What if the girl is bleeding from. Uterine bleeding in girls. Why dream about wounds

A dermatologist is often consulted with complaints of itching, which may be accompanied by spots or a rash, but may not be. Unpleasant sensations make a person painfully scratch his hands, feet, the whole body, often to the point of blood, deprive him of sleep, make him irritable. Constant intensive combing can lead to microcracks, wounds, which get the infection. Therefore, it is recommended that when itching occurs, be sure to consult a doctor in order to identify the cause of this trouble.

We feel itchy because the nerve endings located in our skin are irritated. While scratching the skin, blood circulation in this part of the body improves, harmful substances are removed, a person performs a certain self-massage, the nerve endings stop irritating and it becomes easier for him.

What an itch it can be

If itching appears only in some parts of the body, for example, on the legs, elbows or knees, then it is called localized (it has a specific localization). If the whole body itches, then the itching is generalized (common). According to the severity of the course and the occurrence of itching, itching can be chronic and acute.

Acute itching is usually the result of exposure to some allergenic plants, food, dust, wool, detergents or medicines, synthetic fabrics. Chronic itching can bother the patient constantly or periodically, for example, in a certain season. It may depend on the presence of a specific factor, such as age.

Why did it itch

There is seasonal itching associated with vitamin deficiency. But, if there are no signs of such problems, itching can be a dangerous symptom of the development of a serious illness of internal organs. In this case, you need to see a doctor for diagnostics and an accurate diagnosis.

Itching cannot be eliminated simply by lubricating the skin with cream, or by taking antihistamines if the cause lies within the body. It is necessary to determine the true cause of the itching, and for this, a diagnostic examination is carried out by a therapist or dermatologist. In this examination, the doctor determines the presence of such factors:

high temperature;
fatigue;
weight loss;
rash or spots on the skin;
the state of the gastrointestinal tract;
the mental state of the patient;
vision problems;
loose stools, vomiting;
headache.

It is also necessary to pass blood tests - general (clinical), blood for biochemistry and iron, blood from a vein for AIDS, hepatitis and other diseases, general urine analysis, feces analysis for worm eggs, for dysbiosis. If these data are not enough, the doctor may refer the patient for consultation to narrow specialists: an allergist, endocrinologist, immunologist, gastroenterologist. Based on the results of the examination, the doctor will diagnose and prescribe adequate treatment.

Treatment

If, according to the results of the diagnosis, a serious disease of the internal organs is revealed, then the doctor will prescribe the main treatment for this disease, including antibiotics. What should a patient do at home to improve the general condition of the body and relieve symptoms? You can use the following tools:

erythromycin ointment, it relieves itching, redness, cools the skin;
body creams and lotions that soften and moisturize the skin, relieve inflammation;
warm bath with herbs that have a calming effect on the nervous system;
plant-based sedatives such as motherwort, valerian, lemon balm, hops;
suprastin and tavegil are recommended for allergic reactions;
a 5% vinegar solution is used to wet the skin;
talcum powder soothes the skin.

Redness on the legs

The treatment can be long, but the daily torment continues, the whole body itches to blood, what to do? Regardless of the cause of the itching and the disease, there are general recommendations that can help improve well-being and relieve acute symptoms, for example:

observe personal hygiene;
regularly soften and moisturize the skin;
refrain from foods and drinks that dilate blood vessels and can increase itching, for example, spices, strong tea and coffee, chocolate, alcohol;
do not take very hot food;
create the optimal air temperature in the room;
get enough sleep and eat healthy food;
take a bath with mint, celandine, chamomile.

IMPORTANT. You can not comb the skin until there is blood, an infection will get into the scratches and lead to suppuration. It is recommended to cut your nails short and even wear gloves.

Synthetic clothing should not be worn if there is a reaction to contact with such fabrics. In general, in the presence of allergic reactions, you should remove possible provoking factors - indoor flowers, feather bed, animal hair, constantly dust and wash the floor.

It is quite possible to get rid of the excruciating itching if you follow the doctor's prescriptions, lead a healthy lifestyle and exclude negative environmental factors.

