I do n’t leave when menstruation comes, I ca n’t escape these reasons

Source: Affiliated to Obstetrics and Gynecology Hospital of Fudan University

Menstruation does not come, some people worry about pregnancy, and some people worry about premature aging, but menstruation refuses to leave, and it is anxious.

Individual differences in menstrual menstruation are large, usually 2-8 days, and the menstrual time is more than 8 days. Menstruation is incomparable as a prolonged menstruation.

Women’s menstruation is a complex and systematic physiological response, mainly due to the orderly regulation of the hypothalamus-pituitary-ovarian axis (HPO axis), and is adjusted by multiple sex hormones, so the causes of menstrual periods are diverse.

1. Adolescent menstruation extension

Menstruation disorders are very common in adolescence, mainly due to the immature development of adolescent girl HPO axis. They are characterized by ovulation -free. The failure of ovulation has continued to thicken the endometrium. Subsequent ovulation leads to prolonged menstrual period.Within 1.5-6 years.Some patients with prolonged menstruation during adolescence may occur in anemia in severe cases and need to seek medical treatment in time.

2. Prolonged menstrual periods of childbearing age

First of all, it is necessary to exclude pregnancy -related diseases, such as signs of abortion, ectopic pregnancy, etc., and then consider other reasons.Reproductive endocrine -related diseases

Some endocrine diseases that affect follicle development are common causes of prolonged menstrual periods of childlike age, such as non -ovulation abnormal uterine hemorrhage, luteal incomplete function, hyperburnemia, polycystic ovarian syndrome, early ovarian dysfunction, etc.EssenceTreatment is mainly aimed at disordered hormone regulation.Organic lesions of reproductive organs

Common diseases include: uterine fibroids, uterine adenomia, endometrial polyps, reproductive tract malformations, cesarean section diverticulum, etc.Uterine fibroids (especially lower mucosal fibroids) and uterine adenomia can cause increased menstrual flow and prolonged menstrual period, but uterine adenomia disease may also be accompanied by gradually aggravating dysmenorrhea.The two can be diagnosed through laboratory examinations such as imaging, tumor logo and other laboratories.The endometrium polyps, cervical polyps can be found through ultrasound and gynecological examination.Reproductive tract malformations, such as vaginal oblique and mediastinal uterus, can also cause diseases such as endometriosis and infertility in the long run. Surgical treatment can be considered.In addition, for women after cesarean section, the menstruation may be endless due to the incision of the cesarean section.

However, some menstrual extension may also indicate malignant lesions, including cervical cancer, endometrial cancer, ovarian cancer, etc., which are required to conduct cervical cancer screening (including HPV, TCT) and gynecological B ultrasound each year.

Second, menstrual excessive period

During this period, the women’s ovarian function gradually declined, and the follicles gradually exhausted, affecting the ovulation and menstrual cycle, and the menstrual period was prolonged.However, women who have gone through menstruation during cross -period are even more alert to the occurrence of malignant lesions.

3. Other situations

The menstrual cycle will also be affected by internal and external stimuli, such as fatigue, stress, obesity, excessive weight loss, and systemic diseases.Common systemic diseases such as systemic lupus erythematosus and unique platelet reduction purpura are mainly caused by coagulation dysfunction. In this case, primary diseases need to be treated in a timely manner.

Women’s normal menstrual cycle is usually 2-8 days. The extension of the menstrual cycle may be caused by multiple reasons. The menstrual extension should seek medical treatment in a timely manner to achieve early detection and early treatment of the disease.

references

[1] Reed Bg, Carr Br. Carmal Menstrual Cycle and the Control of Ovulation. 2018 AUG 5. In: Feingold Kr, Anawalt B, Boyce A, Christos g, de herder ww, dharataya k, Dungan k, hershman jm,Hofland J, Kalra S, KALTSAS G, KOCH C, KOPP P, KORBONITS M, Kovacs CS, Kuohung W, LaFerrère B, Levy M, McLACHLAN R, Morley Je, New M, PURNELL J, Sahay R, Singer F, Sperling MA, Stratakis CA, Trence Dl, Wilson DP, Editors. Endotext [Internet]. South dartmouth (ma): mdtext.com, inc.; Pmid: 25905282.

[2] Deligeoroglou E, Creatsas G. Menstrual Disorders. Endocr dev. 2012; 22: 160-170. Doi: 10.1159/000331697. EPUB 2012 Jul 25. PMID: 22846527.

[3] Jones k, sung sung s. Anovulation bleeding. 2021 jun 26. In: statpearls [Internet]. Treasure island (FL): Statpearls Publicishing; 2021 JAN -. PMID: 31747180.

[4] liang b, xie yg, xu xp, hu ch. Diagnosis and tarcous myoma of the uterus with interTrasound. Oncol lett. 15 (5): 6 (5): 6 189-6194. Doi: 10.3892/OL.2018.8122. EPUB 2018 Feb 27. PMID: 29616100; PMCID: PMC5876458.

Ovulation Test Strips - LH50/60/105


Posted

in

by

Tags: