home Endocrinology How to recognize bleeding. How to determine if it is heavy periods or bleeding

How to recognize bleeding. How to determine if it is heavy periods or bleeding

To begin with, we will try to figure out when, after childbirth, menstruation should begin. If speak about female physiology, then the whole body of a woman, during childbirth and after them, undergoes tremendous changes. The female hormonal background is changing. IN postpartum period, the pituitary gland of a woman (a gland that is responsible for normal functioning endocrine system), secretes the hormone prolactin. It is this hormone that promotes the production of milk in a woman. Also, prolactin (milk hormone) affects the increase in the maturation of the egg, which stops ovulation, and, as a result, menstruation.

Lochia ended and again blood

It is for this reason that in order to restore the menstrual cycle, it is necessary that her hormonal levels be restored. Therefore, the time of the onset of menstruation after childbirth depends, first of all, on the mode and procedure for feeding the child. The thing is that, ideally, menstruation should not begin until the end of the lactation period in a woman. Moreover, even 20-30 years ago, a woman's menstruation began only 2-3 years after childbirth. This was due to the fact that it was precisely upon reaching this age that the child was transferred to full-fledged "adult" food.

With the advent baby food, and with it early introduction feeding, use hormonal contraceptives, as well as drugs to support and normal pregnancy, early weaning of the baby from the breast, all these factors affect the reduction of the recovery period of menstruation. Moreover, today many experts argue that the onset of menstruation before the end of the lactation period is the norm. It should also be noted that many women, especially in young age, By different reasons refuse to breastfeed at all. In this case, monthly cycle can be restored as early as a month after birth.

Thus, it is possible to derive an approximate relationship between the order of feeding a child and the restoration of the monthly cycle in a woman.

If the child's diet consists only of natural breast milk, then the monthly cycle should not be restored until the end of the mother's lactation period.
If complementary foods are included in the child’s diet, that is, the child gradually begins to consume breast milk in smaller volumes than with breastfeeding, That menstrual cycle can be restored before the end of the lactation period.
When feeding a child from birth, which includes both artificial nutrition, and mother's milk, menstruation should be restored by the 3-4th month after childbirth.
In case of not feeding the child breast milk Menstruation will be restored within 10-12 weeks after childbirth.

It should also be said that the recovery hormonal background, and, in turn, the menstrual cycle in no way depends on how the birth took place. Were they natural or did they take place C-section. The beginning of menstruation depends only on the method of feeding the child.

Very often, in the first weeks after childbirth, women begin to bleed from the genital tract, which young mothers confuse with the first postpartum period, so it is important to know how to distinguish between menstruation and bleeding after childbirth. Postpartum bleeding is normal, because the volume of blood in a woman's body during pregnancy becomes about 1.5 times more. The female body itself is ready for bleeding after childbirth.

Discharge from the genital tract from the moment of birth to 6-8 weeks is the so-called lochia. The thing is that during childbirth, the placenta separates from the uterine wall. Naturally, such a process as the separation of the placenta does not pass without consequences: a large open wound which causes bleeding.

During the first days after childbirth, the discharge from the genital tract is bloody. After that, the lochia acquire a serous-sanitary color, later, when their number decreases, the discharge becomes yellowish-white. Therefore, if during the first 6-8 weeks from the moment of birth, any discharge from the genital tract appears, know this is not menstruation.

But, despite the fact that the allocation of lochia is considered normal, it is necessary not to forget about some rules. If after the lochia disappeared, bright spotting reappeared, this is a sign that you need more rest. And if even after a few days of rest postpartum hemorrhage does not disappear, it is necessary to consult a doctor.

You should also consult a doctor if:

bright red lochia do not change color even on the 4th day after birth
during the release of lochia, chills or fever appeared or the lochia has bad smell
You are bleeding so heavily that the pad is soaked with blood in 1 hour.

Also during postpartum period, there may be bleeding, in case of residual placental tissue or membranes in the uterus. The thing is that the uterine vessels that connect the uterus to the placenta rupture during childbirth. But the peculiarity of the structure of these vessels is that when they break, they instantly narrow. With narrowing of the uterine vessels, they go deep into the muscle layers, where they are additionally squeezed by the uterine muscle tissue. Along with this, there is the formation of blood clots in these vessels, which practically leads to stopping the bleeding. But all of the above only happens if postpartum period goes well.

