What to do if there is bleeding below

If you find yourself bleeding from your vagina, you cannot ignore it easily. You must go to the hospital for a gynecological examination in the early stage, because the symptoms of bleeding from your vagina may be caused by a variety of gynecological diseases, and general treatment alone may not be able to treat it fundamentally. You must use comprehensive treatment, and when necessary, you must supplement yourself with some estrogen.

1. Anovulatory uterine bleeding

(1) General treatment: Supplementation of iron, vitamin C and protein. Blood transfusion is required for severe anemia.

(2) Stop bleeding

① Diagnostic curettage: This method is rapid and effective and can also understand endometrial pathology and exclude malignant conditions. It is routinely used for married patients of childbearing age or perimenopausal period with a long course of disease.

②Progestin: also known as "drug-induced curettage", suitable for patients with a certain level of estrogen.

③Estrogen: Only suitable for unmarried adolescent patients and patients with low hemoglobin.

(3) Control the menstrual cycle

① Estrogen-progestin sequential therapy: that is, artificial cycle, suitable for adolescent dysfunctional uterine bleeding or women of childbearing age with dysfunctional uterine bleeding (abbreviated as DUB) and low endogenous estrogen levels.

② Combined use of estrogen and progesterone: Suitable for women of childbearing age with functional uterine bleeding and high endogenous estrogen levels. Compound norethindrone tablets (oral contraceptive No. 1) can be used.

③Second half cycle therapy: suitable for functional uterine bleeding during menopausal transition period.

(4) Promote ovulation: Suitable for adolescent and reproductive age functional uterine bleeding, especially for infertile patients. Clomiphene, urogonadotropin, chorionic gonadotropin, etc. can be used.

2. Ovulatory uterine bleeding

(1) Luteal insufficiency:

① Promote follicle development.

② Luteal function stimulation method.

③Functional replacement therapy.

(2) Irregular endometrial shedding: Treatment with progesterone, chorionic gonadotropin, etc.

(II) Vaginal bleeding due to pregnancy complications

1. Abortion: Threatened abortion should be treated to preserve the pregnancy, with bed rest and daily intramuscular injection of progesterone. If there is increased bleeding and worsening of paroxysmal lower abdominal pain, it means abortion is inevitable. If some tissue is discharged, it is an incomplete abortion and a vacuum extraction should be performed.

2. Ectopic pregnancy: surgery is the main treatment.

3. Hydatidiform mole: Use suction curettage to remove the contents of the uterine cavity and perform preventive chemotherapy if necessary.

(III) Vaginal bleeding caused by inflammatory diseases

Anti-inflammatory, local medication, surgical and other treatments are given according to different causes.

(IV) Tumor-related vaginal bleeding

Surgery is the main treatment.

(V) Traumatic vaginal bleeding

Treatment is surgery to suture the injured area.