By Dr. Neha Lalla , Gynaecology
Abnormal vaginal bleeding in ladies who are ovulating routinely includes extreme, successive, unpredictable, or diminished bleeding. Following are some of the causes for the same:
- Numerous women have some amount of vaginal bleeding during pregnancy.
- Vaginal bleeding at the time of pregnancy is more common when having twins and even with singleton pregnancies (pregnancy with one embryo).
- Wounds to the vaginal wall or introitus (opening to the vagina) happen during intercourse.
- Diseases (for instance, gonorrhea, chlamydia, yeast infections) can be a reason for vaginal bleeding after intercourse.
- Decreased estrogen levels in peri-menopausal or postmenopausal women may bring about the covering of the vagina to end up distinctly diminished and effectively aroused or infected, and these progressions can lead to vaginal bleeding after intercourse.
- Anatomical injuries, for example, tumors or polyps on the cervix or vaginal wall may lead to vaginal bleeding during or after intercourse.
Medicines for treatment of sporadic vaginal bleeding depend upon the cause. Cases portrayed are given below:
- In case the reason for the bleeding is absence of ovulation (anovulation), specialists may recommend either progesterone to be taken at standard interims, or an oral medicine, which contains progesterone, to accomplish a legitimate hormonal adjust. Such treatment drastically decreases the danger of uterine disease in women who do not ovulate.
- When the menses do not happen for six months, but then all of a sudden she has unpredictable bleeding, it is a case of menopause.
- During this move, a woman is once in a while offered an oral prophylactic to build up a more consistent bleeding example, to take contraception until she accomplishes menopause. A woman who has menopause as the reason for her unpredictable bleeding may likewise get menopause guiding in the case that she has upsetting side effects.
- In case the reason for bleeding is infection, anti-infection agents are important. Bleeding during pregnancy requires internal assessment by an obstetrician.
- Once in a while, the reason for unnecessary bleeding is not obvious after testing (broken uterine bleeding). In these cases, oral contraceptives can enhance cycle control and decrease the bleeding.
- In case bleeding is excessive and cannot be controlled by solution, a surgical method called D&C might be essential. Along with reducing the over the top bleeding, the D&C gives tissue that can be broken down for extra data that can determine variations from the norm of the covering of the uterus.
- Once in a while, a hysterectomy is essential when hormonal medicines cannot control the bleeding. Unless the cause is pre-dangerous or carcinogenic, this surgery needs to just be a choice after different treatments have been tried.