Patient's question:
Around the tenth day after the end of menstruation, there was a small amount of brown liquid again. The test results said it was uterine blood, but I didn't feel like it was my period. What's going on?? First follow-up question: I have a uterine fibroid, and it has recently shrunk. In September, the check-up showed it was 2.52.6 cm, and now in December, the check-up shows it is 2.12.0 cm. Can the fibroid be expelled in this way??Thank you for your reply. However, this brown blood can persist in small amounts until the next menstrual period comes; so I
Doctor's answer:
Endometrial bleeding is a gynecological disorder caused by endometrial bleeding. When undergoing treatment for endometrial bleeding, it is first necessary to understand the specific cause of the bleeding. Here?1. New vaginal bleeding: In a small number of newborns, minor vaginal bleeding is not uncommon and can often stop on its own. It does not require treatment compared to the symptoms of endometrial bleeding.
2. Functional disorders of the uterus:
- Ectopic ovulation type: This type of endometrial bleeding primarily occurs in patients during puberty and menopause. The main symptoms include menstrual disorders, anovulatory cycles, intermittent bleeding, or the onset of menstruation. The menstrual period may be prolonged, irregular, or persistent. Physical examinations typically reveal no significant pelvic organic lesions. The treatment principles for this type of endometrial bleeding include hemostasis, cycle regulation, ovulation induction, and preventing the continuous effects of estrogen. Clinically, estrogen, progesterone, or combined estrogen and progesterone therapy may be used. Western medicine and artificial cycle therapy are also employed. In menopausal women, estrogen therapy may be used to reduce menstrual volume.
- Ectopic ovulation type: This type is seen in women of reproductive age and is characterized by symptoms such as ectopic ovulation or prolonged menstrual periods.
3. Intermenstrual bleeding: Occurring 12–16 days into the menstrual cycle, this involves minor vaginal bleeding caused by the rupture of the follicle and a drop in estrogen levels. Generally, it does not require treatment.
4. Postmenopausal endometrial bleeding: Regardless of the incidence or severity, it is essential to first consider tumors and rule out or confirm non-cancerous conditions. Otherwise, it may be related to pregnancy, inflammation, trauma, or systemic diseases. Endometrial bleeding should be investigated to determine the cause and receive a clear diagnosis, followed by optimal treatment.
Experts remind patients that when discovering their own condition, they should maintain a positive attitude and avoid excessive burden. Early prevention, early detection, and early treatment are key.