*For medical professionals only
Please take a seat in the following cases
Many sisters have had a kind of confused experience: they got up early in the morning to go to the toilet, and found that there was a dirty blood on the inside of the small inside, and it would be fine if they returned to normal the next day.
If in the next time, this blood color gradually increases, many people will open their minds...
I can't be a problem with the uterus, right?
Could it be a terminal illness?
What the hell is going on here?
In fact, in the end, it is all a pot of abnormal vaginal bleeding, so what is abnormal vaginal bleeding?
In simple terms, abnormal vaginal bleeding refers to bleeding from the reproductive system other than normal menstruation, and the bleeding sites can be in the vagina, cervix, uterine body, and fallopian tubes, but uterine bleeding is the most common.
What does normal menstruation look like?
Many girls don't know what normal menstruation is. Here's a look at it
Usually, the cycle of normal menstruation is 21-35 days, the menstrual period is 3-7 days, and the amount of bleeding per menstrual period is about 5-80 ml.
Simply put, normal menstruation has the following common features:
Menstrual cycle rules: The interval between two menstrual periods is fixed.
Menstrual flow rules: the amount of menstruation is similar every time, not more than once, less at a time.
Menstrual duration rule: The number of days that menstruation lasts is similar, not once long, once short.
Normal aunts are the same, but abnormal bleeding has their own moths.
Bleeding during ovulation
Bleeding time: if there is abnormal bleeding, first look at the time is not in the ovulation period, the ovulation period is generally in the middle of two normal menstruation (cycle of 28-30 days).
Duration: can reach 5-6 days.
Amount of bleeding: Compared with the great aunt, the amount of bleeding during ovulation is less.
Color: The color of ovulation bleeding is not so bright, mixed in the vaginal discharge, generally black-brown.
Cause: Bleeding during ovulation is a signal of ovulation. When the follicle is released, the estrogen will start to go downhill.
If the sudden drop is too much, its amount is not enough to maintain the level of the endometrium, and the endometrium will suddenly fall off and pass through the vagina, giving us the illusion that the great aunt is here again.
Pregnancy, ectopic pregnancy or miscarriage
Bleeding time: Young women of the right age (with a history of sexual life) The big aunt did not come, the little aunt came, first of all, I wondered if I was pregnant!
Duration: 2-3 days.
Amount of bleeding: the amount of bleeding is less and the duration is shorter (2-3 days).
Color: There is a small amount of coffee-colored punctate bleeding.
Cause: In the early stages of pregnancy, the embryo is not yet stable and is still a normal condition. However, if the amount is large and lasts for several days, it may be a sign of ectopic pregnancy and miscarriage, and it must be treated immediately.
Stressful, eating disorders
Bleeding time: Bleeding occurs when stress is high.
Duration: Shorter time, usually 2-3 days.
Amount of bleeding: drip bleeding.
Color: The color of the bleeding is not so bright Oh, mixed in the white band, generally black brown.
Causes: excessive work pressure, nervousness, anxiety, overeating, excessive dieting, strenuous exercise, etc. may affect ovulation, ovulation is not normal, abnormal bleeding is inevitable.
Recommendation: First go to the hospital to confirm that there are no other diseases, then adjust your living habits, observe for a period of time, and if the condition does not improve, then ask a doctor to deal with it.
Bleeding after snapping
Bleeding time: Bleeding on contact.
Duration: The time is short, and it will not come out without contact.
Amount of bleeding: May be only a blood capillary, or there may be heavy bleeding.
Color: Bright red.
Cause: Cervicitis, endometrial polyps, uterine fibroids, adenomyomas may bleed under stimulation of sexual intercourse, or it may be the first night, or a vaginal tear. But if it is an old driver, suddenly one day there is such an abnormal situation, do not be careless, this may also be a dangerous sign of cervical cancer, go to the hospital in time for examination!
Irregular bleeding after menopause
Bleeding time: postmenopausal.
Duration: Longer, repeated.
Bleeding volume: less in the early stages, there may be bloody drainage, and in the late stages, there may be massive bleeding.
Cause: No menstruation for 1 year, followed by abnormal bleeding, may be cervical cancer, endometrial cancer, and the older the age, the greater the risk.
Around the age of 55 is the peak period of endometrial cancer, do not think that it is menstruation again, rejuvenation, to seek medical treatment as soon as possible.
After talking so much, it is not that I hope that the sisters will conduct "self-diagnosis", but I hope that you will understand more about this knowledge, once the above situation occurs, seek medical treatment in time, and do not delay!
As for the treatment of vaginal bleeding, the treatment method will vary from person to person depending on the situation, depending on the cause. I won't cover it here.
Remember the most important point: once there is vaginal bleeding, it is urgent to seek medical attention in time!
What else should I pay attention to for vaginal bleeding?
1. Pay attention to the hygiene of private areas. Pay special attention to menstrual hygiene, avoid menstrual sex life, wash and change underwear frequently (panties are best worn cotton, comfortable and breathable without hurting the skin).
2. Conduct regular inspections. Babies of childbearing age can undergo a gynecological routine examination every 1-2 years, and secretions, cytology, and B ultrasound are arranged. Women, be nice to yourself!!!
3. Symptoms appear and are treated in time. After finding the problem, do not be overly nervous and anxious, go to the hospital in time to diagnose the cause of the relevant examination, and treat the symptoms, you know, the major diseases are accumulated little by little by small diseases.
Source of this article: Medical Community Obstetrics and Gynecology Channel
Audit expert: Ding Yan, Obstetrics and Gynecology Hospital affiliated to Fudan University
This article is written by Ai Yao
Editor-in-Charge: Ichikawa