If, after childbirth, pieces of the fetal membranes or placenta remain in the uterine cavity, they prevent the processes of narrowing and squeezing of the uterine vessels, which leads to severe bleeding.

In this case, profuse bleeding occurs, which is characterized by its suddenness. Prevention of such bleeding is to check the condition of the uterus with the help of ultrasound equipment already on the second day after childbirth. And a mandatory visit to the doctor in case of prolonged bleeding.

Go after childbirth. They are associated with the separation of the placenta from the uterus. This period can be 6-8 weeks. In the first days of the allocation have bright red color. Then they brighten and decrease in number. Lochia does not pose a threat, since over time the volume of blood in the body increases significantly. If for some reason the child is on the chest, a woman may begin menstruation, while the lochia go at the same time. If menstruation is excluded, and bleeding after childbirth lasts longer than eight weeks, there is a risk of anemia.

At breastfeeding the body produces the hormone prolactin, it prevents the maturation of eggs, so there are no periods during this period.

You should consult a gynecologist in the following cases:
- if previously completed lochia resumed, and their color is bright scarlet;
- if lochia goes, very liquid and odorless;
- if lochia has a sharp and unpleasant odor;
- if lochia is accompanied by fever, chills, headache, frequent pulse, low blood pressure, general weakness;
- with abundant lochia - if the gasket is changed more than two times within an hour.

Differences between menstruation and bleeding

Distinguished from bleeding on the following grounds:
- increase in duration (over seven days);
- sharp rise volume of allocated blood (more than 80 milliliters);
- failures in the regularity of blood discharge (less than 21 days and more than 34-35 days);
- bleeding after intercourse;
- bleeding after menopause;
- release of blood into
Any of these symptoms indicate that menstruation has turned into bleeding. Its cause must be found out immediately.

You should not independently establish a diagnosis for bleeding, you need to urgently consult a doctor.

There is another type of bleeding: when a fertilized egg attaches to the wall of the uterus, a woman may experience bloody issues. They are distinguished from menstruation very simply: they usually last only a few hours. In the first half of pregnancy, bleeding occurs when there is a threat of miscarriage, pregnancy, or the development of other serious complications. In these cases, there are pains in the lower abdomen and other characteristic symptoms. Bleeding during pregnancy requires immediate medical attention.

There are several signs that help you understand how to distinguish between menstruation and bleeding. Menstrual bleeding usually lasts 5-7 days and is accompanied by moderate spotting. But sometimes abundant discharge is considered the norm, since each organism is individual. Therefore, doctors take into account the individual subtleties of the female body when making a diagnosis. In the body of a woman throughout her life, changes occur that can affect the duration of menstruation, the menstrual cycle itself and the amount of blood released.

It is generally accepted that the menstrual cycle should be strictly 26-28 days, but this is not entirely correct. Also, the menstrual cycle can change throughout a woman's life. Some women experience changes after childbirth. Knowing how long your cycle is is very important. This will help determine the days of ovulation and any disturbances in the reproductive system. The presence of bleeding in the middle of the cycle may indicate both hormonal disorders as well as serious pathologies.

It is very important to teach girls to keep a diary from adolescence, in which the beginning and end of menstruation should be noted. If you experience abdominal pain, endocrine disorders, the appearance of unusual secretions, experts always specify how menstruation goes, how many days and what is the duration of the cycle. Such information helps to establish a diagnosis and prescribe treatment, if necessary. Moreover, the pace of life modern woman often leads to stress, overwork, which often causes menstrual irregularities and functional bleeding.

Menstruation refers to the part of the menstrual cycle that is special days or regulations. Every month, an egg matures in the body of a woman, which is ready for fertilization. If this does not happen, the egg is rejected and, together with the mucous membrane of the uterus, comes out in the form of blood secretions. This process is completely normal. If a woman or girl is physically and emotionally healthy, then the menstrual cycle can be stable for a long period. However, it can vary from 21 to 35 days. Keep in mind that the menstrual cycle and menstruation are not the same thing.

The menstrual cycle refers to the period of time from the first day of menstruation to the first day of the next menstruation. This interval is individual for each woman and is embedded in the concept of "norm". And menstruation is a period of time, which averages 3-7 days, when blood discharge directly occurs. Normally, the amount of blood released should not exceed 50-200 ml. The color of the discharge on the first day may be brown, after which 3-4 the day is coming dark blood. Menstruation ends with a slow reduction in menstrual flow.

