Non-menstrual bleeding with back pain

Menstruation every month is really a torture for women. Not to mention women with dysmenorrhea, even women who do not suffer from severe dysmenorrhea will have symptoms of back pain and fatigue during menstruation. Lower back pain during menstruation has been tacitly accepted by women as a normal condition, but there are often times when midmenstrual bleeding is accompanied by lower back pain. In most cases, this is due to endocrine problems in the body. There are different treatment methods for different conditions.

1. People often hear the term ovulation bleeding. This is due to a temporary drop in estrogen levels, which causes the endometrium to lose hormonal support and partially shed, causing regular vaginal bleeding. The amount of this bleeding is not much. Some people only have a small amount of brown secretion. It usually lasts for half a day or 2-3 days, and no more than 7 days at most. It may be accompanied by mild ovulation pain and back pain. If someone is measuring their basal body temperature, they will notice that this bleeding usually occurs during the transition from low body temperature to high body temperature. If the symptoms are mild, no treatment is required, but if the symptoms are obvious and may affect fertility, treatment should be given.

2. Functional uterine bleeding is abbreviated as functional uterine bleeding. This disease is very common in clinical practice, mainly caused by abnormal neuroendocrine function regulating reproduction. Its manifestations are usually irregular menstrual cycles, excessive menstrual flow, prolonged menstruation or irregular bleeding. The principle of treatment is to stop bleeding quickly, adjust and establish a normal menstrual cycle after stopping bleeding, and prevent recurrence. Due to long-term bleeding, some people also have varying degrees of anemia, so correcting anemia is also very important.

3. If menstruation is delayed for 7-10 days before bleeding occurs, do not assume that it is definitely late. You should pay attention to whether the amount, color, and duration of bleeding are the same as normal menstruation. If the menstrual blood is sometimes more and sometimes less, and is continuous, and is accompanied by abdominal pain, you should be careful about the possibility of ectopic pregnancy or threatened abortion; if the bleeding is more than usual, lasts longer, and dysmenorrhea is obvious, it is more common in uterine fibroids or endometriosis. It is necessary to seek medical treatment promptly.

4. The phenomenon of vaginal bleeding after sexual intercourse is called contact bleeding, which is often related to gynecological diseases such as vaginitis, cervical polyps, early cervical cancer, and submucosal myomas. The only option is to see a gynecologist as soon as possible.

5. Some women may experience vaginal bleeding after having unprotected sex because they take emergency contraceptive pills. The impact of emergency contraceptive pills on menstruation is mainly manifested in changes in the menstrual cycle, which may be early or delayed. Especially for repeated users, it can cause menstrual disorders, bleeding, and continuous spotting. Therefore, it can only be used as a remedial measure and cannot replace normal contraceptive methods.

6. Generally, vaginal bleeding will stop about 3-7 days after an abortion or miscarriage. In very few people, bleeding may be prolonged due to physical weakness, fatigue, etc., but this needs to be judged by a doctor. If there are no special circumstances and vaginal bleeding lasts longer, after excluding intraoperative injuries, cervical inflammation and the like, it is very likely that there are residual tumors in the uterus. The doctor will then decide whether to use medication or uterine curettage after examination. Otherwise, after a period of time, the residual fetal membrane tissue may turn into choriocarcinoma.