Why does bleeding start again after my period is over?

Under normal circumstances, after the menstrual period ends, vaginal bleeding will not occur until the next month when the menstruation comes. However, there are many reasons that can cause irregular vaginal bleeding, such as some gynecological diseases. If there is vaginal bleeding just a few days after the menstrual period, this is definitely an abnormal phenomenon. At this time, you should closely observe whether there are other symptoms. If you don’t know the reason, it is best to go to the hospital for examination, especially considering the following causes.

What happened if I started bleeding again after my period?

It could be functional uterine bleeding. There is no need to be overly nervous. For most women, the bleeding will disappear spontaneously as the menstrual cycle stabilizes. If it recurs or there is heavy bleeding, you can go to the hospital for treatment.

Functional uterine bleeding, now referred to as "dysfunctional uterine bleeding" in medicine. "Dysfunctional uterine bleeding" is a common gynecological disease. In cases of menstrual irregularities, examination of the internal and external genitalia shows no obvious organic lesions, excluding pregnancy, tumors, inflammation, trauma or systemic hemorrhagic diseases. Abnormal uterine bleeding caused by dysfunction of the neuroendocrine function regulating reproduction is called functional uterine bleeding, or DUB for short. The Chinese medical name is "menglou". Clinically, functional uterine bleeding is divided into two types: anovulatory and ovulatory.

Young women with functional uterine bleeding have the following symptoms"

(1) Irregular uterine bleeding. Menstruation is early or late, with no regularity at all.

(2) Frequent menstruation. The menstrual cycle is shortened, generally less than 21 days, and the amount of bleeding and number of bleeding days are normal.

(3) Excessive menstrual flow. The menstrual cycle is normal, but the amount of bleeding each time is excessive, reaching hundreds of milliliters.

(4) Prolonged menstruation. Some women have normal menstrual cycles, but they may have a small amount of bleeding for several days before their period, and the bleeding is often dark in color. The bleeding continues for several days after their period, and may continue for more than ten days before and after their period.

(5) Ovulation bleeding. About 10 days after the menstruation ends, a small amount of bleeding begins to flow out of the vagina, sometimes stopping in a day or two. This is called ovulation bleeding.

Age groups where this usually occurs:

1. Age of ovulatory dysfunctional uterine bleeding: reproductive age is about 16-45 years old

2. Anovulatory Dysfunctional Uterine Bleeding

① Age of DUB during puberty: about 12-16 years old

② Age of menopausal dysfunctional uterine bleeding: Perimenopause, about 45-55 years old

Specific prevention and control measures can be taken from the following points:

(1) Pay attention to your physical health. To increase nutrition, eat more protein-rich foods as well as vegetables and fruits. Strive to strike a balance between work and rest in life, avoid heavy physical labor and strenuous exercise, get enough sleep, be in a good spirit, and do not create unnecessary mental stress.

(2) Use drugs to stop bleeding. There are two methods of drug hemostasis: one is to make the endometrium fall off completely, which can be done by injecting progesterone; the other is to make the endometrium grow, which can be done by injecting estradiol benzoate. Using some hemostatic drugs, such as Yunnan Baiyao, Anluoxue, vitamin K, hemostatic aromatic acid and hemostatic sensitive, can generally achieve the purpose of hemostasis.

(3) Restore ovarian function and regulate menstrual cycle. Generally, drugs such as diethylstilbestrol are taken continuously, 0.5-1 gram per day, for 20 consecutive days. On the last 5 days of medication, 20 mg of progesterone is injected per day. Generally, functional uterine bleeding in adolescence can be cured quickly with age increase and proper treatment. For ovulatory functional uterine bleeding, injection of human chorionic gonadotropin before ovulation may regulate the menstrual cycle.

(4) Treatment with traditional Chinese medicine. Traditional Chinese medicine has unique advantages in treating and regulating endocrine function and stopping bleeding, so you should seek treatment from a traditional Chinese medicine practitioner when appropriate. All of the above-mentioned drug treatments must be carried out under the guidance of a doctor and must not be taken on your own without authorization, because the effects of endocrine-regulating drugs are very complex and improper use can cause serious menstrual disorders.

Functional uterine bleeding, due to frequent bleeding, large amount of bleeding, long bleeding time, patients often suffer from anemia or symptoms such as fatigue, dizziness, tinnitus, pale complexion, and severe cases may go into shock, which should be taken seriously.