The extinction of ovarian function, which is accompanied first by an irregular menstrual cycle, and then by its complete cessation, is called menopause, or menopause. Unfortunately, most women who reach this period are practically unaware of what to consider as the norm, and when it is necessary to seek help from a specialist. So, long and plentiful monthly at a climax at all a variant of norm or rate, and a symptom of any pathology about which and will be told in our article.
Duration of menstruation with menopause
In the pre-menopausal period, distinguishing normal menstruation from pathological is not easy. After all, because of the fluctuations in the level of hormones in the blood and the irregularity of ovulation, a fairly long and fairly abundant period with menopause is a common occurrence. The menstrual cycle becomes irregular, and menstrual bleeding may not occur for several months, after which they can resume again. Unfortunately, not every woman turns to a specialist for prolonged periods, not suspecting that this is not already the usual menstruation with menopause, but the real uterine bleeding.
Causes of long, frequent and profuse menstruation with menopause
The causes of uterine bleeding can be a lot, the most frequent of them:
- uterine leiomyoma;
- endometrial hyperplasia ;
- violation of the equilibrium of sex hormones in women in menopause;
- polyps of the endometrium;
- diseases associated with impaired blood clotting (insufficient level of platelets or coagulation factors in the blood);
- the disturbed function of the thyroid gland (hypo- and hyperthyroidism).
Prolonged menstrual period before menopause
Let's consider now, what to consider as a pathology during premenopause, when it is necessary to address to the doctor:
- bleeding after sexual intercourse;
- prolonged menstruation longer than 7 days;
- plentiful monthly more than 80 ml;
- if blood clots are allocated;
- duration of menstrual cycles is less than 21 days;
- spotting between menstruation.
Women with pathological menstrual discharge should be examined to find out and eliminate the cause of metrorrhagia . Such a woman will be offered to pass all general clinical studies, examination with a gynecologist with advanced colposcopy and undergo ultrasound examination with a vaginal sensor. Do not forget that uterine bleeding in premenopausal and climacteric can be a symptom of malignant damage to the organs of the reproductive system.