Uterine bleeding, the symptoms are like this

The so-called uterine bleeding is the common uterine bleeding.

1. Symptoms

1. Continuous menstruation: This situation refers to a normal menstrual cycle, but there is a small amount of bleeding for several days before the menstruation, and the color is often dark. After a few days of menstruation, there is continuous bleeding, and there may be continuous bleeding for more than ten days before and after menstruation.

2. Frequent menstruation: The menstrual cycle is shortened, usually 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. Irregular uterine bleeding: Menstruation is early or late, with no regularity at all.

5. Mid-menstrual bleeding: About 10 days after the menstrual period ends, a small amount of bleeding flows out of the vagina again, sometimes it stops in one or two days, which is called ovulation bleeding. Functional uterine bleeding, due to frequent bleeding, large amount of bleeding, and long bleeding, patients often suffer from anemia or symptoms such as weakness, dizziness, tinnitus, pale complexion, etc. In severe cases, shock may occur, and even life-threatening, so it should be taken seriously.

2. Classification

Uterine bleeding can be clinically divided into three types according to different causes.

1. Anovulatory functional uterine bleeding is divided into two groups according to age.

1. Dysfunctional uterine bleeding during puberty: occurs in girls after menarche, due to the inability to establish regular ovulation. Clinical manifestations include infrequent menstruation after menarche, irregular menorrhagia after a short period of amenorrhea, prolonged menstruation, and continuous spotting, leading to severe anemia.

2. Menopausal (perimenopausal) functional uterine bleeding: that is, functional uterine bleeding in women aged ≥ 40 years to around the time of menopause. The incidence of anovulatory functional uterine bleeding increases year by year during this period. The clinical manifestations are: frequent menstruation, irregular cycles, excessive menstrual flow, and prolonged menstruation. 10-15% of patients present with severe irregular menstruation, menorrhagia and severe anemia.

2. Ovulatory functional uterine bleeding is most common in women of childbearing age, and is also sometimes seen in adolescent girls and menopausal women.

Clinically, it is divided into the following types:

1. Ovulatory menstrual disorders: including ovulatory oligomenorrhea and ovulatory frequent menstruation

2. Luteal dysfunction: including luteal insufficiency and luteal atrophy

3. Mid-menstrual bleeding is also called ovulation bleeding. It is often accompanied by ovulation pain, which is caused by ovulation stimulation and estrogen fluctuations, resulting in a small amount of bleeding (1 to 3 days) and abdominal pain. In some cases, bleeding is heavy and continues until the menstrual period, resulting in frequent pseudomenstruation.