Patient's question:
Thank you for your help. I am twenty-five years old this year. Since I was fourteen, my menstrual cycle has been irregular. I have been treated, but it hasn’t been effective. The current situation is that after the normal monthly menstruation, I have seven days of bleeding in the second and third days. During these seven days, the bleeding sometimes varies in amount, sometimes it is blood, and sometimes it is dark or light brown discharge, and it only stops after seven days. This happens every month, repeating itself.Since living with my boyfriend, my condition has worsened. At first, I experienced pain in both sides of my lower abdomen. When I went to the hospital for a check-up, they found inflammatory cysts. After treatment, the ultrasound showed that there were no cysts in the adnexa, but the pain still persisted, and they diagnosed it as adnexitis. They kept mentioning Dang Gui Zhe Chong (Chinese medicine ingredient), but now it has become even worse.
Doctor's answer:
Non-menstrual vaginal bleeding can be either physiological or pathological: Generally, during the ovulation period, some women may experience ovulatory bleeding, also known as mid-cycle bleeding, which refers to light bleeding between two normal menstrual cycles. It may be accompanied by varying degrees of mild abdominal pain. If the symptoms are mild, no treatment is needed. However, if the bleeding is heavy or affects fertility, medication can be used.However, irregular vaginal bleeding should also be considered as a possible symptom of the following conditions: cervical polyps, acute vaginitis, severe cervical erosion, cervical cancer, submucosal uterine fibroids, etc. Additionally, sometimes due to the insertion of an intrauterine device (IUD), a few blood streaks may be mixed in the vaginal discharge.
It is recommended that you visit a hospital for examination and consult a doctor to identify the cause, receive timely and appropriate treatment.