What Are Menstrual Cycles
Whats the science involved with having a monthly period? According to the resourceful researchers at the Cleveland Clinic, Menstruation is the monthly shedding of the lining of a womans uterus . Menstruation is also known by the terms menses, menstrual period, cycle, or period. The menstrual bloodwhich is partly blood and partly tissue from the inside of the uterusflows from the uterus through the cervix and out of the body through the vagina.
In less technical terms, its when you shed the lining of your womb out your hoo-ha.
How Otc Medications Can Help
Some OTC pain relievers can help reduce blood loss during your periods. This includes nonsteroidal anti-inflammatory drugs like Advil, Motrin, or aspirin.
NSAIDs dont lighten bleeding as well as prescription drugs, but you can combine them with other medications for better relief. These drugs may also help relieve painful cramps.
High doses or long-term use of NSAIDs can lead to unwanted side effects. You should always have your doctor monitor your dose, and never take NSAIDs if youre allergic or have been told not to.
If you see your doctor about your heavy periods, theyll likely start by prescribing one of the following medications:
What The Evidence Says
A recent review of the research on this topic found on the whole, NSAIDs were more effective than a placebo at reducing blood loss in women with heavy menstrual bleeding.
But only one study in this review compared ibuprofen specifically to a placebo. This study, published in 1986, included 24 women. Half were given ibuprofen, and half a placebo. There was a modest reduction of 36mL in menstrual blood flow with ibuprofen treatment. This study is obviously very small, so doesnt provide evidence wed consider strong.
So, the evidence doesnt support the 50% reduction in menstrual flow the tweeter claimed.
The review found another drug, tranexamic acid, was actually more effective than NSAIDs at reducing menstrual flow, with a 54% reduction in menstrual blood loss. However, it isnt available over the counter, making it less accessible.
Its also important to note this review looked at women with heavy periods. Theres no strong evidence to suggest ibuprofen, or other NSAIDs, can significantly reduce menstrual flow in women with regular, healthy menstruation.
According to the review, ibuprofen also does not appear to be effective at reducing menstrual flow in women where a pre-existing medical condition is the reason for heavy bleeding. These conditions might include uterine fibroids , clotting disorders or hormonal imbalances associated with conditions such as polycystic ovary syndrome.
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Very Potent Natural Menopause Remedies Bleeding
One of the menopausal symptoms that so many women experience is bleeding. This usually happens on the latter part of menopause or even right after it. This is brought about by hormonal imbalances that result from insufficient nutrients. It is common knowledge that as you age, the presence of certain vitamins and minerals in your body decreases. When progesterone levels drop in a womanâs body, bleeding occurs. There may be women that have very high levels of estrogen that the progesterone they have is already being converted to estrogen. This results to bleeding and insulin resistance.
By the time a regularly menstruating woman reaches her late thirties, her period starts to become irregular accumulates abdominal fat loses thickness of her hair loses firmness and fullness of her breasts loses natural lubrication of her vagina has mood swings has night sweats has insomnia and has hot flashes. These could only mean that your usual hormones are not produced at a normal level already. Gradually, both estrogen and progesterone will continue to decline until you stop menstruating and producing viable eggs. Bleeding during menopause may also be a result of the dryness of the vagina, infections, fibroid growths in the uterus and even cancer. You should regularly check with your doctor with regard to these. Heavy bleeding during menopause is called flooding. Here are some natural menopause remedies bleeding that will help you deal:
Enhance Your Overall Health:
One of the most effective ways for a woman to manage menopausal bleeding is to enhance her overall health. This is done by incorporating basic health principles into the daily program. These include exercising at least 5 times a week for a minimum of 30 minutes a day. A change in diet to include fruits, vegetables, nuts, seeds and grains will also help improve overall health. It is critical that a woman avoids snacking and eating in-between meals as well. In order to improve overall health, a woman should also spend up to 8 hours sleeping each night. These simple activities will help her improve overall health, and give the body the strength it needs to manage menopausal bleeding and any other health problems related to menopause.
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How Do You Know If Your Bleeding Is Too Heavy
It is very difficult to determine whether your bleeding is too heavy. The best guide is to decide whether your period is having an impact on your quality of life if it is causing you to be housebound, interrupting your daily activities, or causing you stress and anxiety. The following signs might indicate you are experiencing heavy bleeding:
- bleeding or flooding not contained within a pad/tampon
- changing a pad/tampon every hour or less
- changing a pad overnight
- clots greater than a 50-cent piece in size
- bleeding for more than seven to eight days.
Ovulation Pain Or Midcycle Spotting
Mittelschmerz is a German word that translates as “middle pain.” It refers to the normal discomfort sometimes felt by women during ovulation, which is at the midpoint of the menstrual cycle.
