Patient's question:
My symptoms are only bleeding during ovulation, with a small amount of blood and lasting for about seven days, accompanied by abdominal discomfort. There are no other symptoms. Is this related to cervical erosion? If topical suppositories are not used, can the condition be prevented from worsening by paying more attention to hygiene and rest?Doctor's answer:
Hello: During the mid-cycle, specifically the ovulation period, a temporary decline in estrogen levels causes the endometrium to lose hormonal support, leading to partial endometrial shedding and regular vaginal bleeding, known as ovulatory bleeding. In Traditional Chinese Medicine (TCM), it is referred to as "intermenstrual bleeding."Treatment
1. Western Medicine Treatment: Diethylstilbestrol (DES) 0.25–0.5 mg per day, starting 3 days before ovulation 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 Care
1. Pay attention to menstrual and postpartum health care, maintain external genital hygiene, and prevent pelvic infection.
2. Keep a positive mood and avoid excessive stress.