This general description processes that take place in a woman's body. Given the individuality of the woman, menstruation may be delayed or premature. Do not panic, as small deviations from the norm are due to fatigue, stress, physical activity, dieting, taking hormonal drugs, moving or flying.

Starting from the age of 8, the girl's body prepares for the appearance of menstruation. The first signs of puberty are:

swelling of the mammary glands;
the appearance of hair under the arms and in the genital area;
increased sweating;
clear discharge from the vagina.

These signs appear 1.5-3 years before the onset of the first menstruation. The first menstruation begins at 11-14 years of age. And here it is important to learn how to distinguish menstruation from bleeding. In girls, the menstrual cycle has not yet formed, so blood discharge can be very scarce or plentiful. You can distinguish bleeding from menstruation in a girl by the following signs:

the beginning of the selection does not correspond to the cycle;
discharge has a bright scarlet color;
the blood goes very strongly, sometimes with large clots;
the gasket is filled in 1-1.5 hours;
a teenager feels weakness, lethargy, apathy;
an increase in temperature is observed;
pallor of the skin appears;
discharge is accompanied by pain in the abdomen and lower back, nausea and vomiting;
the girl is experiencing chills, fever.

With such signs, you should consult a doctor. The symptoms described may be a sign gynecological diseases, the formation of tumors of a benign or malignant nature, the presence of ovarian cysts and other pathologies. Profuse bleeding lead to anemia that is difficult to treat. Do not try to stop bleeding in a teenager on your own. Some parents try to treat the child folk methods, making decoctions based on hemostatic herbs. Indeed, you can stop the bleeding for a while, but this will not eliminate the cause of the bleeding.

At very heavy bleeding first aid should be provided before the arrival of the ambulance brigade. Lay the girl on the bed and ensure complete rest. Apply cold to the stomach. To relieve pain, you can take No-shpu or an analgesic. With chills and fever during bleeding, do not wrap the child warmly, although he may ask for it. Bleeding or periods that are very heavy can be scary, so try to calm your teen. Excitement, fear, experience can increase bleeding.

In pregnant women without pathologies, menstruation should be absent throughout the entire period before childbirth. It's connected with physiological processes when the ovaries stop producing eggs. Happens with conception hormonal changes in organism. The production of some hormones decreases and others increase. This helps the woman bear the fetus and avoid miscarriage. Progesterone during pregnancy strengthens the endometrium of the uterus, which is usually rejected if there is no fertilization.

However, in the early stages, discharge similar to menstruation or bleeding may appear. This is not the norm, but it does not always indicate a threat of miscarriage. This may be a manifestation of some individual characteristics of the female body. But a woman should not ignore the appearance of such secretions on early term pregnancy. The causes of bleeding during this period may be:

risk of miscarriage;
ectopic pregnancy;
the presence of a tumor in the uterus;
death of the embryo.

Blood discharge can provoke intense sexual intercourse. Only a doctor can distinguish between menstruation and bleeding during pregnancy. Therefore, in such a situation, it is necessary to take the woman to the hospital than to try to fix the problem yourself. Although menstruation during pregnancy should not appear, the following situations are an exception:

hormonal disbalance;
implantation gestational sac;
the onset of pregnancy immediately before menstruation;
fertilization of one of the two eggs.

Brown discharge, resembling menstruation, may appear if a woman has a progesterone deficiency or excess male hormones- androgens. Similar phenomenon It is not dangerous and is eliminated with the help of medicines. A certain hormonal drug is selected, which must be taken in a course without interruptions. But if the discharge does not stop whole month after you start taking the tablets, notify your doctor.

When implanting a fetal egg, the process is about 14 days. The body does not have time to rebuild during this time, and menstruation goes according to the usual pattern. Sometimes a woman may not be aware of the onset of pregnancy until the next menstruation, which, as a rule, no longer occurs.

Menstruation during pregnancy can go only in the first month. If spotting persists for a long period, then this may be a sign of a threatened miscarriage. How to distinguish bleeding from menstruation during the period of gestation? A number of symptoms will help:

menstruation goes on early pregnancy as usual;
bleeding is accompanied by a profusion of discharge;
the color of menstruation does not change;
when bleeding, the blood has a scarlet color;
during menstruation, the pad should be changed every 4-6 hours;
bleeding requires changing the pad every hour;
menstruation is accompanied by moderate pain in the abdomen;
with bleeding, there are strong pain, chills, weakness.

