a liter (0.95 liters) of blood. Ectopic pregnancies and miscarriages can lead to bleeding accompanied by severe cramps.

Conditions and infections such as shigella and pelvic inflammatory disease can sometimes cause bleeding into the uterus. Shigella is a type of food poisoning triggered by bacteria. A sexually transmitted disease such as chlamydia can also cause bleeding.

Malignancies or abnormal tissue growth can often cause a hemorrhage. The most common types of malignancies include polyps, lesions, fibroids, and tumors. Often, uterine bleeding associated with some of these malignancies could indicate uterine cancer. In rare cases, late tumors can form at the site where the old placenta was once attached. These tumors, formally called placental site trophoblastic tumors, and related bleeding can occur in an older woman who has gone through menopause.

Anovulation is the circumstance of having menstruation-like bleeding that is not a true menstrual cycle. This bleeding is usually extremely heavy and recurs regularly. Unlike true menstruation, this cyclical bleeding occurs without eggs being released from the fallopian tubes.
Finally, medicines and prescription drugs can cause uterine bleeding, especially if the medicine contains hormones. Hysterectomies, ablations, and other surgical procedures may be needed to stem the cause of the bleeding. Diagnosing the cause of the bleeding is usually done by ultrasound or biopsy.




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