What disease is it if menstruation lasts for a long time?

We all know that menstrual bleeding is a very normal phenomenon, but some women sometimes experience bleeding in their lower body without any feeling of menstruation. In fact, many women encounter such situations in life, but they can’t figure out the reasons at all, so they always worry whether they have a certain relationship with the disease. So the question is, sometimes there is a little blood but it is not menstruation, what disease is this?

Causes of ovulatory bleeding

1. Traditional Chinese medicine believes that the main cause of intermenstrual bleeding is Yin deficiency, liver depression, damp heat, blood stasis, spleen deficiency, etc., which cause the Chong and Ren meridians to be disturbed during the period of stasis and the blood sea is not solid.

2. Western medicine believes that after the follicles mature and ovulate, the estrogen level will drop significantly. For some women, the lower estrogen level cannot maintain the growth of the endometrium, causing local shedding of the endometrium and a small amount of breakthrough bleeding. However, under normal circumstances, after ovulation, with the formation of the corpus luteum, the corpus luteum secretes estrogen and progesterone, which will quickly repair the endometrium and change it to the secretory phase, allowing the endometrium to thicken and repair and the bleeding to stop.

Clinical manifestations

It usually occurs on the 12th to 16th day of a regular menstrual cycle, usually lasts for several hours or 2 to 3 days, no more than 7 days, and the amount is significantly less than normal menstrual bleeding, and the bleeding can stop on its own. It may be accompanied by mild lower abdominal discomfort or back pain, or there may be no accompanying discomfort. Sometimes it occurs occasionally from the current menstrual cycle to the next menstrual cycle. For some individuals, it may last for a long time, with ovulation bleeding occurring in 4 to 5 menstrual cycles.

examine

1. Gynecological examination

Pay attention to whether the cervix has erosion and bleeding, and perform cervical TCT examination when necessary to check whether the uterus and bilateral adnexa are tender, thickened, or have lumps (check when necessary and be gentle).

2. Auxiliary examination

(2) Signs of ovulation

The basal body temperature is biphasic, B-ultrasound detection shows normal ovulation, and ovulation changes can also be seen in ovulation test paper detection. Bleeding occurs during the period when the body temperature changes from low to high and when the test paper changes from positive to negative, that is, the ovulation period.

(2) Ultrasound examination should be used to exclude other diseases that may cause abnormal bleeding, such as endometrial polyps, submucous uterine fibroids, etc.

(3) Hysteroscopy: Hysteroscopy can be performed when necessary to rule out organic lesions such as cervical polyps and endometrial cancer.