Patient's question:
Irregular menstruation has persisted for over a year, either with prolonged absence or with heavy, prolonged bleeding. Over the past 10 days, there has been irregular bleeding with minimal blood volume, only leaking during urination, accompanied by severe lower back pain, abnormal leukorrhea, and cottage cheese-like discharge in the vagina. Yesterday, I underwent a transvaginal ultrasound and an endocrine test. The results are as follows:Transvaginal ultrasound: Endometrial thickness of 14mm, with enhanced echo.
Six serum hormone tests:
- Estradiol: 1140.0 PMOL/L
- Luteinizing hormone (LH): 13.17 IU/L
- Follicle-stimulating hormone (FSH): 4.30 IU/L
- Prolactin: 340.90 MIU/L
- Progesterone: 1.44 nmol/L
- Testosterone: 1.77 nmol/L
- Thyroid-stimulating hormone (TSH): 2.60 MIU/L
- Free triiodothyronine (FT3): 5.36 pmol/L
- Free thyroxine (FT4): 14.61 pmol/L
(Note: These results were obtained from a venous serum sample taken during irregular bleeding.)
Doctor's answer:
Hello, it is necessary to have a D&C followed by pathological section examination. It is recommended to follow the doctor's advice for treatment. It may be related to bleeding caused by hormonal levels. Take Yunnan Baiyao orally for treatment.Looking at it, the occurrence of female infertility not only affects the patient's health but also leads to gynecological diseases. Therefore, it is best to go to the gynecology department of the hospital for a routine examination. After identifying the cause, symptomatic treatment should be administered. Pay attention to personal hygiene and keep the vulvar skin clean.