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Date: 30-04-2019
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Red dots on the body are not uncommon, most often it is either the result of an allergic reaction, or hemangiomas, the so-called red moles. Let us consider in detail the causes of the appearance of red dots on the skin, their types and various methods of treatment.

Hemangiomas

Small red dots, or hemangiomas, are benign capillary tumors visible through the skin. The fact is that the tumor process weakens the walls of the capillaries and after a while bulges develop on them due to the accumulation of blood, which appear on the skin as small red droplets. Hemangiomas have a number of identifying features that can help distinguish them from other types of red spots on the body.

They look like ordinary moles, but red in color.
The spots have a clear outline without swelling and redness around.
Their appearance on the skin usually does not cause any discomfort.
Hemangiomas appear on the face, limbs, chest, abdomen, less often on the genitals of a person.

The causes of hemangiomas are also varied and depend on different factors: age, health, gender, genetic characteristics.

There are several of the most common reasons:

Viruses, in particular herpes.
Long-term exposure to blood vessels of chemicals - carcinogens.
Human Age: Many vascular diseases are caused by the aging of the body.
For many women, red spots on the body appear due to hormonal disruption.
Hereditary predisposition. In this case, small red dots may already appear in a newborn baby.
The development of capillary tumors due to exposure to radiation.

There are several types of hemangiomas: cavernous, branched and capillary. The classification depends on the place of their formation and size. So, capillary hemangiomas are very small red dots that appear on the skin of the face and head. Branched slightly more, also appear on the face. Cavernous hemangiomas reach rather large sizes (up to several centimeters in diameter) and appear both throughout the body and on internal organs. Such tumors are detected using ultrasound.

Hemangiomas do not pose a threat to life, but direct sunlight should be avoided in order to prevent the formations from degenerating into malignant tumors. When rubbing the skin with clothes, they can cause bleeding, which will be difficult to stop, which is why, if you find hemangiomas, it is better to immediately consult a doctor and get rid of them.

Official medicine uses the following methods to eliminate hemangiomas:

Surgical removal.
X-ray destruction of tumors. This method is used to treat cavernous hemangiomas.
Spot cauterization with carbon dioxide.
Destruction by electric current - electrocoagulation.
Sclerotherapy - the introduction of a special substance into the tumor.
Destruction of formation with liquid nitrogen - cryodestruction.

You can also cure superficial hemangiomas at home, using traditional medicine: compresses from chopped dandelions and pineapple juice, rubbing with onion juice, lotions from garlic and lemon juice.

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You can self-medicate only after consulting a specialist dermatologist, who will confirm that the red dots on the body are hemangiomas, and not any other rashes. It is necessary to consult with a specialist before using various juices so that this does not cause complications or allergic reactions.

Etiology of the disease

Red dots on the body can appear for other reasons. They often occur after careless shaving in those places where microtrauma has appeared in the area of the removed hairs. In winter and autumn, red dots also sometimes appear in many people, this is caused by a lack of vitamin complexes in the body, for example, groups B, C and K.

The delicate skin of an infant is most susceptible to various kinds of irritation and allergic rashes. Many problems of this kind are caused by diapers, in which the groin area of the child does not receive the required amount of air and quickly melts. If your baby has red spots on the skin, discard diapers and replace them with rag diapers.

Many people notice that after consuming yoghurts with jam, sweets, citrus fruits or other unusual foods, red dots appear on their bodies, which in this case are one of the symptoms of allergies. In this case, rashes on the face and body are accompanied by the appearance of shortness of breath, abdominal pain, redness of the eyes, a runny nose, and sometimes nausea. Allergies can appear not only after eating any food, but also after a course of antibiotics. The presence of such side effects should be indicated in the instructions for use of the drug. Antihistamines are usually prescribed to combat allergic rashes, but in special cases when this does not help, corticosteroids are prescribed.

Another type of red dots are liver dots, which are also sometimes called "liver asterisks". They form clusters in the upper torso: on the chest, arms and shoulders. Sometimes asterisks grow, the cause of which is pancreatitis transferred by a person.

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Red spots on the body are also a consequence of rheumatic diseases. They themselves are not treated, but disappear only after the main cause of their appearance is eliminated.

