Menstruation suddenly becomes less, alert to ectopic pregnancy

The 45 -year -old Li (a pseudonym) went to the hospital for a small menstrual flow, and asked the doctor to check if she was old, but the doctor gave her a test sheet for early pregnancy. She:

Very angry, resolutely refused to do a test of pregnancy.after a few days:

Sudden abdominal pain, accompanied by vomiting and diarrhea, thought it was acute gastroenteritis, and did not come to the hospital for treatment.Later, the pain became heavier and fainted once, and the family quickly took it to the hospital.

When you come, the blood pressure is very low, the heart rate is fast, and the consciousness is blurred. It is already a shock state.

Without coagulation, laparoscopic surgery was performed in the emergency department. During the surgery, he saw a total of 2800ml of bleeding in the abdominal cavity (a person with a weight of 50 kg, about 4000ml of blood in the body).

Seeing this, you may ask: How can I get pregnant after menstruation, but I have a small menstrual flow?

Because of the impact of hormones after pregnancy, although there is no fertilized egg in the uterus, the endometrium will also have a deciduous reaction. Insufficient hormone levels will cause moltice to peel, and vaginal bleeding will occur.People are no different from menstrual flow.


After determining pregnancy, you need to do a B -ultrasound examination. It is further judged whether it is ectopic or intrauterine pregnancy, because not only ectopic pregnancy will bleed, but also bleeding.

Determine is not after pregnancy, you need to find the reason for the low amount of other menstrual flow.

In terms of sentences that are easy to understand, it is aging.

From the age of 40, ovarian function has gradually declined. This process has shorted to 1-2 years and grows to 10-20 years.The ovarian function has declined, the secretion of estrogen has less, and the menstruation will naturally be affected. It can be manifested as a decrease in menstrual flow. The menstrual cycle becomes short or longer, and irregular menstruation.

How to judge whether ovarian function has declined?

Sixth blood detection of sex hormones on the 2-3 days of menstruation.

In fact, most of the ovarian dysfunction will first show shortening menstrual cycle, that is, the time interval between two menstruation is getting shorter and shorter, and it is rare to reduce menstrual flow as the main symptoms.

The thyroid hormone has an impact on ovarian function. It can directly participate and affect the metabolism of ovarian estrogen. The appropriate amount of thyroid hormone maintains the balance between pituitary gland and gonadic gland function.

Therefore, the thyroid function is abnormal, and the secretion of thyroid hormones is abnormal, which will affect menstruation, cause excessive, too little, or irregular, and even cause infertility and natural abortion.

Over the past, uterine cavity surgery such as abortion, endometrial polyps, and uterine mucosal fibroids, etc., may damage the endometrium, cause less menstrual flow, severely cause the uterine cavity adhesion and cause amenorrhea.

For details, see what’s wrong with the amenorrhea after abortion?The damage caused by the flow cannot be ignored.

In addition, some gynecological endocrine diseases such as polycystic ovary syndrome and hyperculfinemia can also lead to less menstrual flow, but rarely occur at older age, and almost no sudden occurred.

After eliminating the above problems step by step, even if the menstrual flow is small, as long as the ovarian function is normal, there is no need to worry too much or special treatment.

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