If you don't give a woman timely help, there may be a large blood loss with complications. Sometimes doctors have to save the mother, sacrificing the life of the baby. Therefore, experts strongly recommend that pregnant women do not try to take hemostatic and pain medications on their own. Sometimes heavy periods can be mistaken for bleeding, but only a specialist can figure out what's what.

Can provoke bleeding during pregnancy;

If the discharge appeared after the situations described, then this is not menstruation, but bleeding, which must be stopped as soon as possible.

Another important period in the life of ladies comes when the functions of the reproductive system are fading. In women, this period is called menopause. This means that periods may be irregular or stop completely. Menopause usually occurs at age 50. During this period, most women suffer from hot flashes, pressure surges, heart palpitations, excessive sweating, depression, increased appetite, headaches. Therefore, in 1950 were invented hormonal preparations which partially or completely eliminate such manifestations.

The climax is divided into three phases:

premenopause;
menopause;
postmenopause.

Premenopause is the period of time when menstruation is rare, but appears. At menopause, the last menstruation occurs. Postmenopause is the period of time from last menstrual period. In all three phases, discharge may appear, which can resemble both menstruation and bleeding. How to determine violations in menopause, the doctor will tell you, but a woman should be hospitalized if:

Very copious secretions with blood clots;
increase in body temperature;
the appearance of unnatural redness on the face;
high or low blood pressure;
vomiting
severe pain in the appendages.

Bleeding during menopause can be triggered by:

Sometimes no treatment is needed as the discharge stops on its own. But in most cases, medications are prescribed to eliminate the cause of bleeding. Surgical intervention with menopause, it is shown when neoplasms must be removed urgently. At malignant tumors remove not only the uterus, but the ovaries and the fallopian tubes. Sometimes bleeding may start after surgery. This alarm symptom, and the woman needs to be taken to a medical facility.

Special instructions for women

Although it may seem that a woman's life is a continuous series of changes and suffering, this is not entirely true. modern medicine helps women go through all the stages less painfully. To avoid various diseases, it is necessary to regularly undergo examination by a gynecologist. Timely treatment gynecological diseases helps to reduce the risk of bleeding in teenage years during pregnancy and menopause.

All women know that menstruation is a natural phenomenon that should not be feared or feared. But what to do if the lady is not sure that she started exactly " women's days"? What if it's bleeding? This article is about this and will be discussed: how to distinguish bleeding from menstruation.

Basic terms

First of all, you need to understand the concepts that will be used in the article. What is menstruation? These are monthly spotting, which are essential part every woman's menstrual cycle. At this time, along with the blood, the exfoliated epithelium comes out, which covers the uterus in anticipation of conception. In turn, bleeding is the most dangerous phenomenon that indicates pathologies in the female reproductive system (we are talking about uterine bleeding).

Causes of bleeding

Before considering how to distinguish bleeding from menstruation, a few words should be said about what can cause uterine blood loss.

Abortions and terminated pregnancies.
Inflammatory processes of the female genital organs.
Tumors and neoplasms in the uterus, ovaries.
Abscesses.
Infections and intoxications.

Symptoms and signs

So, how to distinguish bleeding from menstruation? To do this, you need to understand well what exactly is happening with female body. A lady is bleeding and not menstruating if:

The volume of the allocated blood is quite large (exceeds the norm of 80 ml). At the same time, a woman changes her pad more than 8-10 times a day.
Bleeding does not stop for a week.
There are failures in the menstrual cycle (its duration is less than 21 and more than 35 days).
Bloody discharge began after menopause.
There was blood after intercourse.

If at least one of the points is observed in a woman, it is imperative to seek medical advice. After all, bleeding can be an alarming bell and mean that not everything is in order with the body.

Other indicators

How to determine: menstruation or bleeding in a woman? Feelings need to be followed. What happens to a woman during menstruation is understandable. What can happen to a girl's body during bleeding?

There may be weakness throughout the body.
Fatigue is possible even from the simplest activity.
The complexion may become pale.

If a lady has bleeding during her period, then the following features may also be observed:

Nails become brittle, pale.
Hair begins to fall out excessively.
Menses become irregular.
There may be bleeding between periods.

