There are many reasons for continuous menstruation, including ovarian dysfunction, uterine disease, uterine cavity disease, endocrine dysfunction, etc. You can do an electrochemiluminescence immunoassay to test six hormones to understand your endocrine condition. Eat more lean meat, pork liver, egg yolk, milk, fish, shrimp, shellfish, soybeans, tofu and blood to supplement iron and protein, and eat more vegetables and fruits to supplement vitamin C to promote iron absorption. So let's find out why there is still blood after the period is over! Bacterial vaginitis. During the days of menstruation, the vagina is always moist and easy to breed bacteria. Also, the sanitary napkins used during menstruation are not suitable for everyone. You should choose the one that suits you. It is recommended that you use Cleansing Lotion for treatment first. If the symptoms cannot be relieved, please go to the hospital for further examination. 1. Daily care: 1. Pay attention to personal hygiene, especially during menstruation 2. Put underwear, towels, basins and other utensils in the sun to receive ultraviolet rays. 3. Choose a sanitary napkin that suits you Gynecological inflammation is a common disease among women, mainly referring to inflammation of the female reproductive organs (vulvitis, vaginitis, cervicitis, metritis, pelvic inflammatory disease, adnexitis, sexually transmitted diseases, etc.). The female reproductive organs usually suffer from different acute and chronic inflammations, which occur after being invaded and infected by various pathogenic bacteria. If inflammation is not treated in time, it may cause the inflammation to spread and cross-infect various physiological parts, and will bring many complications, which will have adverse effects on the immune function, metabolism and endocrine system, and may even lead to malignant lesions in certain parts of the body. If it happens to a pregnant woman, it may cause intrauterine infection, birth canal infection, etc., affecting the newborn, resulting in serious consequences such as miscarriage, premature birth, congenital malformations, and mental retardation. 2. Causes 1. Physiological reasons (1) The skin of the female vulva is very delicate, has abundant sweat glands, many wrinkles, is hidden and not exposed, has poor air permeability, and is easily attacked by pathogens. (2) The female reproductive organs and abdominal cavity are connected to the outside world, and pathogens can enter the uterus through the vagina. (3) There are a large number of lactobacilli in the vagina, which can break down glycogen to produce lactic acid, making the vagina acidic and not conducive to the growth of harmful bacteria. However, when local resistance decreases, some bacteria and pathogens will take advantage of the situation and enter. (4) The vaginal opening is close to the urethral opening and anus, and is contaminated by urine and feces, making it easy for bacteria to breed. (5) Due to menstruation, pregnancy and other reasons, the cervix is immersed in irritating secretions for a long time, causing epithelial shedding, which can easily lead to wrinkles in the cervical endometrium and the lurking of various pathogens in the glands. 2. Pathological causes (1) Not paying attention to hygiene during menstruation, using unclean sanitary pads, having sexual intercourse during menstruation, etc. (2) Intrauterine surgery is not performed with strict disinfection. (3) Gynecological surgeries such as abortion and childbirth can damage the cervix and vagina, leading to infection. (4) The female vulva and genital mucosa are important organs involved in sexual activity. Sexual intercourse can cause damage to local tissues or cross-infection. 3. Clinical manifestations 1. Common vulvar inflammation in women (1) Nonspecific vulvitis. Physical and chemical factors in daily life, lack of attention to hygiene, and physical weakness can cause bacteria to invade the vulva of women, causing vulvitis, such as cervical and vaginal inflammation; or wearing non-breathable nylon underwear that causes excessive vaginal secretions and irritation of the vulva; urine soaking the vulva; using unclean sanitary napkins and toilet paper to cause vulvar infection, etc. These factors will create conditions for the growth and reproduction of bacteria in the vulva, mostly mixed infections of Staphylococcus, Streptococcus, Escherichia coli, etc., so it is called nonspecific vulvitis. (2) Fungal vulvitis: Vulvitis caused by a type of yeast infection. It often coexists with candidal vaginitis. (3) Vulvitis in infants and young children: Various bacteria begin to grow in the vagina of newborns 15 days after birth. In addition, because the external reproductive organs of infants and young children are immature and their ability to resist bacterial infections is poor, their vulva is easily soaked in urine and contaminated by feces, and children like to sit anywhere, these are all easy causes of infection and can cause vulvitis in infants and young children. (4) Bartholinitis is more common in women of childbearing age. This is because the Bartholin's glands are infected by bacteria such as Staphylococcus, Streptococcus, and Escherichia coli, which often causes acute inflammation. (5) Bartholin's gland cysts are usually caused by chronic inflammation that causes blockage of the Bartholin's gland ducts, accumulation of glandular fluid, and cystic dilatation of the gland; or by absorption of pus after acute Bartholin's gland inflammation subsides. Bartholin's gland cyst and Bartholin's gland abscess can transform into each other. (6) Sexually transmitted diseases During the course of sexually transmitted diseases such as vulvar warts, chancroid, genital herpes, and gonorrhea, inflammation of the vulva is common. 2. Chronic metritis (1) Increased leucorrhea Increased leucorrhea is the main symptom of this disease. Usually, the leucorrhea is milky white or light yellow purulent secretion, sometimes bloody or mixed with blood. (2) Vulvar itching and pain. The vulva and vagina may be irritated by increased leucorrhea, which may lead to vulvitis or vaginitis, causing vulvar itching and pain. (3) Pain in the lower abdomen and lumbosacral region: When the inflammation is severe, it can spread along the uterosacral ligament and cardinal ligament and cause pelvic connective tissue inflammation, causing pain in the lower abdomen or lumbosacral region, accompanied by a feeling of heaviness. (4) Frequent urination or difficulty urinating When the inflammation spreads to the bladder trigone or around the bladder, frequent urination or difficulty urinating may occur. (5) Infertility: Thick leucorrhea is not conducive to sperm penetration, so severe cervicitis can cause infertility. 4. Inspection 1. Vaginal secretion examination During a gynecological examination, attention should be paid to the color, odor, and pH of vaginal discharge. Vaginal secretions were collected for pH measurement and pathogen examination. Precision pH test paper is commonly used to measure pH. The secretions are placed on two glass slides with 0.9% sodium chloride solution and 10% potassium hydroxide solution respectively. The former is used to check for Trichomonas and clue cells, and the latter is used to check for Candida. 2. White blood cell examination (1) Purulent discharge from the endocervical canal: Gram stain of smear shows neutrophil count >30/high-power field of view. (2) Vaginal secretion wet mount examination: WBC>10/high power field. 3. Pathogen Detection 5. Treatment 1. Treatment of vulvar and vaginal inflammation (1) The principles of treatment are to keep the area clean and dry; apply antibiotics topically; and focus on eliminating the cause of the disease. (2) When acute inflammation occurs, you need to rest in bed, identify the pathogen, and choose antibiotics based on the pathogen. You can also choose to take a sitz bath with corresponding medicine. (3) For sexually transmitted diseases, sexual partners should be treated at the same time, and sexual intercourse is prohibited during treatment. 2. Treatment of cervical inflammation The main treatment is antibiotics. Patients with high risk factors for sexually transmitted diseases should be treated with symptomatic medication targeting the pathogens. |
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