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Bleeding after menstruation
Almost all women at some time in their reproductive life have heavy menstrual bleeding
Tumors of the uterus are common causes of abundant bleeding. Women who take oral contraceptives, those where the bleeding starts late or those approaching menopause often have occasional menorrhagia. Isolated case, abundant bleeding can be a miscarriage. When bleeding occurs in the usual time of menstruation, it is less likely to cause miscarriage. In some cases, doctors can not diagnose the cause of menorrhagia. If due to an imbalance of estrogen and progesterone comes to skip periods, you may experience excessive overgrowth of the endometrium, and when the bleeding finally appears, it can be very abundant. Women with menorrhagia often have very high concentrations of prostaglandins and endothelin, a substance that significantly contribute to the expansion joints (expansion) of blood vessels. It seems that endothelin interact with nitric oxide, a substance that relaxes the smooth muscles around blood vessels. Prostaglandins may also contribute to uterine contractions. Adenomyosis, in which the endometrial glands embedded in the muscles of the uterus, causing pain and bleeding profusely. This disorder is more common among middle-aged woman who had many children. Menoragiju can follow a series of medical disorders: pelvic infection, thyroid problems, endometriosis, systemic lupus erythematosus, diabetes, some types of cancer and chemotherapy, as well as some uncommon blood disorders, including von Willebrand disease and idiopathic thrombocytopenic red (purple). Some medications, including anticoagulants and anti-inflammatory agents, can also cause profuse bleeding.