Bleeding after three days of menstruation

Menstruation is something that women are very concerned about. Although menstruation is the most important physiological phenomenon for women, some women will be troubled by menstruation, which adds a lot of burden to their lives. Generally, menstruation lasts for about a week, and the main manifestation is the continuous discharge of blood clots and other mixed substances from the uterus. However, why do some women bleed again three days after their menstrual period is over? Let’s take a look at the explanation below.

Vaginal bleeding recurs three days after the menstrual period is over, and the color is bright red. This is abnormal uterine bleeding and the cause of the bleeding needs to be checked.

Main clinical manifestations:

1. Ovulation bleeding: Due to the low estrogen level before ovulation, a small amount of vaginal bleeding can be seen during the ovulation period.

2. Premenstrual bleeding: There is a small amount of vaginal bleeding a few days before menstruation, followed by normal menstruation. This type of bleeding is caused by luteal insufficiency and insufficient secretion of estrogen and progesterone.

3. Postmenstrual bleeding: The initial stage of menstruation is normal, but in the later stage, the bleeding is small and lasts longer. This type of bleeding is characterized by incomplete endometrial exfoliation and a mixture of incompletely exfoliated secretory endometrium and early proliferative endometrium. This is mainly due to the slow regression of the corpus luteum and the continuous secretion of progesterone.

4. Bleeding caused by endometrial hyperplasia: It is a typical anovulatory bleeding. Due to the continued existence of follicles and the secretion of a certain amount of estrogen, the endometrium proliferates abnormally, and the endometrium often shows glandular cystic hyperplasia.

5. Bleeding caused by incomplete endometrial maturation: This is a type of abnormal bleeding that is common in the luteal phase. Endometrial proliferative and luteal phase changes may exist simultaneously. It is caused by an imbalance in the secretion of estrogen and progesterone.

Treatment principles:

1. Treatment of anovulatory functional uterine bleeding:

Puberty focuses on stopping bleeding, adjusting the cycle, and restoring ovulation. Menopause focuses on stopping bleeding, preventing recurrence, and smoothly transitioning through menopause.

(II) Treatment of dysfunctional ovulatory uterine bleeding:

Stop bleeding, promote luteal function, and regulate cycle.