There are often women consulting in gynecological clinics. Do you have hypomenorrhagia? Will there be a what problem?
In fact, theoretically, as long as each menstrual period lasts for 2-8 days and the amount of menstruation is 20-80 mL, it is not menorrhagia. Of course, there is no measuring cup in real life that can be measured. For example, if your menstrual period lasts for 3 days and uses five or six sanitary napkins, it can only be said that people with more menstruation are less, but it cannot be considered as real menorrhagia.
But some women said:
Only a few drops are dropped when going to the toilet at a time, and the sanitary napkin is hardly wet.
Just one day, only one or two sanitary napkins, and only a little wet.
Just use the pads. You don’t need to change one piece a day. You have to drag on for 7-8 days.
If you are in the above-mentioned situation, the possibility of menorrhagia is greater.
Will what Cause Hypomenorrhagia?
Menstruation is the regular exfoliation of endometrium. The main factors that determine the amount and period of menstruation include: reproductive endocrine regulation, endometrium, nutritional status and other systemic conditions.
For example, menstruation is like leeks, which can be cut once a month and will grow longer. Endometrium is soil, reproductive endocrine regulation is fertilizer, and other systemic conditions such as nutritional status are like light and temperature.
How much leeks are harvested is related to [soil], [fertilizer], [light and temperature].
There are many cases that will cause menorrhagia. In order to make it easier to understand, we still look at the three aspects of [soil] [fertilizer] [light and temperature].
1. [Soil] Cause: Endometrial Damage
All kinds of uterine cavity surgery, such as induced abortion and ring removal surgery, cause endometrial injury and intrauterine adhesion, which are the most common causes of hypomenorrhagia. Many patients find that menstruation gradually decreases after a period of time after an abortion.
Endometritis and endometrial tuberculosis are also the main causes of endometrial damage. Some patients with acute and chronic pelvic inflammatory disease, There are often irregular menstruation, menorrhagia and menorrhagia. In recent years, tuberculosis has a rising trend, and the initial symptoms of genital tuberculosis may not be obvious, and menorrhagia may be the first symptom when rare.
2. [Fertilizer] Reason: Abnormal Reproductive Endocrine Regulation
Reproductive endocrine regulation is an extremely complex and interrelated system. Simply put, changes in mental state and various hormones in the body may affect reproductive endocrine regulation. Common reasons include:
- Changes in mental state and emotional stress: Some women are under pressure from exams or work, Or move to another place to live, Major changes in life may affect mental state, Reduce menstruation. Reproductive endocrine diseases such as polycystic ovary syndrome, hyperprolactinemia, hyperandrogenemia, ovarian hypofunction, etc. can all cause less menstruation. Other endocrine diseases such as hyperthyroidism, hypothyroidism and diabetes can all cause hypomenorrhagia.
3. [Light, Temperature] Reason: Nutritional status and other general conditions are abnormal
Some girls lose too much weight and their nutritional status is too poor, resulting in reduced menstruation or even amenorrhea. Severe liver disease, kidney disease and severe anemia may all cause hypomenorrhagia.
What is rarely harmful to menorrhagia?
Less menstruation is only a manifestation, and the impact on the body depends on what.
However, no matter what kind of reason it is caused, it may affect women’s reproductive function:
- For example, endometrial damage caused by intrauterine adhesion, inflammation and tuberculosis will affect embryo implantation and prevent normal pregnancy. Abnormal reproductive endocrine regulation may lead to abnormal ovulation. Poor general conditions such as nutritional status may lead to failure to ovulate normally or maintain pregnancy.
How to treat menorrhagia?
As mentioned earlier, hypomenorrhagia is only a symptom, and it is impossible to treat [hypomenorrhagia]. Instead, the cause of hypomenorrhagia should be detected first, and then related diseases should be treated accordingly.
There are many possible causes of hypomenorrhagia. Doctors will choose some examinations according to different situations to try to explain the causes. Generally, it may be necessary to do:
- Routine gynecological examination; Vaginal ultrasound; Blood routine, coagulation function, liver and kidney function, etc. Endocrine examination such as sex hormone and thyroid function; Diagnostic curettage or hysteroscopy will also be recommended when necessary.
After the cause is clear:
- If the intrauterine adhesion is caused by surgical operation, Hysteroscopy is required, Perform intrauterine adhesion separation operation, After operation, with certain drug treatment. Endometritis, tuberculosis, First of all, anti-inflammatory and anti-tuberculosis treatment is required, and then hysteroscopic surgery or drug treatment is required as appropriate. Reproductive endocrine diseases such as polycystic ovary syndrome and hyperprolactinemia need endocrine drug treatment to regulate menstruation. Thyroid dysfunction, diabetes, anemia and liver and kidney diseases all need treatment of primary diseases to improve menstruation.
How to prevent menorrhagia?
1. Avoid unnecessary uterine cavity operation
Do a good job in contraceptive measures to avoid induced abortion; Choose a regular and reliable hospital to place or remove IUD.
STEP 2 Pay Attention to Private Parts Hygiene
Avoid unclean sex life; Rinse the vulva with clear water for daily cleaning. Do not rinse the vagina with water or lotion, so as not to break the balance of the vagina.
3. Maintain good physical and mental condition
Don’t go on an excessive diet to lose weight. Physical exercise should be done according to one’s capabilities and should not be excessively tired. Work, study and life pay attention to decompression and relax your physical and mental state.
If you feel that the amount and cycle of menstruation are obviously different from those in the past, please go to a regular hospital in time.
Finally, let’s talk about [cold palace] and [deficiency of qi and blood]…
Many women will ask, am I hypomenorrhagia [cold palace]? Is it [deficiency of qi and blood]?
Unfortunately, there is no such description in medical science, and there is no objective examination to confirm whether you are [cold in the uterus] [qi deficiency] [blood deficiency]. If Chinese medicine doctors give you such judgment, it is generally based on subjective experience and remains to be discussed.
However, as mentioned earlier, it is true that a large proportion of hypomenorrhagia women will have difficulties in giving birth. Most of them can have scientific and reasonable explanations through careful examination. Only after the disease is clearly defined can reliable and appropriate treatment be obtained.
However, the so-called “cold palace, deficiency of qi and blood” and so on do not conform to modern medical theories and have not been tested by scientific practice. Most of the time, they have become the cover for charlatans to cheat. Please carefully identify them.