Patient's question:
Detailed medical condition and consultation purpose: Endometrial polyps. Had a hysteroscopy surgery at the end of March, and menstruation returned to normal afterward. However, bleeding started two months later. What is the best treatment? I have not been pregnant yet. Will this affect fertility?Duration and onset of the current illness: Since early June
Current general condition: Menstruation lasts about eight days, with lighter flow and blood clots in the last three days. The cycle is around 30 days. Around ten days after menstruation, there is bleeding with a small amount and dark color, usually lasting two to three days.
Medical history: Mid-cycle bleeding has persisted for about two years
Previous diagnoses:
Doctor's answer:
Hello: It generally does not have a significant impact on fertility.During the mid-cycle, i.e., the ovulation period, due to a temporary decline in estrogen levels, the endometrium loses hormonal support and experiences partial shedding, leading to regular vaginal bleeding, which is known as ovulatory bleeding. In traditional Chinese medicine, it is referred to as "intermenstrual bleeding."
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.