Sometimes blood points can be the result of diseases of the digestive system, but this can only be diagnosed by a specialist gastroenterologist.

Rubella rash

Another reason for the appearance of red spots on the skin can be a contagious viral disease - rubella. It is accompanied by the appearance of either individual small specks, or their entire accumulation in one place.

The appearance of rashes with rubella is associated with other signs: fever, redness of the whites of the eyes, swollen lymph nodes behind the ears, headache, runny nose, nasal congestion and joint pain. Sometimes these signs do not appear immediately after infection and rubella can only be diagnosed 2-3 weeks after infection.

Rubella is not dangerous. Having transferred it once, the human body develops stable immunity, which does not allow getting sick again. Rubella can only be dangerous for pregnant women who have not received a special vaccination against this disease in time. Rubella transferred during pregnancy negatively affects the health of the newborn and threatens with deviations, such as mental retardation, growth retardation, deafness, heart disease, cataracts. In addition to these consequences, rubella carries almost no danger, it is quickly treated, the symptoms of the disease disappear as soon as they appear.

Manifestation of measles

Measles are vaccinated in early childhood, but sometimes parents do not consider it necessary to give the child this vaccine or the vaccine is of inadequate quality: then this disease occurs.

A measles rash is easy to distinguish from other types of red spots. The pimples themselves are initially white, and the red spots are pigmented manifestations that will disappear after some time. The rash begins on the mucous membrane, after which it spreads to the entire surface of the body.

Measles manifests itself gradually: in the first days of the disease, the temperature rises, headache, cough, runny nose, redness of the eyes begin. On the second day, white pimples with a red border begin to appear in the mouth, after another day or two, the same spots appear on the face, neck and behind the ears. In the following days, the rash appears all over the body, on the arms and legs, and even on the fingers.

The danger of measles is that it is very contagious, transmitted by airborne droplets. In adults, it is extremely difficult and can cause complications: otitis media, encephalitis, pneumonia, and so on, up to death.

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At the first symptoms of measles, you should immediately consult a doctor. He will prescribe the necessary set of medications, advise you to drink more fluids, and stay in bed. If the disease is not started and all the prescriptions are followed, then it will pass quickly and without complications.

Sexual infections

The appearance of red dots on the genitals is usually accompanied by unpleasant itching, the appearance of wounds, and a burning sensation. This can be a sign of many diseases caused by an infection or violation of intimate hygiene rules.

Rashes can be caused by synthetic underwear that does not allow air to pass through, metabolic disorders and poor nutrition, wearing panty liners too often, or poor hygiene on the days of menstruation.

In men, a rash on the penis can be caused by an infectious disease - balanoposthitis. The accumulation of fungal microorganisms causes severe irritation, which then develops into rather large red acne.

Treating a rash like this is simple but rather frustrating. To get rid of red dots on the genitals will help potassium permanganate, furacilin, antifungal drugs.

Attention! Red spots on the skin can be a hard chancre - the first sign of syphilis infection. After a while, such a red spot ruptures, forming a sore. Similar manifestations usually occur on the genitals of both men and women, sometimes they form on the thighs, in the lower abdomen. The worst option is when chancres appear on the tonsils, uterus or other internal organs. Then the person simply does not notice them, so he turns to the doctor too late, only when other signs of the disease appear. Even in the absence of treatment, the chancre itself disappears after a few months, but this does not at all indicate recovery, on the contrary, it means that syphilis is progressing.

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It is very difficult to cure syphilis, especially if it is neglected. Do not self-medicate in any case! Preparations for each person can be prescribed only by his attending physician, while it is necessary to follow all medical recommendations and adhere to the medication schedule. Due to the fact that the treatment of syphilis requires large doses of antibiotics, the patient is most often placed in a hospital under the constant supervision of medical personnel. In addition, the patient must strictly follow the rules of hygiene: use separate dishes, towels, bed linen and try to have less contact with others.

For any skin rashes, it is better to immediately seek help from specialists, not hoping for a chance and without endangering your health!

Many women who are going to have their "first time" worry about possible bleeding after losing their virginity. Will there be a lot of blood? Where will the blood go? How painful will it feel? How long will bleeding after losing virginity last? Below are the answers to the questions young women are most concerned about.

