Patient's question:
First and second day are light, second and third day are heavy, basically gone by fourth and fifth day, then back on the sixth day, and it's heavy again, what's going on?Doctor's answer:
There are many causes of excessive menstrual bleeding.1. Excessive secretion of estrogen by the ovaries, or prolonged stimulation of the endometrium leading to its hyperplasia beyond normal thickness, resulting in increased blood loss during shedding. This is seen in cases of anovulatory dysfunctional uterine bleeding.
Advice:
Excessive menstrual bleeding can be caused by organic lesions in gynecology, such as uterine fibroids, uterine polyps, etc.
3. Systemic diseases, such as leukemia, aplastic anemia, thrombocytopenia, pernicious anemia, liver disease, hypertension, etc.
4. Emotional factors, fatigue, postpartum, and intrauterine devices can also cause excessive menstrual bleeding.
5. In some patients, the abundance of spiral arterioles in the endometrium or increased vascular fragility can also lead to this condition. It is recommended to seek medical evaluation for a detailed examination to identify the underlying cause and receive targeted treatment.