Patient's question:
Medical History Description: Menstruation on July 20th, with very little flow, dark brown in color, and still ongoing. Past Treatment and Effectiveness: Took traditional Chinese medicine for ten days, which had no effect. Went to the gynecology department for a check-up a few days ago. Transvaginal ultrasound results: Uterus is retroverted, thickness 37, width 45, length 44, cervix length 33, endometrial thickness 5, echo texture is not uniform, no significant blood flow was detected inside, echo texture within the uterus is not uniform. Posterior uterine rectal pouch has 14mm of fluid accumulation. Prescribed Erythromelone tablets, Estradiol Valerate tablets, and Progesterone, but there has been no significant improvement after taking them. Desired Help: Want to understand what might be causing this? What other tests should be done?Doctor's answer:
According to your situation, vaginal bleeding is a common symptom of diseases in the female reproductive organs. The bleeding can come from the vulva, vagina, cervix, and endometrium, but it is most commonly from the uterus. In such cases, it is important to take it seriously and actively undergo endometrial pathology and cervical scraping cytology tests. You should pay attention to hygiene, use a dedicated basin with warm water to clean the vulva, and maintain cleanliness and dryness of the vulva. Change underwear frequently, preferably with good breathability, and eat less spicy food. Drink more yogurt, which helps maintain the normal acidic environment of the vagina. If the symptoms are severe and accompanied by itching, pain, or other symptoms, it is recommended to seek medical attention.