Patient's question:
Severely, it needs to be changed every hour, a 350MM sanitary pad can be fully soaked in one time, and it takes several times to get up and change during the night. Sitting down can clearly feel the menstrual fluid sliding down, forming large blood clots. On July 16, toothache started, and it was noticeable that the face was also swollen. Later, some medication was taken, and the flow significantly decreased. From July 21 to August 13, there was a little bit, but the color was quite pale, and now even when urinating, there is a little bit of blood in the urine. Married but not pregnant, no history of taking birth control pills or miscarriage.Medical history and treatment effectiveness: On July 18 (when the menstrual flow was still relatively heavy), a routine vaginal discharge test was normal, and the FC blood routine test showed mild anemia (HGB hemoglobin 84g/L, RBC red blood cell count 3.5, HTC red blood cell hematocrit 28.6%, HCG negative, uterus
Doctor's answer:
Menstruation is caused by the shedding of the endometrium and bleeding, regulated by hormones secreted by the ovaries. Considering your age, it is possible that this could be menopausal dysfunctional uterine bleeding, but it could also be caused by other conditions such as endometrial lesions. It is recommended that you first review the pathology results from your previous D&C to check for any endometrial lesions. If none are found, treatment with progesterone medication to stop the bleeding is generally necessary.Patients should avoid excessive eating or consuming greasy, fatty, cold, raw, or spicy foods to prevent damage to the spleen and stomach, which could lead to insufficient production of essential substances, or the accumulation of dampness and phlegm, or the cooling or scorching of blood, all of which can cause menstrual irregularities.