My Symptoms

Abundant rules: the causes

The menstrual cycle of each woman has its specificities, one can sometimes have more abundant rules of sporadic way without there being a true cause. If heavy bleeding becomes frequent, it is important to identify the cause that causes this disorder.

First and foremost, in the event of abnormal bleeding, whether during or outside menstruation, a pregnancy test should be performed, especially to diagnose possible miscarriage or ectopic pregnancy.

The abundant rules can be of functional origin (physiological) or organic. Functional causes frequently appear in adolescence or from midlife in the context of peri-menopause.

Among the organic causes of heavy menstruation, there may be different pathologies of the uterus:

  • fibroids,
  • polyps,
  • hyperplasia of the uterine lining,
  • adenomyosis ...

In the context of these organic disorders, heavy periods are frequently accompanied by inter-menstrual bleeding (metrorrhagia). In these cases, the bleeding can be very prolonged, and it can be difficult to differentiate the bleeding from the rules. This is called menometrorrhagia.

Certain pathologies of blood coagulation (disorders of hemostasis) can also be the cause of abundant periods.

Patients who are between 40 and 55 years old are particularly exposed to heavy menstrual problems: during the peri-menopause, a hormonal imbalance sets in. We then begin to have cycles without ovulation. The body makes less progesterone. An imbalance in the estrogen / progesterone distribution occurs, resulting in an increase in the thickness of the uterine lining during the cycle, which is responsible for an increase in menstrual abundance.

In peri-menopausal women, this rule disorder is often associated with a very common and benign organic pathology: adenomyosis, which in turn promotes bleeding.

Other common causes of heavy menstruation include the use of copper IUDs. This contraceptive method can cause an increase in the volume of the rules. On the contrary, the IUD with a progesterone reservoir usually reduces the volume of menses, but may be associated with spotting phenomena (minor bleeding between menses).

Question gynecologist: bleeding between the rules ... is it serious?

More or less abundant bleeding between two menstrual cycles can have different origins. The gyngecologist's explanations on video ...

You want to react, to give your testimony or to ask a question? See you in our FORUMS Gynecology or A doctor answers you !

Read also :

> Sterility: all you need to know
> Question gynecologist: I have a uterine fibroid, is it serious? (VIDEO)
> Bleeding between the rules
> Bad before the rules: why and what to do?

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