Key points of pathology of bleeding during the menstrual cycle

Nowadays, many women have particularly irregular menstruation. Due to their irregular menstruation, the harm caused to themselves is still very great. Therefore, many women who bleed in the middle of the menstrual cycle want to know the specific pathological points of bleeding in the middle of the menstrual cycle. In order to understand it as soon as possible and to recover as soon as possible, please see the answers below.

Mid-menstrual bleeding refers to a menstrual disorder in which there is regular, small amounts of vaginal bleeding between two menstrual periods. This periodic bleeding is called "mid-menstrual bleeding" or "intermenstrual bleeding", and is often accompanied by dull pain in the lower abdomen. It is a menstrual disorder. It is more common in women of childbearing age and adolescents. The prognosis of this disease is good, and this disease is equivalent to ovulation bleeding in Western medicine. Similar vaginal bleeding may also occur in chronic pelvic inflammatory disease or after IUD insertion.

【Etiology and pathology】

After the menstruation is over, the blood sea is empty, the Chong and Ren qi and blood are weakened. As the menstrual blood gradually accumulates, the blood sea gradually becomes full. If the yin and yang regulation functions in the body are normal, the person will adapt to this change without any special symptoms. During the middle of the menstrual cycle, the Yang Qi moves inside, and if there is kidney Yin deficiency, the Yin collaterals will be damaged and bleeding will occur; if there is internal accumulation of dampness and heat, the heat will damage the Chong and Ren meridians and cause bleeding; or if there is blood stasis inside the body, it will be moved by the Yang Qi and cause bleeding.

【Diagnosis points】

1. Periodic bleeding during the menstrual period, often accompanied by dull pain in the lower abdomen, but the menstrual cycle and period are normal.

2. Differentiate from bleeding due to cervicitis and cervical polyps.

3. Gynecological examination and ultrasound examination are required to rule out vaginal bleeding caused by gynecological tumors.

【Dialectical classification】

1. Yin deficiency causes mid-menstrual bleeding, with a small amount of red bleeding, which is not clean, accompanied by irritability, dry mouth, red urine and dry stools, fatigue, dizziness, sore waist and weak knees. The tongue is red and the pulse is thready and rapid.

2. Blood stasis, mid-menstrual bleeding, small amount of dark bleeding, lower abdominal pain that refuses to be pressed, or a history of gynecological tumors. Thin tongue coating and stringy pulse.

3. Damp-heat mid-menstrual bleeding with red and sticky color, fatigue, chest tightness and irritability. The tongue coating is yellow and greasy, and the pulse is stringy and rapid or thin, stringy and rapid.

【Treatment by type】

1. Treatment for Yin deficiency: nourish Yin, clear away heat and stop bleeding.

2. Treatment for blood stasis: activate blood circulation, remove blood stasis and stop bleeding.

3. Treatment for damp-heat: clear away heat, promote dampness and stop bleeding.

The above is a detailed introduction to the key points of the pathology of bleeding in the middle of the menstrual cycle. I believe you have a better understanding. If bleeding occurs in the middle of your menstrual cycle, you must pay attention to it. After understanding the above content, choose the correct treatment method to achieve a better treatment effect.