Bleeding and menses

Understanding how to distinguish bleeding from menstruation, it is also worth saying that in medical practice there is also the concept of bleeding during menstruation. So, allocate:

Menorrhagia. Very profuse and rather long menstruation.
Metrorrhagia. This is an irregular spotting that can occur between periods.
Menometrorrhagia. These are irregular, but rather long spotting.
Polymenorrhea. In this case, menstruation begins earlier than 21 days have passed since the end of the previous discharge.

implantation bleeding

It is also necessary to talk about what implantation bleeding is, how to distinguish it from menstruation. First of all, you need to understand the concept itself. In this case, bloody discharge may appear due to the introduction of a fertilized egg into the thickness of the endometrium prepared and lined in the uterine cavity. In this case, minor damage to the blood vessels is possible, which will cause a small blood loss. What can be said about the timing? So, this process occurs in the body of a lady presumably 5-7 days before the onset of menstruation and is often perceived by women as a sign of the onset of menstruation.

What exactly is the difference?

How to distinguish between menstruation and implantation bleeding? What do you need to know about this?

duration of bleeding. Implantation does not last long, from several hours to a day.
Intensity. It is worth saying that implantation discharge is only called bleeding. In fact, there is a very slight loss of blood, which is significantly inferior menstrual flow. To maintain hygiene, you only need a daily pad.
Color. How to distinguish between menstruation and bleeding that occurs during implantation? Just look at their color. Such secretions have a pinkish or yellowish tint, only streaks of blood can be observed.
Feel. During the attachment of the egg, a woman may feel weak drawing pains in the lower abdomen or the so-called "bursting".
Temperature. If a woman follows basal temperature, she must know that during the implantation of the egg, the temperature will drop below 37 degrees, then it will skyrocket.

What can be the conclusion? How to understand: menstruation or bleeding that occurs during the attachment of a fertilized egg to the endometrium in a lady? Everything is extremely simple here. With implantation bleeding, a woman loses very little blood, while the duration of the discharge is most often a couple of hours and is not accompanied by pain.

postpartum discharge

It is also important to teach women how to distinguish between menstruation and bleeding that can occur during the postpartum period. First of all, it must be said that there can be no menstruation within 60 days after childbirth. It is also worth the ladies to remember that, regardless of how the birth went - naturally or through a caesarean section, the young mother will have some discharge, which is called lochia. In the first ten days they will go with blood, then they will acquire a sanious color and at the very end they will turn yellowish white. However, in this case, every woman should know that lochia must be able to distinguish from bleeding. When should you start to sound the alarm and seek medical help?

If the lochia is scarlet even on the 5th day of the child's birth.
If there additional symptoms such as chills, fever.
If sanitary napkin A mother who has just given birth is soaked in an hour.
If a lot of clots come out with the discharge.
If, after the end of the lochia, the lady again began spotting a scarlet color.
If postpartum discharge have an unpleasant odor.

In any case, if a woman is worried about something in the postpartum period, you should definitely consult a doctor for advice. This is the only way to keep healthy.

What to do?

Having figured out how bleeding differs from menstruation, it is also worth saying a few words about how you can stop too heavy menstruation. What can be done for this without using drugs?

You need to drink plenty of water (non-carbonated).
During heavy periods, you need to rest more.
Sports and physical activity are not recommended.
At this time, it is better for a woman not to lift weights.
Also, do not visit the bath during menstruation, including the steam room.
It is necessary to abandon the use of alcoholic beverages, as well as coffee.

To reduce bleeding, apply a cool heating pad to the abdomen. However, you should keep it no more than 15 minutes, otherwise you can catch a cold.

Medications

Having considered how to recognize bleeding (it differs from menstruation in that the portions of blood are the same), it is also necessary to tell that you can get rid of this problem various drugs. What is recommended in this case?

The drug "Dicinone". It is prescribed most often 5 days before the onset of menstruation, so as not to stop, but to prevent bleeding.
The drug "Vikasol". Most often administered intramuscularly along with the drug "Oxytocin".
Medicine "Traneksam". A drug latest generation. However, it must be used carefully, as certain diseases it can cause blood clots.

It is also good to take certain vitamins:

Ascorbic acid.
Preparations that contain iron (after all, with blood loss, its deficiency occurs).
Vitamins of groups A and B.

Folk hemostatic agents

We have fully considered how to distinguish between bleeding (it differs from menstruation characteristic features described above). Now it’s worth a few words to say that you can try to stop the blood and too heavy menstruation with the help of folk remedies.

