Patient's question:
I am 35 years old, and I experience bleeding a week before my period starts (the discharge turns red). It usually lasts for about a day, and my period comes after six or seven days. This has been happening for five consecutive months now. I want to ask if this is normal.Doctor's answer:
Hello: Based on your description, it may be ovulatory 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 resulting in regular vaginal bleeding, known as ovulatory bleeding. In Traditional Chinese Medicine (TCM), 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 (TCM) 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.