Patient's question:
Gender: FemaleAge: 27
Detailed medical condition and consultation purpose: On October 13th, I underwent medication-induced abortion. Later, an ultrasound examination confirmed that my uterus had recovered. On November 14th, my menstrual period arrived, and it was also normal. About ten days after the period, the discharge in these days was brownish, and sometimes my lower back ached. Could you please explain what this could be? Do I need to get checked? What kind of tests should I have?
First follow-up question: What is ovulation bleeding? Why does this occur?
Doctor's answer:
Hello: During the middle of the menstrual 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 ovulatory 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.