Symptoms of irregular endometrial shedding

In recent years, more and more people have begun to pay attention to women's health, and female friends have gradually begun to realize their own health problems. For example, if they feel a little uncomfortable, they will actively seek medical treatment and will never hide it like their ancestors did. These are actually the awakening of health awareness and are worth promoting. Some female friends who experience symptoms of irregular endometrial shedding will spontaneously and consciously look for the cause.

What are the symptoms of irregular endometrial shedding? Experts say that irregular endometrial shedding occurs during the menstrual cycle when the patient ovulates and the corpus luteum develops well, but the atrophy process is prolonged, leading to irregular endometrial shedding. It often occurs in women of childbearing age. Symptoms include normal menstrual intervals, but prolonged menstruation and heavy bleeding.

Irregular endometrial shedding is caused by dysfunction in the regulation of the hypothalamus-pituitary-ovarian axis, which leads to incomplete corpus luteum atrophy. The endometrium is continuously affected by progesterone, so it cannot be shed completely as expected. On the 3rd to 4th day of a normal menstrual period, the secretory endometrium has completely shed and is replaced by regenerated proliferative endometrium. However, when the endometrium is shed irregularly, the endometrium showing secretory reaction can still be seen on the 5th-6th day of the menstrual period.

Because the patient's menstrual period is long, the endometrium loses water, the interstitium becomes dense, the glands shrink, and the glandular cavity becomes plum blossom or star-shaped. The endometrium showed a mixed type, that is, the residual secretory endometrium coexisted with hemorrhagic necrotic tissue and newly grown endometrium. In addition to typical clinical manifestations, irregular endometrial shedding causes the basal body temperature to be biphasic but to decrease slowly.

The diagnostic curettage for irregular endometrial shedding is performed on the 5th to 6th day of the menstrual period. The endometrial biopsy can still show the endometrium with secretory reaction, which coexists with the bleeding and proliferative endometrium. The corpus luteum generally shrinks after 14 days, and the endometrium falls off due to lack of support from estrogen and progesterone, causing menstruation.

After diagnostic curettage and hysteroscopy to exclude hemostasis and malignancy, sequential treatment with hormonal drugs can be used. If you feel psychological pressure to use Marvelon, you can use other drugs. Generally, a course of treatment is at least three months. Since you need to use prescription drugs, you can communicate directly with your local hospital clinician.

What are the causes of irregular endometrial shedding? I believe that after the introduction, everyone should have understood it, right? A good life starts with paying attention to health. Women should also pay great attention to their own health. Once they find any illness, they should seek medical treatment in time. Never let yourself fall into a health crisis due to negligence, which will not be worth the loss.