Why bleeding occurs after losing virginity

You experience bleeding after the first sexual experience due to a ruptured hymen. The hymen is a very thin membrane that partially covers the vagina. Almost every woman is born with hymen. The hymen is comparatively thick at first, but becomes thinner over time due to the use of tampons, exercise, and so on. But even when a woman does not lose her virginity at a very young age, a ruptured hymen can still lead to bleeding after the first intercourse.

How much bleeding will be after losing your virginity?

When a woman loses her virginity, she may notice that she has no blood at all or that the bleeding is not too much. Most women will only get a few light stains of blood within a few hours of having sex for the first time.

It is important to remember that bleeding during sex, or lack thereof, is not an indicator of a woman's health or ill health. It is simply a natural reaction to the amount and firmness of the hymen, as well as the extent of its damage.

There are some women who do not bleed at all after their first sexual experience. This is most often the case for those who are accustomed to masturbation, play sports, go through intense physical activity, and lead an active lifestyle. The absence of bleeding during the first sex means that the hymen was torn or stretched at an earlier time.

Blood during loss of virginity and blood during menstruation

Many women expect about the same amount of blood from losing their virginity as they get from menstruation. This rarely happens. Usually, bleeding during menstruation is more profuse, lasts much longer and is more severe: sometimes menstrual bleeding is accompanied by cramps, mood swings, and other symptoms characteristic of the menstrual cycle. Bleeding after losing virginity does not have any of these symptoms.

How long will the bleeding last after losing virginity?

The good news is that bleeding after losing your virginity only lasts a few hours at most. Someone has very little blood, someone a little more. Again, this depends on how thick the hymen remains when you have sex for the first time.

If the bleeding is very severe or does not stop for several days, gives you severe pain, you should see your doctor. Symptoms like these are extremely rare, but they are often a signal that some underlying problem exists.

How much pain does it hurt to lose your virginity?

Some women say that losing their virginity is painful. How much it will hurt depends on the individual characteristics of the person. Someone experiences a one-time sharp pain, then it disappears, for others the pain lasts for a while, and for some of the women there is not even the slightest painful sensations in the process of losing virginity.

How to ease the pain of losing your virginity

There are ways to relieve the pain you may feel the first time you are intimate. The most important point is foreplay. The longer the foreplay lasts, the more lubricated the vagina will be, making penetration easier and less painful. Foreplay will also help you get used to your partner's body and touch.

Relaxing can also help reduce pain. On the one hand, the advice may seem illogical: how can you relax here if all your attention is focused on what is happening now ?! Think about this: When you are afraid of what is going to happen, your body becomes tense, which means that penetration will be more difficult. The more relaxed you are, the better. Try it, but if you get scared, it’s better to stop and do everything next time.

The author of the article : Margarita Degtyareva, "Moscow Medicine" ©
Denial of responsibility : The information provided in this article on bleeding after losing virginity is for guidance only. However, it cannot be a substitute for consulting a professional doctor.

A person looks in a mirror and notices small red dots on the surface of the skin. One category of people does not pay attention to this, while the other begins to panic. How to understand the reason for their occurrence? But regardless of the size, blood moles can signal that some kind of disturbance is taking place in the body.

Blood points on the body - what are they?

In some cases, red dots may appear and soon disappear on their own, which will indicate minor body problems or a chronic illness. But if the red dots do not go away, and in addition cause unpleasant itching, then, most likely, this is a signal of a serious illness.

Therefore, you should not ignore the body's signal in the form of the appearance of blood points on the body, regardless of whether they bring aesthetic or painful discomfort, be sure to make an appointment with a therapist who will conduct a full diagnosis.

Possible reasons

Mention should be made of the most common factors behind which the answers to the question of the appearance of red dots may be hidden:

liver and pancreas problems;
vitamin deficiency;
rheumatism;
skin damage;
hemangiomas (red moles).

Hemangiomas

Hemangiomas- these are red moles that can appear on the body at birth or at any time in an adult's life. If we speak in a medical term, then it is more correct -.

