"A Ru, are you facing the calendar every day? Is there anything important?" Colleague Xiaoxia came over with gossip.A Ru put away the phone and was a little hesitant, "My body seems to have a problem …"
Xiaoxia’s brain turned quickly, "Is it a big aunt?"
A Ru bit her lips nodded, "It should be here half a month ago, but I haven’t moved. I really miss my auntie pain."
"You shouldn’t you …" Xiaoxia compared with her stomach, "Have you?"
"Don’t talk nonsense! We have also tested, it’s not the reason." A Ru asked Xiaoxia to ask Xiaoxia, "Have you ever had a situation where the aunt was chaotic? Either you haven’t come for a long time or come back once a week or two?"
Xiaoxia crooked her head and thought about it, "Occasionally, when I change the environment or the pressure of work, my aunt loves to delay."
"It is too difficult to be a girl, and the work is annoying. The aunt came to make fun of it!" A Ru threw her mobile phone onto the table, a little frustrated.
Xiaoxia is echoed, "That’s just that is! Don’t come up, it’s upset. Don’t you go to the hospital?"
"Well, when I don’t come this weekend, I will go to the hospital to check what the reason is, to see if I can adjust it."
Speaking of menstruation, I believe that friends in front of you on the screen are definitely no stranger, especially female friends. Since entering adolescence, they have started to get along with it, and they can no longer be familiar.
Even in view of the characteristics that it must be reported every time, many women kindly call it "aunt".I really love and hate this "big aunt"!Why do you say that?Let’s look down.
Menstruation is a physiological phenomenon unique to women.Its first appearance, that is, the first tide, marked the maturity of women’s reproductive function, and also indicates that the formal arrival of adolescence is of great significance to women.
When we entered adolescence, the follicles that have been "sleeping" before were affected by the influence of the anterior pituitary gonadotropin gonadotropin, and also synthesized estrogen.
After mature follicles, ovulation, that is, mature follicles slowly move to the surface of the ovarian, just like balloon, the pressure of the ovarian surface cells will be thinner until it is broken until a large amount of follicular fluid is bound with egg cells.
After the ovulation, the next appearance is luteum.
After the follicle ovulation, the collapsed follicular wall, the connective tissue, capillaries, etc. in the follicle wall extend to the particle layer, gradually becoming larger, forming a cell group that is rich in capillaries and can synthesize estrogen and generates gestational hormones.Because it is yellow when it is fresh, we usually call it luteum.
If the egg cells are successfully fertilized, the fertilized eggs will be developed through the fallopian tube to the uterus to develop. This is pregnancy.
When egg cells fail to fertilize, luteal will gradually shrink about 2 weeks after ovulation and stop secreting estrogen and progesterone.At this time, the blood vessels in the endometrium will also shrink, causing the endometrium to fall off and bleeding. This is menstruation.
As we all know, menstruation is a periodic physiological activity.In addition to just entering the adolescence, ovarian function is not yet sound, and the positive feedback mechanism of the center of estrogen has not yet matured, resulting in irregular menstruation, the normal menstrual cycle and menstrual blood volume are regular.Therefore, when bleeding abnormalities occur, it is necessary to consider whether there is the possibility of abnormal uterine bleeding.
For example, long menstrual periods or too many menstrual flow, frequent menstruation, bleeding at non -menstrual time, or bleeding after menstruation belong to abnormal uterine bleeding. The following is simply introduced in several special circumstances.
1. No ovulation abnormal uterine bleeding
Uterine bleeding without ovulation abnormalities is well understood. This is uterine bleeding caused by endocrine dysfunction.
Because a major manifestation of women’s ovulation is a menstrual disorders, whether the interval time between menstruation or bleeding is not regular, whether it is the interval time between menstruation.
In particular, some women have a large amount of bleeding, which may cause anemia or even shock.
2. Ovulation abnormal uterine bleeding
Compared to the former, ovulation abnormal uterine bleeding is relatively rare.However, the occurrence of ovulation abnormal uterine bleeding during the fertility period will be slightly more. When there are a small amount of vaginal bleeding, abdominal pain, lumbaric acid and other symptoms occur, you can think about it.
The reason why ovulation abnormal uterine bleeding is actually related to the changes in estrogen levels. When estrogen levels rise, it may occur, and if the luteal existence time is too short, this may occur.
3. Abnormal uterine bleeding caused by organic lesions.
The occurrence of abnormal uterine bleeding may have something to do with some gynecological diseases, such as endometrial polyps, submucosal fibroids, cervical cancer, endometrial cancer, cervical polyps, etc., which may cause irregular bleeding.
Taking the female first killer, cervical cancer as an example, in the middle and advanced periods of patients, large blood vessels were invaded by cancer cells, and eventually rupture and bleeding would eventually occur.
As a common gynecological condition, abnormal uterine bleeding can cause bleeding.When the problem occurs, it can be treated in time according to the cause of the cause to stop the loss in time.
Reason one: endocrine factors.
