Patient's question:
Medical History: My girlfriend was supposed to have her period on November 11th, but we had sex on October 31st, and she bled. It wasn't a lot, and she also bled on November 1st, but it stopped by November 2nd. Could you please explain what this could be? It shouldn't be due to a broken hymen, as she should have broken it long ago. Thank you.Doctor's answer:
Hello, during the mid-cycle, which is the ovulation period, due to a temporary decline in estrogen levels, the endometrium loses hormonal support and experiences partial shedding of the endometrium, leading to 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 health, maintain cleanliness of the external genitalia, and prevent pelvic infection.
2. Keep a calm mood and avoid excessive stress.