Oncologists and dermatologists will say that red moles pose no danger to life, but there are times when benign red dots degenerate into malignant... It is worth paying special attention to cases when a mole grows in size, changes color, itches, it is in these cases that it is unwise to postpone a visit to a dermatologist until later.

It is necessary to make it a habit to show up to the doctor at least once every few months and talk about neoplasms on the body. The doctor can decide to remove hemangiomas only in cases where they cause various kinds of discomfort to the patient.

Modern medicine eliminates moles:

laser surgery;
radio wave method;
electrocoagulation;
conventional surgery.

Hemangiomas, depending on the size and place of their formation, are:

Branched- a characteristic type of swelling, consisting of dilated pulsating vessels. When pressure is applied to the red dot, it quickly fills with blood.
Capillary- usually appear on the face and trunk, as a rule, these are blue-purple or reddish spots from dilated vessels.
Cavernous- a large dark blue mass on the body, filled with blood. Vessels are hidden under a thin layer of skin. They can develop on the head, in the uterus, in the muscles and in the liver.

Measles

Measles Is a viral infection characterized by a rash that appears 3-4 days after the first time a fever was noticed. Before the appearance of a skin rash, pink small spots appear on the palate, but disappear after 1-2 days.

The rash first affects the face, then the skin behind the ears, the next in turn - the upper half of the body, arms, legs, and in three days the whole body will be sprinkled. A distinctive feature of the spots is that they are large, the edges are uneven and, as it were, raised above the surface of the skin. The disappearance of the rash occurs from top to bottom, in some cases, scales remain. Then the body begins to heal.

Complications occur more often before the age of 5 and in adults over 20. Most often there are blindness, laryngitis, inflammation of the cervical lymph nodes, encephalitis, bronchopneumonia, inflammation of the middle ear. Unfortunately, it cannot be said that complications of measles are rare cases, so the process of the disease should be under the supervision of a doctor several times a week.

The diagnosis is made at home, since the diagnosis in such cases is not difficult. The local doctor can make a diagnosis based on the clinical picture. If measles is mild, then it is enough to adhere to bed rest, include remedies for sore throat and runny nose, drinking plenty of fluids, pills to reduce fever, vitamins and expectorants.

An effective and reliable way of preventing measles today is vaccination... The virus is artificially inoculated, infecting the body, but in very small doses, so that the body naturally overcomes measles, developing immunity against it.

Chickenpox

Chicken pox appears in most cases on the face, trunk, or scalp.

Depending on the course of the disease, the nature of the expression of the disease also changes: first, small red spots appear on the surface of the skin, which become transparent bubbles in a short period of time, then the bubbles become cloudy. Usually the size of the bubbles does not exceed 4-5 mm. In the next stage, the bubbles dry up, and brownish crusts form in their place.

Chickenpox is unpleasant because the rash is accompanied by uncomfortable itching. At the time of illness, new spots and fever constantly appear.

In severe cases, a profuse rash spreads on the skin and mucous membranes of the eyes, mouth, sweat glands, genitals. It is accompanied by high fever, nausea, poor sleep, lack of appetite, severe itching.

It has the following properties:

Without damaging the skin, instantly removes age spots, moles, freckles, age spots, scars, tattoos
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How to remove blood points on the body?

Only a qualified technician should make the decision to remove or leave red dots. In some cases, simple hemangiomas are cauterized with carbon dioxide, X-rays, or surgically removed. Doctors do not recommend self-medication so as not to aggravate the condition.

Regardless of whether red dots on the body bother or not, you should only trust a specialist who has the right to diagnose, prescribe treatment and diets. Seek professional advice.

Acyclic uterine bleeding in puberty girls is called juvenile (pubertal) bleeding. Uterine bleeding in girls is one of the most common gynecological diseases during puberty.

Causes of uterine bleeding in girls

Etiology, pathogenesis of uterine bleeding in girls is as follows. An important role in the occurrence of uterine bleeding is played by chronic and acute infectious diseases, malnutrition (hypovitaminosis), mental trauma and overload. Researchers who have studied the etiology of uterine bleeding unanimously emphasize the leading role of infectious and toxic effects (tonsillitis, influenza, chronic tonsillitis, rheumatism, pneumonia). During puberty, these diseases disrupt the function of the hypothalamic structures that regulate the formation of menstrual function.

