Menstruation comes again after 10 days

A woman's menstrual cycle is generally 28 days, but some girls' menstruation is very irregular, always delayed or advanced. It is normal to postpone or consider it within 3-5 days in advance, so don't worry too much. However, if the interval is too short or too long, pathological factors should be considered. Because this situation may be irregular vaginal bleeding, many gynecological diseases will have this symptom. So, what is the reason why a woman has another menstrual period ten days after her menstrual period?

1. Causes

1. Caused by neuroendocrine dysfunction

The main problem is that the function of the hypothalamus-pituitary-ovarian axis is unstable or defective.

2. Caused by ovarian problems

Menstrual irregularities in women of childbearing age are generally due to poor ovarian corpus luteum function, which often manifests as heavy menstrual bleeding.

3. Caused by organic disease or drugs

Including local inflammation, tumors and developmental abnormalities, malnutrition of the reproductive organs; intracranial diseases; other endocrine dysfunctions, such as abnormal thyroid and adrenal cortex function, diabetes, Sheehan's disease, etc.; liver diseases; blood diseases, etc. Menorrhagia may occur in women who use psychiatric medications, endocrine preparations, or intrauterine devices for contraception.

II. Treatment

1. Medication

(1) For patients who do not require contraception or are unwilling to use hormone treatment, antifibrinolytic drugs such as tranexamic acid or anti-PG synthetic drugs such as flufenamic acid (flufenamic acid) and mefenamic acid (mefenamic acid) can be used. Adverse reactions may include nausea, dizziness, headache, etc.

(2) For patients who require contraception, endometrial atrophy treatment can be used.

(3) Others: Danazol is a derivative of 17a-ethynyltestosterone. It can inhibit the secretion of gonadotropin-releasing hormone, inhibit the peak of the gonadotropin cycle and the production of ovarian sex hormones, and reduce blood loss. However, attention should be paid to side effects such as rash, liver damage, and virilization. Gonadotropin-releasing hormone enhancers are effective in suppressing ovarian function, but due to side effects caused by low estrogen levels, they can only be used for a short period of time. Cottonpol has a strong effect in atrophying the endometrium and can also act directly on the ovaries. Potassium chloride (slow-release potassium) should be taken in addition to prevent the side effect of hypokalemia. Suitable for patients in the menopausal transition period who no longer desire fertility.

2. Surgery

For patients who are ineffective with drug treatment, whose disease persists, who are elderly, and who do not desire to have children, surgical removal of the hysterectomy can be performed. In recent years, transcervical endometrial resection (TCRE) has been used, which uses laser, microwave, or electrocoagulation to destroy the functional layer and part of the basal layer of the endometrium under the monitoring of B-ultrasound examination through hysteroscopy, so that it loses the ability to respond to ovarian sex hormones, thereby reducing menstrual blood loss. This type of operation takes a short time, involves little trauma, and has a quick recovery. It is suitable for those who are not suitable for or unwilling to have their uterus removed and have no desire to have children. It can also remove small submucosal fibroids at the same time. Before surgery, gonadotropin-releasing hormone enhancers are used to shrink the endometrium.