Bleeding in early pregnancy like menstruation

Bleeding in early pregnancy like menstruation

Bleeding in early pregnancy is like menstruation. It is an extremely bad phenomenon for both the mother and the fetus. Because bleeding in early pregnancy may be caused by maternal disease, such as cervical lesions, or it may be caused by fetal reasons, such as ectopic pregnancy or hydatidiform mole. If it is the latter two cases, the pregnant woman needs to have an abortion!

1. Cervical lesions

Affected population: people with complicated sexual life, poor hygiene habits, irregular lifestyle, poor body resistance, etc.

When it comes to early pregnancy bleeding, many people tend to ignore the problem of cervix. If the cervix is ​​severely inflamed and eroded, or if there are already cervical polyps, it is easy for the surface capillaries to rupture and bleed due to hormonal changes after pregnancy. In recent years, the age group in which cervical cancer most commonly occurs has quietly dropped to 30-40 years old. Being pregnant does not mean that there is no problem with the cervix. Cervical smear tests should be done regularly before and after pregnancy. If there is vaginal bleeding in early pregnancy, the cervix should also be checked for problems.

2. Ectopic pregnancy

Population at risk: Those who have a history of pelvic inflammation, pelvic adhesions, or have undergone fallopian tube surgery, or had an ectopic pregnancy in the previous pregnancy, etc.

When the fertilized egg implants outside the uterus, it is called an ectopic pregnancy. The incidence rate is about 1%, and 95% of ectopic pregnancies occur in the fallopian tube. Because the wall of the fallopian tube is very thin, it cannot provide enough nutrition to the embryo. The gradually developing fertilized egg causes the wall of the fallopian tube to expand, which can cause the wall to rupture. Abnormal vaginal bleeding will occur at 7 to 8 weeks of pregnancy, and there may even be severe abdominal pain or shock due to massive intra-abdominal bleeding.

In the early stages of pregnancy, if ultrasound examination fails to find any signs of an embryo in the uterus, it is necessary to test the human chorionic gonadotropin (β-HCG) in the blood as soon as possible to diagnose the possibility of ectopic pregnancy and take appropriate measures in a timely manner.

2. Hydatidiform mole

Population at risk: mothers under 20 years old or over 40 years old, food lacking carotene and animal fat, with a history of miscarriage, a history of hydatidiform mole, smoking, etc.

Hydatidiform mole is a benign chorionic disease with an incidence of approximately 1‰, and the incidence is higher in Asian countries. Because of the abnormal proliferation of trophoblastic cells of the placental villi, the terminal villi turn into blisters, which are connected in clusters and resembling grapes, hence the name "hydatidiform mole". In the early stages of pregnancy, there may be symptoms such as abnormal vaginal bleeding, severe morning sickness and even palpitations.

Usually, the diagnosis can be made by ultrasound and blood test for chorionic gonadotropin. The treatment is to use endometrial vacuum aspiration to remove the hydatidiform mole, and then continue to track the chorionic gonadotropin index until it is normal for 3 consecutive weeks, and then track it again every month for 6 consecutive months.

<<:  Is there anyone who has been doing expansion for more than ten years?

>>:  Bleeding in the fifth week of pregnancy

Recommend

What medicine to use in humid tropical weather

The emergence of damp-heat has affected the healt...

How should women maintain health?

Frequent illnesses and poor body resistance are a...

What should I eat when I have my period?

Female friends often don’t know what to eat durin...

Treatment of adenocystic hyperplasia

Menstrual irregularity is a common disease among ...

What is the pain when the stomach hurts during childbirth?

The most painful time for women is when giving bi...

How much do you know about Helicobacter pylori?

This is the 3893th article of Da Yi Xiao Hu Now p...

Why is there always water flowing from a woman's vagina?

A woman's body will undergo a series of chang...

How to treat yeast infection in women?

Mold can be said to be everywhere, and it will in...

How to increase female libido?

It is very important to have normal sexual desire...