There are many examples in gynecological practice when a woman goes to the intensive care unit some time after childbirth or abortion. One possible reason for this is a hematometer . The hematometer is defined as a violation of the natural mechanism of blood output from the uterus, as a result of which it accumulates in the body cavity. The pathology often begins asymptomatically , so the patient is usually admitted to the hospital with an advanced form.
Causes of hematometers
Difficulty in the outflow of blood from the uterus is due to inadequate contraction of the organ, as well as due to obstruction by polyps or remnants of the placenta of the cervical canal. The increased risk of pathology after childbirth is associated with:
• injuries and ruptures of the birth canal;
• abortion, after which parts of the mucous membrane and the fetus may remain in the uterus;
• narrowing of the cervical canal.
What are the signs?
Manifested by hematoma abdominal pain due to blood pressure on the uterine wall. The woman should be wary of abrupt cessation of menstrual or postpartum discharge. If they continue, they have an unnatural color and an unpleasant odor.
As the disease progresses, you may experience chills and fever, severe low back pain. The woman has difficulty moving and needs urgent hospitalization.
Diagnosis and treatment
Diagnosis is not difficult for a qualified specialist. A gynecological examination with a bimanual examination, ultrasound of the pelvic organs, smears from the vagina, cervical canal and urethra is mandatory.
Hematometer therapy involves several stages. First, the uterus is cleansed of accumulated blood with drugs that stimulate muscle contraction. Drugs used to stimulate muscle contraction ( oxytocin , methylergometrine , ergotal , ergotamyl ) should be used only under the supervision of a specialist, due to the risk of side effects.
To alleviate the condition, antispasmodics are prescribed , these drugs relax the muscles of the uterus, promote the accumulation of accumulated blood. Non- steroidal anti- inflammatory drugs, sulfonamides and phenylacetic acid are also indicated .
If medical treatment does not lead to the desired results, special procedures can be performed to remove the accumulated blood from the uterus. Hysteroscopy is used in severe obstruction of the cervical canal.
Many women prefer to treat the hematometer with folk remedies, which leads to the most adverse consequences. Herbal medicine can be beneficial only as part of soothing and supportive therapy.
Complications and prevention
If the hematometer is not treated properly, it can lead to the following serious complications:
• endometritis;
• peritonitis and pelvioperitonitis ;
• sepsis;
• infertility.
To avoid the disease, it is necessary to timely treat inflammatory processes of the pelvic organs, avoid abortions, plan a pregnancy. The woman should undergo preventive examinations by a gynecologist at least once a year. Specialists of Bogolyuby Medical Center will help you monitor your women's health and help you choose contraceptives.
Many women are interested in the question: "Will the hematometer become an obstacle to pregnancy after scraping?" It is impossible to answer it unequivocally, because everything will depend on the possible complications of the pathology. And with the right approach to the prevention of hematomas can significantly reduce the risk of disease and its complications .
