Menstrual endometrial shedding picture

The problem of uterine wall falling should be carefully analyzed to understand the causes, such as systemic symptoms or abnormal bleeding caused by some gynecological diseases. It is important to identify the causes before symptomatic treatment can be carried out. What is the reason for the uterine wall to fall off during menstruation? What are the main abnormal manifestations of uterine wall falling? On the 3rd to 4th day of a normal menstrual period, the metabolic uterine wall has completely fallen off and is replaced by the reconstructed reproductive endometrium.

However, when the corpus luteum does not shrink all day, the uterine wall showing metabolic reactions can still be seen on the 5th to 6th day of the menstrual period. In some areas there is still endometrial bleeding, in other areas there is new reproductive endometrium.

The main manifestations of abnormal uterine wall falling off

The main manifestation is abnormal uterine capillary rupture. The patient's menstrual cycle is normal, but the menstrual period will be extended by 9 to 10 days. The menstrual flow will be heavy and in small clots, and it may even last for several days. It makes you feel very troubled.

1. Systemic symptoms

The most common systemic diseases are the following diseases of the blood system, such as low platelet count, high white blood cell count, lack of coagulation factors, and hematopoietic dysfunction. They can usually be diagnosed and eliminated through routine blood tests and coagulation tests. Next, kidney problems may occur.

2. Abnormal uterine bleeding caused during pregnancy

Women with ectopic pregnancy and threatened abortion all have bleeding from the vagina, which can be easily misdiagnosed if the patient does not have a history of amenorrhea and abdominal pain. Therefore, for women who have sex, if they find that they have vaginal bleeding, they need to do the following basic gynecological examinations to rule out pregnancy-related diseases.

3. Abnormal bleeding caused by gynecological diseases

Including injuries to the private parts and vagina, inflammation of the vagina, cervix and uterus, cervical, uterine, ovarian and bilateral fallopian tube tumors are all conditions that cause bleeding to a greater or lesser extent. It is necessary to understand the medical history and conduct gynecological examinations for this type of people, and to conduct corresponding auxiliary examinations, such as ultrasound, CT or MRI, to find the cause and treat it symptomatically.

4. Abnormal bleeding caused by iatrogenic factors

(1) If menstrual bleeding continues after the placement of an IUD, the IUD can be removed and endometrial curettage can be performed if necessary.

(2) When using steroid hormone contraceptive methods, such as estrogen-only subcutaneous implants, menstrual periods may not be clean during the early stages or before the end of the menstrual cycle. (3) Women use contraceptive pills several times in a short period of time.

Uterine wall/myometrium disease: The uterine wall/myometrium part participates in blood circulation in the normal menstrual "self-limitation" through the balance of prostacyclin, coagulation factor/anti-fibrinolytic factor metabolized by the part, thereby ensuring that the normal menstrual period does not exceed 7 days and the blood loss is 20-60mL. However, imbalance or abnormality of some factors caused by various reasons may lead to abnormal uterine bleeding or excessive menstruation.