The hematometer is a female disease in which there is accumulation of blood in the uterus due to the obstruction of some part of the genital tract or spasm of the cervix, which prevents a normal outflow of blood.
The presence of congenital pathologies in the form of lintels, dense virginal pleura, or adhesions resulting from operations does not give blood during menstruation to go outside. Blood accumulates in the uterine cavity and exerts strong pressure on its walls, causing painful sensations.
Also, hematomas may be caused by malignant formations in the cervical canal or vagina, stenosis of the cervix or radiation therapy. Often a hematometer is a complication after giving birth at a caesarean section or scraping for an abortion. The diagnosis of hematomas is also set if there is a slight contraction of the uterus, in which it is not able to remove blood from the body. Influence and age changes leading to narrowing of the cervical canal. A hematometer can occur with incomplete removal of the placental tissue and the formation of residues.
Especially dangerous is the possible inflammation of the uterus and ovaries with infection of the contents (pyometra). Inflammation becomes purulent, which can lead to the removal of the entire uterus. Active blood supply to the uterus carries the risk of developing not only a local, but a common purulent process (sepsis). In this case, there is severe weakness, fever and fever. Ignoring treatment can result in a fatal outcome.
This disease is mainly found in women at a young age, in older age there is a more often observed pyometra after menopause.
Hematometric Symptoms
The characteristic features of hematometers are
- cessation of bleeding, absence of monthly or postpartum discharge (lochia);
- increased body temperature;
- pain in the lower abdomen, sensation of heaviness.
If inflammation joins the hematoma, the pains affect the lower back and the cross, there are observed sulphurous discharges accompanied by an unpleasant odor, the temperature rises sharply.
Diagnosis of hematomas is possible when viewed on a gynecological chair and usually does not cause difficulty. With congenital anomalies, an impenetrable hymen or a septum in the vagina swells, protrudes and has a strained appearance. In the absence of congenital bridges, the cervix is bluish, and the uterus is enlarged and painful on palpation.
An important method is the ultrasound examination. With the exception of pregnancy, it is possible to clarify the diagnosis with a thin probe, when inserted into the uterus of which blood or pus is secreted.
Hematometer - treatment
First of all, the goal of treatment is to free the uterine cavity from accumulated contents. To do this, drugs are prescribed to stimulate contractions of the uterus (antispasmodics) for spontaneous emptying. Reception of such drugs allows you to weaken
Surgical intervention is possible to dissect the formed partitions that prevent the excretion of blood and to suction the contents with a thin probe.
In the presence of inflammation, drainage is postponed and antibacterial therapy is performed.
Treatment of hematomas with folk remedies is not recommended, since many herbs have their contraindications, and it is quite difficult to identify an accurate diagnosis on their own. If you have the above symptoms, you should immediately contact your doctor to avoid inflammation leading to serious complications.