BLEEDING, HEALTHILY REGULATED.

Healing of bleeding disorders:
Back to normal.

Healing of bleeding disorders:
Back to normal.

Which woman has not thought about irregularities since the beginning of her menstruation? Here you will learn everything worth knowing about bleeding disorders and what prospects for rapid healing Asst. Prof. Dr. Resmiye Ermis offers you.

Short overview: What are bleeding disorders?

Menstruation follows a regular cycle of usually 28 days, starting on the first day of bleeding and lasting about four to five days. Menstrual bleeding that deviates from this duration by being shorter or longer – ranging from the absence of bleeding to a duration of eight to ten days – is considered a bleeding disorder. The same applies to a significantly heavier or lighter intensity of bleeding.

Likewise, brown, flesh-colored, or bloody discharge can be an indication of a bleeding disorder.

Heavy vaginal bleeding (hypermenorrhea), prolonged bleeding (menorrhagia), or continuous and intermenstrual bleeding are among the disorders for which Asst. Prof. Dr. Ermis can provide minimally invasive treatment.

In addition to psychological strain, lower abdominal pain and general discomfort may occur. During consultations, women also frequently report fatigue and lack of energy due to anemia and the resulting iron deficiency.

In cases of bleeding disorders after a cesarean section, spotting after menstruation may also occasionally occur, as well as infertility, ectopic pregnancies, placentation disorders, scar dehiscence, or even rupture of the uterus.

Psychological, organic, and also medication-related factors can be possible causes. Especially after multiple cesarean sections, the uterine wall in the area of the cesarean scar can be very thin.

During puberty or menopause, hormonal disorders can be the cause of heavy bleeding disorders, also referred to as hypermenorrhea. Changes in the uterus or ovaries can also be responsible, for example due to inflammation, polyps, tumors, or myomas. Have medications for contraception or to reduce blood clotting been taken? This may be a cause. There are also cases in which an intrauterine device used for contraception is the trigger for heavy bleeding. More rarely, the cause lies in high blood pressure or blood coagulation disorders. And what if bleeding is light?

In addition to natural hormonal disorders, for example during puberty or menopause, medications such as the pill or other hormonal preparations can also be responsible for light bleeding. Light bleeding also falls under the technical term hypermenorrhea. And sometimes the bleeding is simply out of sync.

If the hormonal cycle control of the brain is impaired, for example due to physical or psychological stress, bleeding may occur less frequently. This is referred to as oligomenorrhea. Hormonal changes, such as those that can occur during puberty or menopause, also fall into this category.

The same causes can also lead to more frequent bleeding, known as polymenorrhea.

Particularly prolonged bleeding, also referred to as menorrhagia, is often caused by myomas or polyps in the uterus. Narrowing of the endometrium or uterine cancer can also be possible causes. In addition, hormonal disorders, an intrauterine device, and more rarely high blood pressure or coagulation disorders can trigger prolonged bleeding.

Two forms are distinguished here: primary and secondary amenorrhea. If menstruation does not begin by the age of 16, the cause may lie in malformations of the ovaries or uterus, or in hormonal disorders. This is referred to as primary amenorrhea.

Secondary amenorrhea is present when stress, extreme physical strain, significant weight loss, or eating disorders are considered the triggers. And what about bleeding outside the regular cycle?

If bleeding occurs outside the regular menstrual cycle, functional disorders of the liver, complications in early pregnancy, or autoimmune diseases can also be possible triggers. Blood-thinning medications or hormonal preparations should likewise be considered as potential causes.

Ultrasound examinations can often reveal abnormalities associated with bleeding disorders. If no cause is identified, a hysteroscopy can provide clarity. This involves assessing the interior of the uterus using a microscopically small camera. If Dr. Resmiye Ermis identifies a polyp or myoma as the cause of the bleeding disorder, operative hysteroscopy is usually the solution as a minimally invasive procedure. For this purpose, a microscopic camera with a loop is used.

Symptoms caused by bleeding disorders after a cesarean section can, in mild cases, be reduced or eliminated through hysteroscopic surgery. If the condition is more extensive, it is possible to re-suture the wound laparoscopically. Alternatively, removal of the uterus may be considered as an option.

With freedom from pain, quality of life increases as well. Many women only realize, once their bleeding has become regular again, what a burden they have left behind and discover a new sense of lightness.

When will you have reached a new state of health? Speak with Asst. Prof. Dr. Ermis about this at 069 407 15 50. Or send a message to gynaekologie@rotkreuzkliniken.de.

Hysteroscopy:

Everything you need to know about the chances of treatment.

Hysteroscopy:

Everything you need to know about the chances of treatment.