Neurostimulation therapy for treating uterine bleeding
In an illustrative embodiment, methods and systems for treating uterine bleeding include applying, at least every other day in which a subject exhibits or is expected to exhibit menstrual bleeding, neurostimulation therapy in one or more sessions, each session having a duration of at least five minutes, the neurostimulation therapy including applying electrical neurostimulation or mechanical neurostimulation to directly and/or indirectly activate one or more neural targets, the one or more neural targets including a trigeminal cervical complex and/or vagal efferent fibers. The neurostimulation therapy may be configured to enhance platelet function of the subject, thereby reducing a total volume of blood loss over a course of the menstrual bleeding.
1 . A method for treating uterine bleeding, the method comprising:
applying, at least once within each forty-eight-hour period of a plurality of consecutive forty-eight-hour periods in which a subject exhibits or is expected to exhibit menstrual bleeding, neurostimulation therapy in one or more sessions, each session of the one or more sessions having a duration of at least five minutes, the neurostimulation therapy being configured to treat uterine bleeding in the subject, wherein
applying the neurostimulation therapy comprises applying electrical neurostimulation or mechanical neurostimulation to directly and/or indirectly activate one or more neural targets, the one or more neural targets including at least one of a trigeminal cervical complex (TCC) or vagal efferent fibers (VEF), and
the neurostimulation therapy is configured to enhance platelet function of the subject, thereby reducing a total volume of blood loss over a course of the menstrual bleeding wherein
enhancing platelet function comprises increasing a baseline ionized calcium concentration in platelets of the subject.
2 . The method of claim 1 , wherein the subject is diagnosed with abnormal uterine bleeding or heavy menstrual bleeding.
3 . The method of claim 2 , wherein the subject is diagnosed with a bleeding disorder.
4 . The method of claim 1 , wherein the neurostimulation therapy is applied at one or more regions of skin of the subject.
5 . The method of claim 4 , wherein the one or more regions of the skin of the subject are disposed on at least one of a head or a neck of the subject.
6 . The method of claim 5 , further comprising donning a head-mounted stimulation device, thereby positioning, against each skin region of the one or more regions of skin, a respective stimulation delivery element of one or more stimulation delivery elements.
7 . The method of claim 6 , wherein the head-mounted stimulation device is an ear-mounted stimulation device.
8 . The method of claim 4 , wherein applying the electrical neurostimulation at the one or more regions of the skin of the subject comprises applying the electrical neurostimulation via one or more electrodes, each electrode physically contacting a respective region of skin of the one or more regions of skin of the subject.
9 . The method of claim 8 , wherein the one or more electrodes are percutaneous electrodes.
10 . The method of claim 1 , wherein the neurostimulation therapy is applied via one or more implanted electrodes.
11 . The method of claim 1 , wherein indirectly activating the VEF comprises positioning at least one electrical or mechanical stimulation element within neurostimulation delivery range of an auricular branch of a vagus nerve (ABVN) of the subject.
12 . The method of claim 1 , wherein indirectly activating the TCC comprises positioning at least one electrical or mechanical stimulation element within neurostimulation delivery range of an auriculotemporal nerve (ATN) of the subject.
13 . The method of claim 1 , wherein the neurostimulation therapy is further configured to generate a vasodilation response in a uterus of the subject, thereby reducing at least one of dysmenorrhea or menstrual cramping.
14 . The method of claim 1 , wherein the neurostimulation therapy is further configured to activate a Nucleus Tractus Solitari (NTS) via stimulation of vagal and/or trigeminal branches to trigger release of endorphins, thereby modulating pain signals in a central nervous system (CNS) and mitigating pain in the subject.
15 . The method of claim 1 , further comprising, during a luteal phase of menses, for each respective pre-menstrual session of at least one pre-menstrual session per respective forty-eight hour timeframe of one or more consecutive forty-eight hour timeframes, applying, for a pre-menstrual session length of the respective pre-menstrual session of at least five minutes, the neurostimulation therapy for treating uterine bleeding, thereby preparing the subject with an initial increased baseline of circulating platelets with enhanced platelet function at onset of the uterine bleeding.
16 . The method of claim 1 , wherein the neurostimulation therapy is applied daily.
17 . The method of claim 1 , wherein the duration is at least ten minutes.
18 . The method of claim 1 , wherein the neurostimulation therapy is configured to reduce a total number of bleeding days over the course of the menstrual bleeding.
19 . The method of claim 1 , wherein the neurostimulation therapy is configured to reduce a total number of hours spent by the subject in bed rest over the course of the menstrual bleeding.