Patient's question:
Today is December 21st, six days after my period ended, I had some unclear bleeding from my lower abdomen. The amount was not much, but I had lower back and abdominal pain, similar to the symptoms before my period. I feel very tired. Some people say it's ovulation bleeding. Is that the case? Or is there another problem?Note: Abortion on November 1st, period started on December 9th, slight bleeding after intercourse on December 15th (took post-coital contraception), no bleeding after intercourse on December 18th, unclear bleeding again on December 21st (today). First follow-up question: Is it ovulation bleeding? Can I wait two more days to see how it goes?
Doctor's answer:
Hello: Your condition is likely to be ovulation bleeding, but it still requires active treatment! During the mid-cycle, i.e., 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 ovulation 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.