The development of juvenile uterine bleeding is based on dysfunctions of the hylothalamic-pituitary system. The immaturity of the hypophysotropic structures of the hypothalamus at puberty, expressed in the absence of an unformed circhoral rhythm of RH LH secretion, leads to a violation of the cyclic formation and release of gonadotropins, which, in turn, disrupts the processes of folliculogenesis in the ovaries and leads to anovulation. For juvenile uterine bleeding, a special type of anovulation is characteristic, in which atresia of follicles that have not reached the ovulatory stage of maturity occurs. At the same time, steroidogenesis in the ovaries is disrupted, the production of estrogen is relatively monotonous, but long-term, progesterone is formed in very small quantities. A progesterone deficiency state is created, which affects primarily the endometrium. The stimulating effect of Eg causes endometrial proliferation; with a deficiency of progesterone, the endometrium does not undergo secretory transformation, but hyperplastic and undergoes glandular-cystic changes. Uterine bleeding occurs due to congestive plethora, expansion of capillaries, development of areas of necrosis and uneven endometrial rejection. Promotes prolonged bleeding, a decrease in the contractile activity of the uterus during its hypoplasia.

Symptoms of uterine bleeding in girls, for

The clinical picture of juvenile uterine bleeding characterized by prolonged (more than 7 days), profuse, anemic acyclic bleeding of the patient. The most typical bleeding after a delay of menstruation for 1.5-6 months, however, bleeding can occur 14-16 days after the onset of previous bleeding. Acyclic bleeding can begin from the menarche period, more often within 1.5-2 years after the first menstruation, against the background of an unsteady cycle. This is often observed after an infectious disease or emotional and mental stress. The clinical picture of juvenile uterine bleeding is largely determined by the degree of blood loss. Anemization manifests itself in weakness, lack of appetite, fatigue, headaches, pallor, tachycardia.

Diagnosis of uterine bleeding in girls

Differential diagnosis of juvenile uterine bleeding... Uterine bleeding at puberty may be the result of blood diseases characterized by impaired hemostasis. Among them, one of the first places is occupied by idiopathic autoimmune thrombopenic purpura (Werlhof's disease). Formed in the body autoantibodies against platelets destroy the most important factors of blood coagulation and cause bleeding. This pathology is congenital in nature, proceeds with remission and deterioration. Girls with Werlhof's disease, from early childhood, suffer from nosebleeds, bleeding from cuts and bruises, after tooth extraction. The very first menstruation turns into bleeding, which indicates the possibility of this disease. On the skin of patients, as a rule, multiple bruises, petechiae are visible. The characteristic history and appearance of patients help in establishing the diagnosis of Werlhof's disease. The diagnosis is clarified on the basis of blood tests. Girls with Werlhof's disease are treated together with hematologists; the main drug is glucocorticoids. It must be remembered that in the first weeks of glucocorticoid therapy, when the doses of drugs are high enough, ovarian function is suppressed and amenorrhea may occur. Attempts to induce menstruation with drugs of sex hormones are inappropriate. With remission of the underlying disease, menstrual cycles are restored without additional therapeutic interventions.

Other hemorrhagic diathesis (deficiency of X, VIII blood coagulation factors) are rare, have a family character and are usually diagnosed in early childhood.

Uterine bleeding during puberty can be in girls with polycystic ovary syndrome.

A rare pathology, which must be remembered when determining the causes of bleeding in girls, includes uterine fibroids, hormone-active (feminizing) tumors, cancer of the cervix and uterine body; in older girls, one should not forget about the possibility of an interrupted pregnancy.

For diagnostic purposes, to clarify the causes of uterine bleeding a detailed blood test is performed with the determination of coagulation factors (platelets, prothrombin, fibrinogen) and an integral indicator of hemostasis - the time of coagulation and bleeding. Echoscopy of the pelvic organs, vaginoscopy using special vaginal mirrors for girls and girls are used.

