Symptoms of anovulatory menstruation

Some women may experience anovulatory menstruation, which is caused by neuroendocrine disorders of the genitals, abnormal follicular growth and no egg discharge, affecting women's conception. Therefore, the sensitivity to pituitary gonadotropin will decrease, leading to irregular vaginal bleeding. You can learn about its symptoms, and if you find these symptoms, you need to seek timely treatment.

Anovulatory menstrual symptoms

Anovulatory menstruation refers to irregular uterine bleeding caused by dysfunction of the neuroendocrine system that regulates reproduction. It is more common during adolescence and menopause. Dysfunctional uterine bleeding in adolescence is caused by the immature or delayed development of the hypothalamus-pituitary-ovarian axis, which results in the growth and development of follicles in the ovaries but the inability to ovulate. Menopausal functional uterine bleeding is caused by the natural aging of the ovaries, lack of follicles, ovarian dysfunction, and reduced sensitivity to pituitary gonadotropin, resulting in inability to ovulate and causing irregular vaginal bleeding. Traditional Chinese medicine calls this disease "menorrhea".

Typical anovulatory functional uterine bleeding is amenorrhea for several weeks or months before menstruation, followed by heavy vaginal bleeding, which often turns into vaginal spotting after a few days, or may be more or less, and stop at times. The duration may be as short as a few days or as long as dozens of days or even months. Accompanied by secondary anemia, dizziness, palpitations, shortness of breath, fatigue, edema, loss of appetite, etc. Or it may be accompanied by breast pain, lower abdominal distension, emotional excitement, etc.

Causes of anovulatory menstruation

1. Bleeding related to pregnancy: Dysfunctional uterine bleeding often causes amenorrhea and bleeding for a period of time, while various bleeding related to pregnancy such as miscarriage, ectopic pregnancy, hydatidiform mole, etc. also have a history of amenorrhea, but at the same time have pregnancy reactions and positive pregnancy tests. B-ultrasound examination is helpful for differentiation. If differentiation is difficult, diagnostic curettage can be used for differentiation.

2. Choriocarcinoma: It often occurs secondary to miscarriage or delivery, with continuous irregular vaginal bleeding, positive early pregnancy test or continuous positive blood H(X). B-ultrasound, hysteroscopy, pelvic angiography, etc. are all helpful for differentiation.

3. Endometrial polyps and submucosal fibroids: manifested by increased menstrual volume and prolonged menstrual period, but normal cycle and biphasic basal body temperature. They can be differentiated by hysterosalpingography and hysteroscopy.

4. Cervical cancer: It also manifests as irregular vaginal bleeding, often contact bleeding and bloody leucorrhea. The diagnosis can be confirmed with the help of gynecological examination, cervical scraping and endoscopic examination.

5. Endometrial cancer: Irregular uterine bleeding, with varying amounts of bleeding, can be diagnosed through hysteroscopy and diagnostic curettage.

6. Systemic diseases: such as blood diseases, liver diseases and thyroid diseases may also be accompanied by irregular vaginal bleeding, which can be diagnosed by taking medical history, physical examination and laboratory tests.

Therefore, if symptoms of anovulatory menstruation appear, female friends must pay attention and seek medical attention as soon as possible to avoid missing the best time for treatment.