Patient's question:
Detailed medical condition and consultation purpose: I am currently a college student, but during high school, I experienced abnormal vaginal discharge, characterized by a large amount of reddish-brown discharge during ovulation and a foul odor. At that time, I thought it was caused by menstrual irregularities due to academic stress. Last summer, I took Chinese medicine at home for two months to treat menstrual irregularities, but it had no effect. Now I am worried that I might have a serious gynecological disease and don't know what to do. I hope a kind doctor can provide an answer.Medical history: 2 years
Previous diagnoses and treatment history and effectiveness: No hospital examination. Took Chinese medicine for regulation.
Doctor's answer:
Hello: The situation you mentioned may be ovulation bleeding. During the mid-cycle, which is 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 ovulation 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.