Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please explain what causes heavy menstrual bleeding?Doctor's answer:
There are many causes of excessive menstrual bleeding: 1. Due to excessive secretion of estrogen by the ovaries, long-term stimulation of the endometrium causes it to thicken beyond normal levels, resulting in increased bleeding during shedding, such as in anovulatory functional uterine bleeding. 2. Gynecological organic lesions: such as uterine fibroids, uterine polyps, etc. 3. Systemic diseases: such as leukemia, aplastic anemia, thrombocytopenia, pernicious anemia, liver disease, hypertension, etc. 4. Emotional factors, fatigue, postpartum, intrauterine devices, etc., can also cause heavy menstrual bleeding. 5. In some patients, a rich supply of spiral arterioles in the endometrium or increased vascular fragility can also lead to excessive bleeding.