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В норме кровь из матки выделяется только в период менструации: длительность месячных — от 3 до 8 дней, общий объём жидкости — не более 80 мл [2](https://duetclinic.ru/diseases/matochnoe-krovotechenie/). \n\nКровотечение может быть острым (требует немедленной помощи врачей) и хроническим (продолжается в течение нескольких недель или месяцев, кровопотеря небольшая, но постоянная) [2](https://duetclinic.ru/diseases/matochnoe-krovotechenie/).\n\n\n\n## Причины\nНекоторые причины маточного кровотечения: \n* **Гормональный дисбаланс** — может возникать в подростковом периоде, репродуктивном возрасте и менопаузе [5](https://doct.ru/articles/matochnoe-krovotechenie.html). \n* **Структурные изменения в матке** — миомы (доброкачественные опухоли), полипы эндометрия, гиперплазия эндометрия (утолщение слизистой оболочки матки) [5](https://doct.ru/articles/matochnoe-krovotechenie.html). \n* **Осложнения при беременности и родах** — например, внематочная беременность, угроза выкидыша, предлежание плаценты [6](https://www.k31.ru/service/ginekologiya/anomalnye-krovotecheniya.html). \n* **Воздействие лекарственных препаратов или медицинских вмешательств** — использование гормональных контрацептивов, антикоагулянтов, осложнения после операций [6](https://www.k31.ru/service/ginekologiya/anomalnye-krovotecheniya.html).\n\n## Симптомы\nНекоторые симптомы маточного кровотечения: \n* выделение крови и кровяных сгустков из влагалища между менструациями, нередко — после полового акта [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/); \n* удлинение менструального периода (неделя и более) [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/); \n* слабость, повышенная утомляемость, головокружения, обморочные состояния [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/); \n* тошнота, слабый и частый пульс, пониженное давление, бледность кожи [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/). \n\nСимптомы могут варьироваться в зависимости от индивидуальных особенностей и возраста [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/).\n\n## Диагностика\nПри маточном кровотечении необходимо обратиться к гинекологу [3](https://polyclin.ru/articles/matochnoe-krovotechenie/)[15](https://www.smclinic.ru/simptomy/matochnoe-krovotechenie/). Врач может назначить: \n* **Гинекологический осмотр** — позволяет обнаружить возможные аномалии и воспалительные процессы [3](https://polyclin.ru/articles/matochnoe-krovotechenie/). \n* **Лабораторные анализы** — общий и биохимический анализ крови, анализ крови на гормоны [3](https://polyclin.ru/articles/matochnoe-krovotechenie/)[10](https://avenumed.ru/poleznaya-informatsiya/matochnoe-krovotechenie/). \n* **Ультразвуковое исследование органов малого таза** — оценка эндометрия, выявление миом, полипов [10](https://avenumed.ru/poleznaya-informatsiya/matochnoe-krovotechenie/). \n* **Кольпоскопию и цитологическое исследование** — при кровотечениях из шейки матки [10](https://avenumed.ru/poleznaya-informatsiya/matochnoe-krovotechenie/).\n\n## Лечение\nЛечение маточного кровотечения зависит от причины [1](https://mammaclinic.ru/zabolevaniya/matochnoe-krovotechenie/). 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