What to do if a girl bleeds from below

There are many reasons for vaginal bleeding, such as endocrine factors, pregnancy complications, inflammatory diseases, tumors and trauma, all of which can cause vaginal bleeding in women. Different methods of treatment should be adopted for different vaginal bleeding, so that the right medicine can be used to completely cure the symptoms of vaginal bleeding. Below, we will introduce in detail the types of vaginal bleeding and their treatment methods.

1. Endocrine factors vaginal bleeding

1. Anovulatory uterine bleeding

(1) General treatment: Supplementation of iron, vitamin C and protein. Blood transfusion is required for severe anemia.

(2) Stop bleeding

① Diagnostic curettage: This method is rapid and effective and can also understand endometrial pathology and exclude malignant conditions. It is routinely used for married patients of childbearing age or perimenopausal period with a long course of disease.

②Progestin: also known as "drug-induced curettage", suitable for patients with a certain level of estrogen.

③Estrogen: Only suitable for unmarried adolescent patients and patients with low hemoglobin.

(3) Controlling the menstrual cycle

① Estrogen-progestin sequential therapy: that is, artificial cycle, suitable for adolescent dysfunctional uterine bleeding or women of childbearing age with dysfunctional uterine bleeding (abbreviated as DUB) and low endogenous estrogen levels.

② Combined use of estrogen and progesterone: Suitable for women of childbearing age with functional uterine bleeding and high endogenous estrogen levels. Compound norethindrone tablets (oral contraceptive No. 1) can be used.

③Second half cycle therapy: suitable for functional uterine bleeding during menopausal transition period.

(4) Promote ovulation: Suitable for adolescent and reproductive age patients with functional uterine bleeding, especially infertile patients. Clomiphene, urogonadotropin, chorionic gonadotropin, etc. can be used.

2. Ovulatory uterine bleeding

(1) Luteal insufficiency:

① Promote follicle development.

② Luteal function stimulation method.

③Functional replacement therapy.

(2) Irregular endometrial shedding: Treatment with progesterone, chorionic gonadotropin, etc.

2. Vaginal bleeding due to pregnancy complications

1. Abortion: Threatened abortion should be treated with pregnancy preservation, bed rest, and daily intramuscular injection of progesterone. If the amount of bleeding increases and the paroxysmal lower abdominal pain worsens, it is inevitable abortion. If some tissue is discharged, it is an incomplete abortion and a vacuum extraction should be performed.

2. Ectopic pregnancy: surgery is the main treatment.

3. Hydatidiform mole: Use suction curettage to remove the contents of the uterine cavity and perform preventive chemotherapy if necessary.

3. Vaginal bleeding caused by inflammatory diseases

Anti-inflammatory, local medication, surgical and other treatments are given according to different causes.

4. Tumor-related vaginal bleeding

Surgery is the main treatment.

5. Traumatic vaginal bleeding

Treatment is surgery to suture the injured area.