Patient's question:
[It arrived on the 11th, and it's also the 11th this month, but the first few days of both months were a bit dim. In the morning when I went to the toilet, there was some redness, and then for the rest of the day it was just a bit dim. It's been three days now, and it hasn't really come down yet. What should I do in this situation? Also, is it because of this that my lower abdomen and vagina are itchy? It was the same last month, and it only started to get better a few days ago. Now it's itchy again. What should I do? Medical history and treatment effectiveness: Last month, after my period, my lower abdomen wasn't itchy, and when I went to the hospital, they diagnosed it as candidiasis of the vagina. They prescribed medication to take orally, insert, and wash. It got better sometimes but worse other times. A few days ago it was almost better, but today it's itchy again. What kind of help do I want: Please ask how I should do this?]Doctor's answer:
Normal menstrual bleeding usually lasts 3 to 7 days, and if it exceeds 10 days, it can be considered prolonged. Excessive menstrual bleeding can be caused by many factors, common ones include: fatigue during the menstrual period, exposure to cold, endocrine disorders, IUD insertion, gynecological inflammation, uterine fibroids, blood diseases, liver or kidney disorders, abnormal endometrium, etc. It may also be caused by menstrual disorders. There are many reasons for menstrual disorders, which are usually divided into two major categories in clinical practice: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as pelvic inflammatory disease, endometritis, and endometriosis, which can also cause menstrual disorders.Treatment for menstrual disorders first requires an ultrasound and six sex hormone tests to identify the specific cause. Treatment should be targeted at the primary disease, followed by appropriate use of Chinese herbal medicine for regulation. Additionally, factors such as emotional repression, living environment, stimulating foods, and malnutrition during daily life can also affect menstrual disorders.
After the bleeding stops, six sex hormone tests and an ultrasound should be conducted to identify the cause and then treat accordingly. If necessary, hemostatic drugs may be used. Pay attention to keeping warm and resting during the menstrual period.