What causes irregular postpartum bleeding?

Vaginal bleeding is the most common symptom of gynecological and obstetric diseases, and irregular vaginal bleeding can be caused by many diseases. If the bleeding is excessive, anemia may occur, and in severe cases, hemorrhagic shock may occur, which is life-threatening. If the bleeding is small, it may be an early symptom of reproductive tract cancer. For this reason, vaginal bleeding must be taken seriously and not treated blindly. As for the specific causes of irregular vaginal bleeding, the following is a comprehensive analysis for you.

What causes excessive or frequent menstruation?

Dysfunctional uterine bleeding

Symptoms: The clinical manifestations are characterized by "three no's", namely, the amount of menstrual flow is uncertain, the length of menstrual period is different, and the length of menstrual cycle is irregular. Most cases are not accompanied by abdominal pain.

Treatment: You can go to the hospital for hormone level measurement, B-ultrasound examination and diagnostic curettage.

Uterine fibroids

Symptoms: About 2/3 of patients experience periodic vaginal bleeding, mainly characterized by increased menstrual volume, prolonged menstrual period or shortened cycle; about 1/3 of patients experience persistent or irregular bleeding; some patients have lower abdominal distension, back pain and abdominal pain. When the fibroids are large, they may compress the bladder or rectum and cause symptoms such as frequent urination and constipation. If vaginal bleeding persists for a long time, anemia may also occur. General gynecological examination and B-ultrasound examination can confirm the diagnosis.

Treatment: Fibroids that are within the size of a 2-month pregnant uterus can be treated with medication. Large fibroids with obvious symptoms require surgical treatment. Focused radiofrequency surgery and laparoscopic surgery can preserve the uterus without the need for surgery.

Adenomyosis

This disease mostly occurs in multiparous women aged 30 to 50 years old, and about half of them have uterine fibroids.

Symptoms: Heavy menstruation, prolonged menstruation, and progressive dysmenorrhea are the characteristic manifestations.

Treatment: Depends on symptoms and age. For women who are responsive to drug treatment and those in menopause, conservative treatment can be used. Patients with severe symptoms can undergo laparoscopic surgery.

Because the causes of the disease are more complex, prevention of vaginal bleeding is more difficult. Targeted prevention should be mainly aimed at the cause of the disease. For example, maintain a relaxed and happy mood and eat regularly. For benign diseases such as uterine fibroids and other tumors, there is no good prevention method because the causes of the disease are still unclear. Once symptoms are discovered, go to the hospital in time for treatment. Do not take it lightly to avoid delaying the disease. I hope middle-aged women can pay attention to their own health and smoothly get through this special period.