Patient's question:
Doctor, hello! I am a 27-year-old unmarried woman. My menstrual cycle has always been regular, but it has shown abnormal symptoms again this month. My menstrual cycle ended on August 7th, and about a week later (on August 13th), I had sexual intercourse. I estimated that this time was likely the ovulation period. Since we do not want to have a child so soon, I took the first pill of emergency contraception on that day. I took the second pill 13 hours later. However, this morning (on August 19th), when I went to bed, I noticed vaginal bleeding. The blood color was much lighter than my normal menstrual period, and the consistency was much thinner. There were also small sand-like discharges.Doctor's answer:
Hello, it could be a case of bleeding caused by birth control pills! During the mid-cycle, which is the ovulation period, estrogen levels briefly rise, causing the endometrium to lose hormonal support and partially shed again, leading to regular vaginal bleeding, known as ovulatory bleeding. In traditional Chinese medicine, it is referred to as "intermenstrual bleeding."Treatment
1. Western medicine treatment: Diethylstilbestrol 0.25–0.5 mg per day, starting 3 days before menopause and stopping 2–3 days after the bleeding stops.
2. Traditional Chinese medicine treatment: Liuwei Dihuang Wan, Gujing Wan, and Xuefu Zhuyu Wan.
Prevention and Adjustment
1. Pay attention to menstrual and postpartum care, maintain external genital hygiene, and prevent pelvic infection.
2. Keep a calm mood and avoid excessive stress.