Each month, one of the two ovaries forms a follicle that holds an egg cell. The pain occurs when the follicle ruptures and releases the egg.
This is a dull, cramping sensation that may begin suddenly in only one side of the lower abdomen. In a few cases, there may be vaginal spotting. Mittelschmerz occurs about 14 days before the start of the next menstrual period.
Actual Mittelschmerz is not associated with nausea, vomiting, fever, or severe pelvic pain. These symptoms should be evaluated by a medical provider since they can indicate a more serious condition.
Diagnosis is made through patient history.
Treatment requires only over-the-counter, nonsteroidal anti-inflammatory drugs to relieve the pain. An oral contraceptive will stop the symptoms, since it also stops ovulation.
Top Symptoms: abdominal pain , last period approximately 2 weeks ago, vaginal bleeding, bloody vaginal discharge, pelvis pain
Symptoms that always occur with ovulation pain or midcycle spotting: last period approximately 2 weeks ago
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Why Do Ob/gyns Prefer The Hormonal Iud
For women generally, the hormonal IUD is a good option for family planning and managing periods.
With a 99 percent effectiveness rate, theyre highly effective at preventing pregnancy . Considering perimenopausal women have the second-highest rate of unintended pregnancy , that can be a real benefit.
They dont require perfect use from the woman. Unlike the Pill, you dont have to remember to take them, and unlike condoms, you really cant be caught without.
They can make periods lighter, reduce cramps, have few or no side effects, and last for years. For these reasons, hormonal IUDs for perimenopause symptoms are often the most common.
Is Vaginal Bleeding An Early Sign Of Pregnancy
No, vaginal bleeding is not an early sign of normal pregnancy. If you are pregnant and experience vaginal bleeding, you should visit your OBGYN for evaluation. Vaginal bleeding can be caused by many things other than pregnancy, including sexually transmitted infections, uterine growths called fibroids, and certain types of cancers.
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Hormonal Treatments For Hmb
Human endometrial function is governed by the ovarian steroid hormones. Most research to date has focused on the role of estrogen and progesterone on the endometrium but the role of other steroids that have an impact on endometrial function should also be considered. During the secretory phase of the menstrual cycle, progesterone is the dominant hormone and is a potent anti-inflammatory agent. In the absence of pregnancy, the corpus luteum regresses and progesterone levels sharply decline. It is this marked reduction in ovarian hormones that triggers an influx of inflammatory mediators into the endometrial environment, leading to shedding and menstruation. Maintenance of progesterone exposure limits endometrial inflammation and prevents menstruation. It is therefore unsurprising that the most effective medical treatments available for HMB are hormonal preparations. It is worth remembering that these preparations will also limit or remove fertility for the duration of their use.
How To Know You Are Menopausal: Menstrual Cycles And Menopause
Aunt Flo, Red Wedding , Time of the Month, Code Red, Leak Week, Girl Flu , Shark Week, monthlies the list goes on. If you have even had one period, youve probably heard these lovely nicknames. But, do you know what menstrual cycles are, why they happen, when they will stop, and the signs and symptoms leading up to that point? Well, consider me your Menstrual Cycle BFF to the rescue. Youll be an expert in no time. Put on your goggles and lab coat, Im about to get all sciency up in here. But trust me! Youll appreciate being educated, empowered, and unleashed to take charge of your reproductive health.Note! If you are a parent or a person who influences teenagers and wants to alert them about the final phase of the reproductive journeymenopause, check out our eBook: How to Talk About Menopause With Teens.
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Investigation Of Postmenopausal Bleeding
The primary goal in investigation is to exclude malignancy, and secondarily to elucidate a treatable non-malignant cause . In particular, patients with diabetes, obesity, history of PCOS, or a family history of endometrial cancer are at greater risk of malignancy . Patients taking non-conventional MHT, such as troches and transdermal progestogen are at risk of endometrial hyperplasia and cancer .
A detailed history should be taken. When does the bleeding occur? Is it post-coital? What medications is the patient taking? Is the patient taking tamoxifen? Is the patient taking so-called bioidentical hormones? Has the patient missed MHT doses? When was the last Pap smear?
Physical examination should include inspection of the vulva, vagina and the cervix for visual evidence of lesions or bleeding, taking note of any signs of atrophy. Bleeding from the perineum, urethra and anus is also a possibility. A Pap smear should be done.
Tamoxifen therapy is associated with stimulation of the endometrium and an increased risk of endometrial cancer . Tamoxifen therapy invariably produces a thickened endometrium which is not always indicative of neoplasia. Therefore TVUS is not useful for the investigation of PMB in a woman on tamoxifen therapy and examination of the uterine cavity by hysteroscopy is recommended .
