Patient's question:
Have I done well with the Xiaojie issue? I'm going to have an ultrasound, and the doctor said everything is fine, but it's a small hospital and they don't have an ultrasound table. Is the problem still serious? My period is completely normal.Doctor's answer:
Menstruation, also known as the menstrual cycle (Mestrualcycle), is a physiological cyclical process that occurs in some fertile female humans and other hominoid animals. Other mammals, however, experience estrous cycles. In women of reproductive age and older female primates, the endometrium undergoes a cyclical change of assisted thickening, vascular proliferation, glandular growth and secretion, as well as endometrial collapse and shedding accompanied by bleeding, approximately every month. This cyclical vaginal discharge or uterine bleeding phenomenon is referred to as menstruation. The menstrual cycle is regulated by the interaction of reproductive hormones among the hypothalamus, pituitary gland, and ovaries. The following changes occur during the menstrual cycle: ① After a female reaches puberty, under the control of gonadotropin-releasing hormone from the hypothalamus, the anterior lobe of the pituitary gland secretes stimulating hormones (FSH) and a small amount of luteinizing hormone (LH), which promote the development and maturation of follicles in the ovaries and initiate the secretion of estrogen. Under the action of estrogen, the uterine lining undergoes proliferative changes; ② As the follicles gradually mature, estrogen secretion gradually increases. When it reaches a certain concentration, it promotes the secretion of gonadotropins by the anterior lobe of the pituitary gland through a positive feedback mechanism, with a more pronounced increase in LH secretion, forming a luteinizing hormone release peak, which induces the mature follicle to ovulate; ③ Under the action of luteinizing hormone, the follicle after ovulation forms a corpus luteum and secretes estrogen and progesterone. During this phase, the endometrium primarily accelerates growth and functional differentiation under the action of progesterone, transforming into a secretory endometrium; ④ Due to the large amount of estrogen and progesterone secreted by the corpus luteum, the concentration of these two hormones in the blood increases. Through negative feedback, they inhibit the hypothalamus and pituitary gland, reducing the secretion of follicle-stimulating hormone and luteinizing hormone by the pituitary gland. The corpus luteum then atrophies, and the levels of progesterone and estrogen rapidly decrease. The endometrium suddenly loses the support of these two sex hormones, collapses, and bleeds, leading to the shedding of the endometrium and the onset of menstruation.Menstruation is also known as "monthly affairs," "monthly water," "monthly messages," "periods," or "seeing red," and is called menstruation because most people experience it once a month. It refers to regular, cyclical uterine bleeding. Strictly speaking, accompanied by this bleeding, there should be follicular maturation, ovulation, and corpus luteum formation in the ovaries, as well as changes in the endometrium from proliferation to secretion. However, in clinical practice, there are cases of uterine bleeding without ovulation, known as anovulatory menstruation. Normally, if menstruation is regular, it indicates that your reproductive function is also normal. It has little to do with "doing xiaojie," as engaging in "xiaojie" simply means having more sexual activity than usual. It may only affect reproductive function if the number of abortions is excessive. Additionally, sexually transmitted diseases (STDs) contracted during "xiaojie" may affect the child, but otherwise, there is no harm, as long as you do not have reproductive system diseases, you can still reproduce.