The following article comes from the obstetrics and gynecology hospital affiliated to Fudan University, the author Ye Dan
Case:
Ms. Liao has been annoyed in the past six months. She had a good appetite and could not eat well.Obviously, Auntie had just walked for ten days, but was a bit bleeding.Is it not to be detoxified?She went to a health conference hall and received various "detoxification" treatment before and after. She still failed to solve the problem. She finally entered Dr. Xiaoye’s clinic.Considering that Ms. Liao is 47 years old and overweight, after careful examination, we also gave her an endometrium diagnosis.
In the end, the cause of bleeding was found: endometrium cancer.Fortunately, the tumor was still early.
Like Ms. Liao, in fact, most women have more or less vaginal bleeding in her life, but it is by no means a tumor as soon as she bleeding, and it is not the so -called "detoxification".
In order to prevent sisters from continuing to enter the pit, Dr. Xiaoye has compiled n possibilities for vaginal abnormal bleeding. Which one are you?
01
N possibilities of vaginal abnormal bleeding
性 Pregnancy and other systemic diseases
First of all, it is necessary to exclude bleeding related to pregnancy, such as abortion and ectopic pregnancy.Systemic diseases, such as coagulation dysfunction, or taking large doses of anticoagulant drugs can also cause abnormal bleeding.
常 uterine structure abnormal
Uterine muscle layer lesions: such as uterine fibroids, adenomy, adenomy muscle disease, etc.
Uterine endometrial lesions: Including benign lesions such as polyps, endometritis, malignant lesions such as endometrial tumors, especially after menopause, bleeding, which is closely related to endometrial cancer;Sisters after the operation of the uterine cavity should pay special attention; and the primary uterine endometrial dysfunction, the principle is relatively complicated, and is an abnormal molecular and cell mechanism responsible for regulating the amount of blood loss during menstruation.
道 Cervical and vaginal structure lesions
Cervical lesions: commonly after the same room bleeding, benign lesions such as cervicitis and cervical polyps; there are also malignant lesions such as cervical cancer.
Vaginal lesions: Common vaginal epithelial internal lesions, or vaginal wall cysts, vaginal septum, etc.
▌ hormone -related issues
Using drugs that can affect the normal release of estrogen hormones: for example, for diabetes, liver, kidney, thyroid, and adrenal dysfunction for long -term medication.
Other factors affecting estrogen hormones and metabolism: such as emotional or physical pressure, and significant changes in weight, which can also interfere with the hypothyroidism to release gonadotropin and prevent ovulation, which in turn occurs, and then menstrual disorders and abnormal bleeding.
Adolescent and menopausal abnormal bleeding: usually related to abnormal ovulation. Patients may have no ovulation or scarce ovulation, causing abnormal secretion of estrogen hormone, especially the lack of progesterone, causing drip bleeding or a large amount of bleeding.Women who are older than 45 have a decrease in ovarian function, and menstrual fluctuations will also occur.If you do n’t know if you have any problems, come to consult a doctor more reliable, because the female hormone levels of these two periods fluctuate large, and it is more prone to breakthrough bleeding.
▌ Medical source factors
Commonly placed in -palace -saving rings, or oral gonad steroids (especially preparations containing progesterone, such as emergency contraceptives).
▌ ▌ 性 性
The diverticulum of the incision of the cesarean section will also cause abnormal bleeding. The occurrence of the diverticulum will increase with the number of cesarean section.
Trauma
Common vulvar bruises or lacerations when vulva rides transmissions and severe rooms.
▌ Physiological reasons
About 9%of women in childcare periods between two menstruation are mostly abnormal bleeding in about a week after menstruation is clean. It may be related to the decrease in the level of estradiol after ovulation, so it is also called ovulation bleeding.The duration is short and can heal itself.
02
What should I do if abnormal bleeding?
First of all, you must exclude pregnancy, and then gynecological examination. If necessary, you need to be imaginary examination to evaluate whether there is an endometrium polyps, cesarean section scar defects, and uterine structure abnormalities.Patients with irregular bleeding are often accompanied by abnormal ovulation, and they must also understand whether thyroid function, violin, and ovarian function are abnormal.
For non -pregnancy patients, if there is obesity or other uterine endometrial diseases, endometrial sampling is required; even if there are no high -risk factors, repeated abnormal bleeding or after menopause bleeding must be sampled.If it is contact bleeding, such as bleeding after the same house or after gynecological examination, be alert to cervical lesions and seek medical treatment as soon as possible.
For acute bleeding, adolescent girls are mainly hormone hemostasis. For menopausal women, the first choice of endometrial diagnosis and scraping bleeding. The hemostasis can be collected at the same time.After that, it also needs to be followed up for a long time to monitor the potential risks and sequelae of ovulation -free bleeding.
There may be many vaginal bleeding, which are physiological and pathological, and the problems can be large or small.But sisters must pay attention to their physical changes and seek medical treatment in time.
Source of this article: Affiliated to Obstetrics and Gynecology Hospital of Fudan University