Nettle. To stop bleeding, you need to drink half a glass of nettle decoction five times a day. To prepare it, you need to pour a tablespoon of grass with a glass of boiling water, boil everything for 10 minutes and let it brew. It must be said that this infusion will not only reduce blood loss, but also perfectly regulate the menstrual cycle.
You can also take nettle juice. However, not in pure form. It must be diluted with water (one teaspoon per 50 ml of water). accepted this medicine 20 minutes before meals.

However, it should be said that nettle increases blood clotting. Therefore, without fear, it can not be used by everyone.

Orange

Having considered all the options for how to determine whether a woman is menstruating or bleeding, it is also worth saying a few words about how you can still stop uterine bleeding without medication. You can use an orange for this. How to prepare medicine from this citrus? You need to take the peel from 5-6 oranges, pour it with one and a half liters of boiling water and cook until half a liter of water remains. Sugar can be added to the broth if desired. Take it three times a day, 4 teaspoons.

water pepper herb

To prepare a hemostatic medicine, you need to take one tablespoon of this herb, pour one glass of boiling water and let it all brew well. Take the medicine should be one tablespoon three times a day. This tool can be used for discharge after childbirth, during heavy menstruation as well as uterine bleeding.

viburnum

Well, another excellent plant from which you can prepare a hemostatic agent is viburnum.

Recipe 1. You need to take the juice squeezed from these berries, mix it with sugar (one liter will need two kg of sugar). The medicine is taken three tablespoons three times a day with water.

Recipe 2. Four tablespoons of dry viburnum berries should be poured with half a liter of boiling water. Place all this in a thermos and insist. Will be ready daily dose medicines. It should be divided into three equal parts and taken before breakfast, lunch and dinner.

Recipe 3. You can prepare an alcohol extract of viburnum bark. To do this, it must be collected in early spring, dried according to all the rules in the open air (not in the sun). It can be used for uterine bleeding, with a threat of miscarriage, or an irregular menstrual cycle.

Recipe 4. Also good for bleeding liquid extract viburnum berries. The dosage in this case should be no more than 25-30 drops per day.

How to distinguish menstruation from bleeding, in what cases should you consult a doctor? Every woman's menstruation is individual characteristics, consisting in the length of the time interval from one menstruation to another (cycle) and the volume of discharge.

But sometimes women take uterine bleeding for ordinary critical days. And this can be dangerously large loss of blood, iron deficiency anemia. It doesn't always work out quickly. What is the difference between menstruation and bleeding in women?

1. The amount of blood lost. During critical days with moderate discharge, it is up to 50 grams for all days of menstruation. With abundant - up to 80 grams. If the volume is more than 80 grams, this can lead to iron deficiency anemia. Bleeding should be regarded as a situation when you have to change the hygiene product once an hour.

2. Start date. The shortest menstrual cycle can last 21 days. You can distinguish implantation bleeding from menstruation by early start, as well as in abundance. When an egg is introduced into the wall of the uterus, just a few drops of blood can stand out. They are rarely noticed by women.
If the volume is larger - this is intermenstrual spotting.

3. Color. It is possible to distinguish heavy periods from bleeding on this basis. During critical days, the blood is rather dark. But with bleeding, it is bright, scarlet, in combination with a large amount of secretions.

4. Duration. Normally, menstruation lasts from 3 to 7 days.

IN emergency assistance you need with a lot of blood loss. Therefore, first of all, we pay attention to the first point. The remaining three are also important, but they endure until a scheduled appointment with a doctor.

An experienced gynecologist knows how to distinguish between menstruation and uterine bleeding just by eye, when viewed from the chair. And if it is really a pathology, then the treatment will be carried out in a hospital. But in a not very difficult situation, if it is still heavy menstruation, you can be treated at home.

Doctors usually prescribe the following drugs to reduce blood loss.

1. "Dicinon". Its dosage is 10-20 mg per 1 kg of weight, divided into 3-4 doses. It is often prescribed 5 days before menstruation to prevent rather than stop heavy bleeding.

2. "Vikasol". More effective at intramuscular injection, often prescribed in conjunction with "Oxytocin".

3. "Tranexam". Most modern drug, but can lead to the formation of blood clots in the vessels in certain diseases.

Often, in addition to these drugs, herbs are also prescribed. But their effectiveness, compared with medicines, is quite low.
Keep in mind that making a diagnosis is the prerogative of a doctor, just like prescribing treatment. Self-activity in this matter never leads to good.