Patient's question:
Gender: FemaleAge: 27
Detailed medical condition and consultation purpose: On October 13th, I had medication-induced abortion. Later, an ultrasound check showed that my uterus had recovered. On November 14th, my menstrual period came and was normal as well. About ten days after the period, the discharge in these days was brown in color, and sometimes my lower back also ached. Could you please explain what this is? Do I need to be examined? What kind of tests should I take?
First follow-up question: What is ovulation bleeding? Why does this occur?
Doctor's answer:
Hello: 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 shedding of the endometrium and resulting in regular vaginal bleeding, known as ovulatory 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.