Period, as the moon break, waves a letter. The so-called period of your almost on schedule, the normal menstrual cycle is a symbol of health, while a variety of menstrual cycle women's health is a barometer of the state, any small changes which are part of the body may be signs of a problem. Small to endometrial thickness, whether large endocrine imbalance, see around corners, can be from the period January to get reflected.
The Whole Story of the menstrual cycle
Menstruation is the cyclical changes in endometrial bleeding occurs periodically. What is the role of menstruation in fact or in preparation in order to nurture new life. Normal female egg each month, there will be discharged, if the fertilized egg, then the endometrium will be constantly under the action of estrogen and development, provide nutrition for the fetus; If the egg is not fertilized, hormone secretion is reduced, endometrial would Nutrition lack of necrosis, shedding from the uterine wall, the formation of blood. The menstrual cycle is carried out, will go through the normal menstrual proliferative phase, luteal phase, menstrual period. Women of childbearing age, without the premise of pregnancy, the change cycle, so called the menstrual cycle.
The relationship between menstrual and endocrine
Menstruation is the formation of endometrial shedding, and shedding of the endometrium is mainly dependent regulation of the endocrine hormones to achieve. Top-down formation of ovarian hypothalamic pituitary gonadal axis about a step by step step by step adjustment. If the adjustment axis of problems, namely, endocrine disorders, will be obstacles to hormones, but also there will be irregular menstruation. Therefore, menstruation is an external expression of the endocrine status, an objective reflection of the endocrine regulation of the current situation.
Abnormal menstruation
Abnormal menstrual cycle on first in, followed by the performance of the color of the period, volume, and texture. Meanwhile, many pathological bleeding can be expressed certain periodicity, but not in normal menstruation, and therefore require careful screening.
The increased volume: 80ml menstrual flow or menstrual cycle is normal, but prolonged
Tip: uterine fibroids, others such as adenomyosis, ovulatory menstrual disorders, intrauterine device may have been the amount of increase.
Risk index: ★
Cyclical vaginal bleeding
Tip: mostly anovulatory dysfunctional uterine bleeding, it should be to rule out early endometrial lesions.
Risk index: ★ ★ ★ ★
Persistent vaginal bleeding
Tip: more commonly caused by reproductive tract, the first consideration should be given cervical cancer or endometrial cancer.
Risk index: ★ ★ ★ ★ ★
Vaginal bleeding after menopause
Hint: it should first consider pregnancy-related diseases, such as miscarriage, ectopic pregnancy, molar, etc.: also may be anovulatory dysfunctional uterine bleeding or reproductive tract.
Risk index: ★ ★ ★ ★ ★
Increased vaginal discharge with vaginal bleeding
Tip: endometrial lesions or uterine fibroids with submucosal infection.
Risk index: ★ ★ ★ ★ ★
Bleeding after sexual intercourse
Tip: immediately after sexual intercourse with blood appear, should be considered early cervical lesions, cervical polyps or uterine fibroids may be submucosal.
Risk index: ★ ★ ★
Intermenstrual bleeding
Tip: If the next menstrual cramps in the first 14 to 15, which lasted 3 to 4 days, and very little blood, the number of ovulation bleeding.
Risk index: ★
After spotting after by the occasional
Tip: ovulatory menstrual disorders or side effects of IUD insertion.
Tips: TCM says
The characteristics of traditional Chinese medicine according to the menstrual irregular menstruation dialectic, according to period, identified the amount of cold and heat, color, quality know the actual situation, combined with systemic symptoms were analyzed. Common irregular menstruation, can be summarized into the following categories:
Qi is a thin-walled, pale.
Porphyria is a color thin Deficiency.
Quality is a pale sticky phlegm.
Color is black, sticky mass block blood stasis.
Less early, red is a rare quality and Hot.
Post-less, thin-walled, pale is Qi.
Pre-volume, color red or purple, sticky mass is blood heat.
Has no regular, the amount of more or less, pale purple color quality thin or stick is a liver mass.
In general, the treatment of menstrual blood, menstruation-based management principles, and the need to attach importance to the treatment of menstrual phase, such as the first treatment due to illness and menstruation. The disease is due to irregular menstruation first menstruation. Could be endometriosis.
Risk index: ★ ★
Intermittent bloody vaginal discharge
Tip: There should be alert to the possibility of tubal disease.
Risk index: ★ ★ ★ ★ ★
Irregular menstruation to do what check?
1 ovarian function test ① endometrial biopsy; ② vaginal cytology; ③ check cervical mucus crystallization. ④ serum E2, P determination, ⑤ basal body temperature measurement.
2 Pituitary function tests:
(1) direct determination of serum LH, FSH levels and PRL levels
(2) pituitary stimulation test
3 sella CT examination to understand whether the pituitary adenoma.
4 chromosome.
5 B-ultrasound to know whether polycystic ovarian changes.
Further examination
1 Laparoscopy: Understanding gonadal status, with or without dysplasia, polycystic ovary, ovarian failure and other changes.
2 Magnetic resonance imaging: exclude pituitary adenoma.
Special Note:
Many female friends often consult this problem: I have long periods have not been here long, this is not a disease, irregular menstruation caused. In fact, not all of the irregular menstruation is disease. After the occurrence of menstrual disorders, many women, but from the uterine hypoplasia, acute and chronic pelvic inflammatory disease, uterine fibroids and other gynecological diseases to consider, to the neglect of the reasons to look outside the womb. As everyone knows, many of the bad habit of factors may lead to menstrual disorders. Mood disorders, long-term mental depression, excessive living, excessive dieting and alcohol addiction can be a direct result of tobacco and other neurological disorders, endocrine disorders appear to lead to the emergence of irregular menstruation.
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