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Gynecologic hemorrhage represents excessive bleeding of the female reproductive system. [1] [2] Such bleeding could be visible or external, namely bleeding from the vagina, or it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive.
Heavy Menstrual Bleeding - Treatment Workflow [19] Treatment depends on identified underlying cause and varies between medication, radiation, and surgery. Heavy periods at menarche and menopause may settle spontaneously (the menarche being the start and menopause being the cessation of periods).
It is well known that myomectomy surgery is associated with a higher risk of uterine rupture in later pregnancy. [8] Thus, women who have had myomectomy (with the exception of small submucosal myoma removal via hysteroscopy, or largely pedunculated myoma removal) should get Cesarean delivery to avoid the risk of uterine rupture that is commonly ...
The primary indication for endometrial ablation is abnormal uterine bleeding, including chronic heavy menstrual bleeding, in premenopausal patients. [6] Typically, these are patients for whom first-line medical therapy was unsuccessful or contraindicated. [1] In some cases, endometrial ablation is use to treat small uterine fibroids. [7]
Of women with heavy menstrual bleeding, up to 20% will have a bleeding disorder. [24] Heavy menstrual bleeding since menarche is a common symptom for women with bleeding disorders, and in retrospective studies, bleeding disorders have been found in up to 62% of adolescents with heavy menstrual bleeding. [25]
African American women are two to three times more likely to get fibroids than Caucasian women. [12] [13] [74] In African American women fibroids seem to occur at a younger age, grow more quickly, and are more likely to cause symptoms. [75] This leads to higher rates of surgery for African Americans, both myomectomy, and hysterectomy. [76]
Symptoms (viz., heavy bleeding and pain) and the estimated percent affected may include: [6] Heavy menstrual bleeding (40–60%), which is more common in women with deeper adenomyosis. Blood loss may be significant enough to cause anemia , with associated symptoms of fatigue, dizziness, and moodiness.
The human female reproductive system is made up of the internal and external sex organs that function in the reproduction of new offspring. The reproductive system is immature at birth and develops at puberty to be able to release matured ova from the ovaries , facilitate their fertilization , and create a protective environment for the ...