Treatment of uterine bleeding in girls

Treatment of uterine bleeding can be divided into two main stages: hemostasis and prevention of recurrent bleeding. The first stage - hemostasis with profuse bleeding is possible with the help of hormonal drugs and by curettage of the uterus. The choice of the method of hemostasis is determined by the general condition of the patient and the degree of blood loss. To avoid rupture of the hymen, it is chipped with a 0.25% solution of novocaine with 64 U of lidase. Scraping must be subjected to a thorough histological examination. Patients in whom anemization is not so pronounced in terms of clinical and hematological parameters undergo hormonal hemostasis. Although hemostasis can be achieved using estrogen-containing drugs, most clinicians consider it necessary, after stopping bleeding with estrogens, to switch to progestogens. The secretory transformation of the mucous membrane, which occurs under the action of gestagens, contributes to a more physiological process of endometrial rejection after the termination of the administration of hormonal drugs. Withdrawal bleeding after the administration of estrogens alone is more profuse, which is highly undesirable in this contingent of patients. Since the late 70s, for the purpose of hormonal hemostasis in girls with abundant acyclic uterine bleeding, combined estrogen-gestagenic drugs containing estradiol have been used.

Simultaneously with surgical or hormonal hemostasis, active antianemic therapy is carried out: transfusion of blood, erythromass and plasma if indicated; transfusion of rheopolyglucin in order to restore the rheological and coagulation properties of blood; intramuscular injection of 1% ATP solution; iron preparations; vitamins: B12 with folic acid; B6, vitamin C. Calcium gluconate is also used; cotarnine chloride, if necessary - uterotonic agents.

Meals should be easily digestible, high-calorie and varied, with a sufficient amount of protein and plenty of drink (fruit juices, fruit drinks).

The named drug therapy is carried out within 15-20 days and is aimed at eliminating anemia and its consequences. During the same time, hormonal drugs are finished. 2-3 days after the end of taking hormonal drugs, a menstrual reaction begins. At this time, it is recommended to prescribe rutin, calcium gluconate, cotarnine chloride in the doses indicated above and control blood loss (examine the hemoglobin and hematocrit content before and after a menstrual reaction).

After surgical hemostasis, a menstrual reaction should be induced after 26-28 days. For this purpose, in girls with hyperplastic endometrial processes, it is recommended from the 16th to the 25th day after scraping to take 1 tablet of synthetic progestational drugs: for example, norkolut 5 mg (1 tablet per day). It is necessary to control the menstrual reaction and blood loss.

The second stage in the treatment of juvenile uterine bleeding is the prevention of recurrent bleeding. In girls with recurrent uterine bleeding and hyperplastic endometrial processes, hormonal prevention of relapse should be carried out. For this, estrogen-progestational drugs are prescribed from the 16th to the 25th day of the formed cycle for 3-4 months.

Encouraging results were obtained with the use of acupuncture, electropuncture, laser puncture. In order to prevent recurrence of bleeding in phase I of the cycle, the same points are used as for stimulating ovulation; in the II phase of the cycle, the points that support the function of the corpus luteum are affected.

Girls who are under observation for uterine bleeding and receiving preventive treatment should not be exempted from physical education. Outdoor games, gymnastics, skiing, skating, swimming (of course, outside of menstruation) are regarded as therapeutic restorative procedures. Correct and timely therapy and prevention of recurrence of uterine bleeding contribute to the formation of normal cyclic function of all parts of the reproductive system and are effective prevention of infertility and miscarriage.

It is necessary to emphasize a circumstance concerning the hormonal hemostasis of the JC and which is of fundamental importance. In adolescent girls with profuse bleeding and severe anemization against the background of a drop in hemoglobin and hematocrit, an alternative to hormonal hemostasis is only curettage of the uterine mucosa. Non-hormonal methods of hemostasis in these conditions (uterotonic, hemostatic drugs, electrical stimulation of the cervix, acupuncture, laser puncture) are ineffective and require a long time - at least 3-5 days. And most importantly, they only reduce blood loss, sometimes significantly, but do not cause heavy bleeding to stop. The advantage of hormonal hemostasis is its rapid action: after 6 hours, bleeding sharply decreases, and within 12 hours it stops.

V.P. Smetnik L.G. Tymilovich