Endometrial shedding causes abdominal pain

Endometrial shedding is a common symptom among women. When the endometrium is shedding, there will be uterine bleeding. When the disease occurs, patients will experience symptoms such as prolonged menstrual bleeding. This disease is mainly caused by incomplete corpus luteum atrophy. If not treated in time, it will also affect women's fertility. Below, we will introduce the relevant knowledge about mesenteric lymphadenitis in detail.

1. Introduction to symptoms

Irregular shedding of the endometrium can lead to abnormal uterine bleeding, which is more common in women of childbearing age. Due to incomplete follicular development, although ovulation occurs, the corpus luteum atrophy is incomplete or lasts too long, and estrogen and progesterone cannot drop quickly, resulting in irregular shedding of the endometrium and prolonged bleeding. Menstruation still occurs on schedule, but the bleeding time is extended to 10 days.

2. Causes of Disease

Due to incomplete luteal atrophy caused by dysfunction of the hypothalamus-pituitary-ovarian axis or luteolytic mechanism, the endometrium continues to be affected by progesterone and cannot be completely shed as expected.

On the 3rd to 4th day of a normal menstrual period, the secretory endometrium has been completely shed. It is replaced by regenerated proliferative endometrium. However, when the corpus luteum is incompletely atrophied, the endometrium showing secretory reaction can still be seen on the 5th to 6th day of menstruation. In some areas, there is still bleeding in the endometrium, while in other areas, new proliferative endometrium has appeared.

3. Clinical manifestations

It manifests as abnormal uterine bleeding. The patient's menstrual cycle is normal, but the menstrual period is prolonged, up to 9 to 10 days, and the amount of bleeding is heavy, and it may even last for several days before stopping.

IV. Treatment Methods

1. Progesterone

By adjusting the feedback function of the hypothalamus-pituitary-ovarian axis, the corpus luteum can be atrophied in time and the endometrium can be shed completely and on time. You can start taking progesterone supplements daily 1-2 days after ovulation or 10-14 days before the next menstruation for 10 consecutive days. Those who want to have children can inject progesterone intramuscularly or take natural micronized progesterone orally. Those who do not desire to have children can take oral monophasic contraceptives, starting on the 5th day of menstruation, 1 tablet per day for 21 consecutive days as a cycle, and take 3 consecutive cycles to suppress ovulation.

2. Chorionic gonadotropin

HCG can be injected intramuscularly every other day after the basal body temperature rises, for a total of 3 to 5 times, to promote corpus luteum function.