Patient's question:
Medical Description: The menstrual period was almost over on the fourth day, and there was one instance of sexual activity after that. Subsequently, the menstrual flow increased, and it has been ongoing for 6 days now. Previously, I had mild pelvic effusion, which was cured after medication.History of Treatment and Effect: I had mild pelvic effusion in the past, which has been cured.
Help Needed: What is this condition, and how should I regulate it?
Doctor's answer:
1. The causes of excessive menstrual bleeding are due to a weak constitution, insufficient middle Qi, dietary and physical exhaustion, prolonged illness damaging the spleen, leading to spleen deficiency and weak Qi, resulting in the leakage of Qi, blood, and water. A constitution with excessive Yang, extreme emotions, the transformation of five emotions into fire, excessive consumption of spicy foods, external exposure to heat, and heat accumulating in the meridians, forcing blood to flow excessively.2. This is caused by improper overexertion during the menstrual period, prolonged blood stagnation, postpartum blood stasis, and the inability of new blood to return to its proper channels. The presence of blood clots in menstrual discharge is regulated by the hypothalamic-pituitary-ovarian axis and undergoes cyclical changes.
3. The mixture of shed endometrium and blood constitutes menstrual blood. If a larger amount of endometrium is shed, resulting in blood clots, this is a normal physiological phenomenon. However, if the endometrium is infected, symptoms such as increased bleeding and abdominal pain may occur.
4. Most causes of excessive menstrual bleeding with blood clots should first be considered whether they may be due to menstrual irregularities. Menstrual irregularities are generally characterized by abnormal menstrual cycles or abnormal bleeding amounts, which may be caused by irregular diets, functional disorders, or organic lesions.