Patient's question:
I had my period on October 19th and it lasted until the 26th. Then on November 5th, it came again and stopped after 2 days. It hasn't come since then. Could this be an ectopic pregnancy or a gynecological disease?Doctor's answer:
Hello, ectopic pregnancy, also known as an ectopic pregnancy, refers to a condition where a fertilized egg is affected by certain factors and implants and develops outside the uterine cavity, such as in the fallopian tubes, uterine angles, abdominal cavity, ovaries, etc. It can present symptoms such as amenorrhea, irregular vaginal bleeding, abdominal pain, syncope, and shock.First, perform a pregnancy test to determine if pregnancy exists.
If pregnancy is not confirmed, it should be ovulatory bleeding.
During the mid-cycle, i.e., the ovulation period, due to a temporary decline in estrogen levels, the endometrium loses hormonal support, leading to partial endometrial shedding and causing regular vaginal bleeding, 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 health, maintain cleanliness of the external genitalia, and prevent pelvic infection.
2. Maintain a calm mood and avoid excessive stress.