Menstruation comes out a lot after childbirth

The article was consulted professionally by Specialist I Nguyen Thi Plum – Obstetrics and Gynecology Department – Share99 Da Nang International Health Hub. The doctor has more than 10 years of experience in the diagnosis, consultation and treatment in the field of Obstetrics and Gynecology.

Usually the amount of kinh blood in an ordinary woman will range about 50-80ml. However, many women after giving birth menstrually out more than usual >80ml, this phenomenon is called menstrual intensity.

Menstruation is a common menstrual disorder. In 2007, the National Institute for Health and Care Excellence defined" Meninges or severe bleeding as a large amount of neuropathic blood loss, affecting a woman's physical, mental, social, and quality of life. Menstruation can occur alone or may be accompanied by other symptoms."

This definition was later accepted by the World Federation of Obstetrics and Gynecology (FIGO) in 2011. Menstruation during the day causes a lot of discomfort in life as well as at work, and studying, if menstruation is out a lot for a long time can lead to iron deficiency anemia, so it needs to be treated early.

For post-birth women who have a lot of menstruation, the body is pale, tired and often suffer from dizziness, headaches due to excessive blood loss.

In fact, it is difficult to accurately determine the amount of neuron blood. Often only indirect evaluation is based on the effect on the total condition due to the high blood loss of patients with menstruation. However, with a lot of menstruation, there will also be some signs of recognition such as:

• Tam tam tam tamer must be changed continuously.
• In the middle of the night, you also have to get up and change the tam tamer constantly.
• Menstrual blood flows a lot, constantly, menstruation is high in blood clots, menstruation comes out of many blood clots.
• Long menstruation or menstruation (the number of days with menstruation lasts up to more than 7 days).
• Dizziness headache due to loss of blood

The phenomenon of menstruation can be derived from several causes as follows:

The lining of the uterus in the second half of the ovular ring with ovule ejection (that is, the ovule has the effect of both estrogen and progesterone) which has a serial formation between the twisted arteries and the veins on the side. Before menstruation, these arteries and veins are stretched and burst, and this blood is a mixed blood of arteries and veins, so it is brown. In non-ovule-releasing menstrual rings, i.e. the menstrual ring has only the effect of estrogen without the effect of progesteron, followed by non-active arteries, blood when menstruation is caused by aneurysm rupture of twisted arteries, therefore, menstruation is more numerous and menstrual blood is bright red.

After birth, the hormones in the mother's body are not yet stable, the hormone prolactin increases in order to stimulate the secretion of breast milk. Meanwhile, progesterone, estrogen drops again. When the estrogen drops, the mucosa peels off but peels unevenly, this place peels off, the other regenerates. This causes a direct effect on the menstrual cycle, leading to menstrual disorders, after menstruation is more or less.

Menstruation that comes out a lot after birth can be a symptom of a number of gynecological conditions such as: inflammation of the lining of the uterus, uterine fibroids – especially uterine fibroids under the mucosa although small in size can also cause menstruation to go a lot.

In the case of a large uterus, complete fibrosis can also lead to a lot of menstruation. Due to the deterioration of the muscle organization in the uterus, it will be replaced by the fibrous organization. In the appearance of menstruation, the ability to contract to stop the bleeding of the uterus is poor, the blood vessels in the muscle layer of the uterus are not contracted, so the blood flows a lot and lasts constantly.

Typical blood clot disorders such as hemophilia, hepatitis, liver failure … can cause a lot of menstruation and prolongity.

These vascular disorders, plant neurological dysfunctions, which cause blood vessels in the lining of the uterus to contract not well, also cause irregular menstruation.

However, it is necessary to distinguish menstruation from other cases of bleeding from the vagina, uterus or cervical, which is not menstruation

• Blood bandages of theuterus: blood bandages due to miscarriage, egg pregnancy, necrotic uterus polyps, cancer of the lining of the uterus …
• Cervical blood bandage:necrotic cervical polyps, cervical cancer, cervical inflammation, cervical condyloma …
• Blood bandages caused by vaginallesions: vaginal cancer, vaginal injuries, vaginal ulcers …

Menstruation that is out a lot if not treated in time can cause some typical dangerous consequences such as:

• Body fatigue, paleness due to blood loss, anemia. It can even lead to coma and unconsciousness due to severe anemia, which directly affects daily life.
• Menstruation is more susceptible to inflammatory diseases caused by frequent, prolonged use of tam tampers. Blood and tamer are a favorable environment that causes bacteria to multiply and grow, causing gynecologic inflammatory diseases.

The goal is to treat menstruation a lot as a cause-based treatment. Before treating menstruation, patients needto have a full body examination and gynecologic examination, to clearly identify the causes of menstruation, and the extent of the effects of menstruation on health. It is necessary to exclude the causes of cancer and cases of abnormal vaginal bleeding that are not menstrual blood.

• If menstruation is caused by endopular disorders, it is necessary to scrape the uterus with drugs or by tools, combining the use of artificial menstrual cycles.
• If due to inflammation of the lining of the uterus: treatment of inflammation
• If due to fibroids of the uterus under the mucosa, uterine fibrosis, uterine fibroids may be considered
• If due to medical diseases such as coaulation disorders, liver dysfunction or vascular disorders need to be treated medical diseases, if ineffective, consider surgery to remove the uterus.

To prevent and limit menstruation much after birth it is necessary to:

• Sormonal balance: have a reasonable mode of living, get enough sleep; eat a lot of fruits, fiber; limit the intake of cold or fatty foods (since fat increases the amount of estrogen in the body).
• Activities, gentle activities, avoid over-working or excessive movement. It is recommended to exercise gently (e.g. yoga) to control the body's menstrual volume.
• Clean the enclosure, change tam tamer regularly every time menstruation to avoid gynecologic diseases.
• Do not use or abuse sex drugs on your own.

If there are abnormalities in the amount of menstruation or duration of menstruation, it is necessary to immediately go to reputable medical facilities or gynecologic clinics to be examined by doctors for gynecology examination, and to diagnose and clearly identify the causes for timely treatment.

Share99 International Health Hub currently has a basic gynecologic examination and screening package to help customers detect inflammatory diseases early, making treatment easy and inexpensive. Early screening for gynecologic cancer (Cervical cancer)

Share99 International Health Hub is highly appreciated in the field of obstetrics and gynecology by bringing together a team of leading specialists in the country, not only good at expertise but also experienced; modern system of advanced equipment and facilities.

Especially at Share99, the security of personal information of customers is always focused, the hospital environment is civilized and polite, helping women who have difficulty talking about obstetrics and gynecology when coming to Share99 no longer feel afraid.