Treatment for abnormal uterine bleeding
Abnormal uterine bleeding (AMC) is excessive bleeding in duration (more than 8 days), volume of blood loss (more than 80 ml), frequency (less than 24 days or more than 38 days) and/or regularity (cycle variability >9 days).
Abnormal uterine bleeding can occur at any age, but is more common in women of reproductive and perimenopausal age. The main causes include fibroids, polyps, endometriosis, endometrial hyperplasia, and cancer.
Treatment of AMC depends on the cause and severity of the condition. In cases where drug therapy is not effective enough or there is a threat to life due to massive blood loss, surgical treatment is used. It is aimed at stopping bleeding and eliminating the causes of its occurrence, such as polyps or myomatous nodes.
Transvaginal ultrasound of the pelvic organs Blood test Endometrial biopsy Upon admission to the hospital, the following are required: Fluorography or chest X-ray Electrocardiography Laboratory examinations: general blood test, biochemical blood test, coagulogram, blood tests for hepatitis B and C, syphilis, HIV, smear for purity and smear for oncocytology from the cervix Determination of blood type and Rh factor
Surgical treatment begins with diagnostic hysteroscopy, which allows you to visualize the uterine cavity and identify pathological changes. Depending on the detected pathology, the doctor may perform one of the following interventions: Hysteroresectoscopy is a method in which pathological formations in the uterus are removed under the control of a hysteroscope. Curettage of the uterine cavity is a procedure in which the surface layer of the endometrium is removed to stop bleeding. Endometrial ablation is a radical method aimed at the complete destruction of the uterine mucosa, which leads to the cessation of menstruation. This method is used in perimenopausal or postmenopausal women who are not planning pregnancy.
Hysteroscope with a camera for imaging the uterine cavity Resectoscope for the removal of pathological formations Coagulation devices for stopping bleeding and endometrial ablation
After surgery, patients are advised to refrain from sexual intercourse and the use of tampons for 1-2 weeks. Minor spotting may occur for several days after surgery. To prevent recurrence of AMC and monitor the condition of the endometrium, it is necessary to visit a gynecologist regularly.
Frequently Asked Questions
When is surgical treatment necessary for uterine bleeding?
Can I get pregnant after surgical treatment of AMC?
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