Patient's question:
Detailed medical condition and consultation purpose: Blood appears in secretions 10 days after each menstrual period, starting with a small amount and gradually increasing until it lasts for about a week, after which it stops. Additionally, there is excessive and cloudy discharge between menstrual periods. What could be the cause?Duration and course of the current illness: This has been occurring for two years.
Current general condition: Currently, it is 16 days after the menstrual period, and the amount of blood is more than the secretions.
Medical history: Two years of history.
Previous diagnoses, treatments, and outcomes: Primarily treated with Traditional Chinese Medicine to remove dampness and heat, but the effect was not good.
Auxiliary tests: No tests have been conducted.
Doctor's answer:
Hello: Your condition may be a symptom of ovulatory bleeding. During the mid-cycle, which is 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, it 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 calm mood and avoid excessive stress.