Patient's question:
Detailed medical condition and consultation purpose: A small amount of dark red blood appeared in the vagina about five to six days after the menstrual period, lasting for about a week. The blood volume increases after physical activity. Is this considered intermenstrual bleeding? What medication can be taken?Duration and course of the current illness: Eight days.
Current general condition: Good.
Medical history: This has occurred for several months each year.
Previous diagnoses, treatments, and outcomes: Some Niujichubifeng pills were taken, but the effect was not very good.
Doctor's answer:
Hello: Based on your situation, it should not be classified as intermenstrual bleeding.During the mid-cycle, specifically 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, which is known as ovulatory bleeding. In traditional Chinese medicine, this 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 positive mood and avoid excessive stress.