Uterine bleeding at irregular intervals, particularly between the expected menstrual periods. Metrorrhagia may be a sign of an underlying disorder, such as hormone imbalance, endometriosis, uterine fibroids or, less commonly, cancer of the uterus. Metrorrhagia may cause significant anemia.
There is no concrete medical definition of “abnormal” uterine bleeding. For the average woman, menstruation occurs every 28 days, though having a period every 21-35 days is considered normal. The average length of a menstrual cycle is about 5 days. Most women will lose less than 80 ml, or 3 ounces, of blood overall.
Most experts agree that any bleeding that is so excessive and severe that it interferes with our physical, social, and emotional life is abnormal. Some clues our bleeding is out of the ordinary and one might be experiencing menometrorrhagia include:
The causes for menometrorrhagia are not well understood, but it may be caused by any of the following:
A hormonal imbalance : Having too much of the female hormone estrogen can cause the uterine lining to grow thicker than expected. When that thicker lining begins to shed, it can lead to increased blood loss and clots.
An estrogen imbalance can occur for a variety of reasons, including stress and obesity.
Uterine growths : Tumors, such as uterine polyps and fibroids, can cause excessive bleeding due to the pressure they place on the uterus, as well as the blood vessels these growths contain. These types of tumors are usually benign, or noncancerous.
Adenomyosis: This is a condition in which the uterine lining grows into the muscular wall of the uterus. It acts as the normal uterine lining does, growing and shedding each month, but it can produce heavy bleeding. The cause of adenomyosis isn’t well known, but it’s often seen in women who have reached menopause.
Endometriosis : Endometriosis occurs when the uterine lining grows outside the uterus, usually in the fallopian tubes, ovaries, and pelvis. When this lining sheds, the bleeding can be substantial.
Lack of ovulation : Ovulation refers to the release of an egg from the ovary. If you don’t ovulate, or have what’s known as an anovulatory cycle, the uterine lining can continue to grow until it’s forced to shed.
Blood clotting disorders : When blood cannot coagulate properly, bleeding is more prolonged.
Useful for the ailments which are caused by working for long hours in water.Very useful for menses are too early, too profuse a d too long lasting.Recommended when mental excitement causes the menses to return, at times with dysmenorrhoea.
Most suited to persons of thin, dry, bilious constitutions.Given when menses are too early, dark profuse, clotted with abdominal distension. Useful when there is bloody leucorrhoea in place of menses.
Most suited to women with hysterical tendencies.Very -very useful when there is haemorrhage from any outlet where the blood is black and stringy- clotting and forming long strings which hangs from the bleeding orifice and worse from least movement.
Useful for menses which are dark and profuse and are accompanied with soreness in the abdomen. bleeding midway between menstrual periods, only during day time; intermenstrual pains, ovarian congestion and neuralgia abdomen and pelvic region feels very sore.
Most indicated for women nearing menopause.Given when there is palpitation, hot flushes and haemorrhage which is predominating. Given when menses are too short and to feeble with uterine and ovarian pain which is relieved by the flow.Recomended for menses which are black, scanty and lumpy with more pain and less flow.
Suited for aged, atonic, anaemic women. Useful for prolonged bleeding of a hard labour.Given for menses which is early, profuse, protracted of bright red and fluid. There is suppressed menstruation with epileptic attacks.