Meat-like substance in menstrual discharge

Many women find that there is something like meat in their menstrual blood during their menstrual period, which makes them very panic. In fact, this is a very common physiological phenomenon, because menstrual blood not only contains blood discharged from the body, but also cervical mucus, uterine mucosa, etc. Among them, the uterine mucosa is the thing that looks like meat, so there is no need to worry too much. However, if the uterine mucosa sheds too much, it needs to be a cause of concern. It may be irregular shedding of the uterine mucosa, and drug treatment may be needed if necessary.

What does menstrual endometrium shedding mean?

The shedding of the endometrium is actually a manifestation of the menstrual cycle. The menstrual cycle is really just a phenomenon. Its essence is that every month, the endometrium, which is composed of cells and glands, proliferates. At the beginning of each menstrual cycle, the lining of the uterus thickens in preparation for receiving a fertilized egg. If fertilization does not occur, the endometrium is shed at the end of the menstrual cycle, which results in a woman's period bleeding. However, if the shedding is abnormal or the amount is too much, it is best to go to the hospital for examination as soon as possible. It may be caused by some inflammation and requires timely treatment.

How much endometrial shedding is normal

Taking a normal menstrual cycle of 28 days as an example, the cyclical changes in its tissue morphology can be divided into three phases: The specific figures of the endometrial thickness during the menstrual period are: Menstrual period: The functional layer of the endometrium is shed and the basal layer is retained. Proliferative phase: During the 6th to 14th day of menstruation, the endometrium thickness reaches 1-3mm. 3. Secretory phase: During the 15th to 28th day of menstruation, the endometrium thickness reaches 5-7mm.

The above is some introduction about the two issues of menstrual endometrial shedding and how much menstrual endometrial shedding is normal. Female friends who are interested can learn about it. In addition, women's bodies will be weaker during the menstrual period, so they need to rest on time and not stay up late. At the same time, do not eat spicy food to avoid aggravating dysmenorrhea.

Irregular shedding of the endometrium

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.

Causes

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.

treat

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.