Most of the uterine bleeding in ovulation -free abnormalities is because the main factor of uterine hemorrhage without ovulation abnormal abnormal abnormal abnormalities is because the follicles in the body develop to a certain extent, which will naturally apoptAs a result, the endometrium cannot produce progesterone confrontation under the action of a single estrogen, and eventually forms bleeding.
To put it simply, when the patient has abnormal ovulation dysfunction, the level of follicles rupture estrogen during menstrual periods decreases shortly, which can cause abnormal uterine bleeding.
Reason two: quality lesions of uterine pelvic cavity.
This is an abnormal uterine bleeding caused by organic lesions.For example, one of the maniforms, one of its manifestations is that the amount of menstrual flow is large and the menstrual time is prolonged; and the endometrial polyps, cervical cancer, etc. often occur in contact bleeding;
Endometritis, cervicitis, vaginitis, etc. can also cause abnormal uterine bleeding.For example, endometritis, in the inflammation, occurrence of congestion and edema and surrounding tissue necrosis, irregular bleeding will occur.
Reason three: coagulation dysfunctional disease.
In addition to our familiar leukemia, regenerative disorder anemia, there are also sudden platelet reduction purpura and liver function damage can also cause abnormal uterine bleeding.
Take leukemia as an example, we all know that leukemia is a malignant tumor disease of the hematopoietic system. It can cause severe lesions of the patient’s blood system and cause coagulation dysfunction. One of the most typical symptoms of leukemia patients is bleeding, and the bleeding placeAll parts of the whole body include the uterus.
So, how should we treat when abnormal uterine bleeding?
From the above, we can know that there are many causes of abnormal uterine bleeding. For different causes and different circumstances, it is recommended to adopt different treatment methods.Below we list a few examples for your reference.
1. The treatment of abnormal uterine bleeding caused by endometrial polyps.
When the patient is diagnosed with endoscope polyps, in addition to being recommended to do hysteroscopic examination, according to whether the patient has fertility needs, the polyps are removed or used by electrical cutting through mechanical methods.Drug -assisted therapy to reduce the recurrence of polyps to achieve the purpose of treating abnormal uterine bleeding.
2. Treatment of abnormal uterine bleeding for the local abnormalities of the endometrium.
We can treat the local abnormalities of the endometrium by oral short -acting contraceptives such as short -acting contraceptives and improving abnormal uterine bleeding.When an emergency or conditional requirement, the curettage treatment is also considered.
3. The treatment of abnormal uterine bleeding caused by uterine fibroids.For uterine fibroids, we need to use hysteroscopy or laparoscopy.
4. The treatment of systemic diseases that cause abnormal uterine bleeding for systemic diseases that cause coagulation mechanisms.First of course, it is necessary to treat primary diseases.
Considering that patients with abnormal coagulation mechanism have not achieved the ideal effect after conservative treatment, we may perform surgical treatment based on the patient’s own physical conditions on the premise of controlling the internal medicine.
Of course, we have different treatment plans for different primary diseases.In the case of abnormal uterine bleeding caused by leukemia, if patients do not achieve the ideal effect after conservative treatment, we will mainly treat leukemia related measures, and gynecological assistance to control menstrual bleeding.
5. The treatment of abnormal uterine bleeding caused by ovulation disorders.
First of all, we must ensure that the principle of treatment is to correct anemia while stopping bleeding during the bleeding period. When the hemostasis task is completed by adopting the hemostasis of the hemostasis, the patient’s menstrual cycle is correct to prevent the re -incidence of endometrial hyperplasia and abnormal uterine bleeding.
Patients with fertility needs should also take ovulation -promoting drugs for ovulation treatment to allow patients to achieve the purpose of pregnancy as soon as possible.
After reading the text above, do you have a certain degree of understanding of the abnormal uterine bleeding?
There are many types of abnormal uterine bleeding, and it is difficult for ordinary people to judge the root cause through superficial phenomena.Therefore, as a woman, when facing the most familiar "old friend", please don’t panic.Let yourself calm down, you must go to the hospital to check the cause in time, and treat it according to the doctor’s suggestion.
Of course, in order to better cooperate with the doctor to complete the treatment, when the phenomenon of abnormal uterine bleeding occurs, the patient can pay attention to the specific conditions such as bleeding and bleeding time, so that doctors can better grasp the disease.
references:
[1] The Obstetrics and Gynecology Commission of the Chinese and Western Medicine Society.
[2] Huang Yuhua. Professor Chai Songyan’s academic thoughts and clinical experience summarizes and the study of the rules of polycystic ovary syndrome based on associated rules. Beijing University of Traditional Chinese Medicine. 201-11-01
[3] Lu Xiao. The influencing factors of the abnormal uterine bleeding in the childbearing age.
[4] Qiao Jie; Qi Xinyu; Xu Yalan; Pang Yanli. Following the important reproductive endocrine disease of women’s health, polycysts of ovary syndrome. China Practical Gynecological and Obstetrics Magazine. 20120-01-02
[5] Li Liuye; Zhang Cong; Hou Zhongwei; Xing Jianmin; Yan Jilan. The name of the diseased disease and the cause of the cause of the disease and the cause of the cause of the pathogenesis.
