Patient's question:
Hello! I have endometriosis, but about seven days before my next menstrual period, I suddenly experienced abdominal pain and then light bleeding for three consecutive days. This has happened for three months now. After consulting a doctor, they said it was ovulation bleeding. Could ovulation bleeding last for three days? Isn't ovulation supposed to occur between two menstrual periods? Also, three months ago, there was a family tragedy—my mother passed away. Could this be related to my emotional state? I urgently look forward to your response. Thank you!Doctor's answer:
Hello: Your condition still falls under the symptoms of ovulatory bleeding, and it is best to actively treat it! During the mid-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.