Patient's question:
Detailed medical condition and consultation purpose: Menstrual intermenstrual bleeding for two years, with excessive and cloudy discharge. What could be the cause?Duration and course of the current illness: Secretions and slight bleeding began 10 days after the onset of menstruation, gradually increasing over 4-5 days and then gradually decreasing until stopping.
Current general condition:
Medical history: Two consecutive years
Previous diagnoses and treatment history and effectiveness: Traditional Chinese medicine (TCM) focused on removing damp-heat, but the effect was not good
Auxiliary examinations: None
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 shedding of the endometrium and resulting in regular vaginal bleeding, known as ovulatory bleeding. In Traditional Chinese Medicine (TCM), this is referred to as "intermenstrual bleeding."Treatment
1. Western Medicine Treatment: Diethylstilbestrol 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.