Patient's question:
Detailed medical history and consultation purpose: I want to get pregnant8/2 menstrual period
9/22 menstrual period
My menstrual cycle is not very regular, but it is basically around 40 days.
Since September, it has been quite abnormal. On 9/22, it came, which was 50 days after 8/2. Before 9/22, I had continuous abdominal pain for 4 days, which was never like this before. During the menstrual period, there were also some small blood clots.
10/19 menstrual period
Later, on 10/19, it came again, but I didn’t feel anything (usually, I would have slight abdominal fullness and pain before it came).
Doctor's answer:
Hello; it is best to seek treatment, but sexual activity is acceptable! During the mid-cycle, specifically 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 ovulation-induced 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 calm mood and avoid excessive stress.