How To Address Heavy Bleeding In Perimenopause To Get Fast Results
So lets do a quick recap
- Heavy bleeding is common in perimenopause.
- You dont have to suffer through it and just look forward to menopause, like your doctor may have told you.
- There are real root causes driving this symptom.
And now the fun partWe get to dive into the critical pieces you need to implement to restore hormonal balance to your body so you can get relief naturally!
The solutions your doctor will offer: Your doctor may give you the option of going on birth control or hormone replacement to try to lighten your periods. While this may sound tempting, it is really just a band-aid solution that wont address the underlying issues. This means that youre disrupting your bodys rhythms, inciting potentially dangerous side effects, and putting your long-term health at risk for something that may not even work for you.Getting to the root cause and healing your body from the inside out is the best solution to establishing lasting health to help you feel better, yes, but to also prevent issues in the future.
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Selective Progesterone Receptor Modulators
An exciting new group of pharmacological agents is in development and has the future potential to provide effective oral treatment for HMB. These selective progesterone receptor modulators impart a tissue-specific partial progesterone antagonist effect and act upon progesterone receptors in the endometrium and the underlying myometrial tissue. They have the additional benefit of maintenance of estradiol levels, meaning hypoestrogenic side effects are not an issue.
The mechanism by which these SPRMs reduce menstrual blood loss is still to be fully defined but distinct histological morphology has been identified with their use . Ulipristal Acetate is the only SPRM to have been licensed for use in clinical practice, albeit restricted to 3 months pretreatment of fibroids prior to surgical removal. Study of the endometrium of women taking this treatment regimen showed altered architectural features including extensive cystic dilatation of the epithelial glands, inactivity or features of abortive subnuclear vacuolization, occasional mitoses and apoptosis. Histology returned to normal after discontinuation of treatment . Study of a different SPRM, asoprisnil, revealed a decreased uterine artery blood flow after 3 months of treatment, which may contribute to their efficacy .
Who Is A Good Candidate For The Mirena Iud
Dr. Rebecca: Most women are good candidates only women with a history of allergic reaction to levonorgestrel, who have a current pelvic infection, or who have a uterine anomaly are not good candidates.
Unlike estrogen, progesterone is generally considered safe for women who have blood clot risk, and as the Mirena is very low dose, its even safer.
Use of Mirena for women with a history or high risk of breast cancer is generally, but not always, discouraged, so have a good conversation with your doctor about the benefits and risks.
If want an expert’s perspective if Mirena is right for you, a menopause-certified health coach can be helpful. Book 30 minutes for your personal consultation with a health coach.
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Is Heavy Bleeding After 50 Normal
Heavy bleeding is common among women transitioning into menopause, the point when your bodys reproductive system stops releasing eggs. One study found that among women ages 42 to 52, more than 90% experienced periods that lasted 10 days or more with 78% reporting their blood flow as heavy.
This is because when women approach menopause, there are fewer eggs to mature in the ovaries. The body releases higher levels of follicle-stimulating hormone in an attempt to maintain normal ovulation, which produces more estrogen.
These greater levels of estrogen thicken the lining of the uterus, often resulting in heavier, longer periods. The time it takes for a womans body to complete this cycle can extend as well, leading to longer gaps between periods and more blood flow.
This change in reproductive hormone levels called perimenopause generally begins about four years before a woman has her last period. But the transition can start as early as 10 years before menopause.
What Are The Stages Of Menopause
Did you know that people who possess a uterus will go on a magical menopausal journey which includes three exciting stops? Lets break em down, The Big Three:
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Why Am I Bleeding Between My Periods
Bleeding between periods can be caused by serious or benign causes. The most dangerous causes often involve pregnancy. A failed pregnancy, a pregnancy in which the egg implants in the fallopian tube, disconnection of the placenta from the uterus, or damage to the uterus can all cause bleeding. If you suspect any of these causes, you should seek medical evaluation as soon and as safely as possible. Otherwise, uterine fibroids, tumor, blood thinners, ruptured ovarian cysts and gynecological infections, and changes in contraceptive drugs can cause spotting.
How Can Heavy Bleeding Affect You
- feel fatigued, exhausted, dizzy and look pale
- have low iron levels because of the blood loss
- have cramping and pain in the lower abdomen
- need to change sanitary products very frequently
- fear bleeding through to your clothes, which can affect your daily activities.
Listen to a podcast
Jean Hailes Medical Director, Dr Elizabeth Farrell, discusses heavy menstrual bleeding through a personal story with a woman who suffered heavy periods for more than 25 years.
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What Causes Hot Flashes And Sweats During Menopause
The reason for hot flashes and sweating in menopausal women is probably the fall in oestrogen levels. This oestrogen deficiency causes an increase in stress hormones such as adrenaline. It is believed that a sudden increase in such stress hormones can lead to heat
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