Last week, there was such a patient with a gynecological clinic: 30 years old, and I had no menstruation for 2 months. There was no symptoms of discomfort. I always felt abdominal pain and breast tenderness.It’s not irregular menstruation, so come to the clinic for examination.
When you look at the results of urine pregnancy examination, you can see that there are two bars on it -you are pregnant!The patient was wondering: "I obviously did not respond, why did I get pregnant? Can’t I react after pregnancy?"
Do you have similar doubts when you read the article?Not all in the film and television drama, when a woman suddenly covered her mouth into the bathroom or started to vomit, she must be pregnant!
However, it is not.
Clinically, nausea and vomiting after pregnancy, breast bloating, abdominal distension or stomach discomfort, etc., are called early pregnancy reactions, but these conditions will definitely occur after pregnancy. These symptoms are not unique to during pregnancy.
Most of the early pregnancy reactions appear around 40 days of menopause, which varies from person to person in the morning and evening, which is related to the increase in levels of choricular gonadotropin (HCG) and estrogen hormones in the early pregnancy.These hormones can affect the digestive system and breasts, and some women have symptoms such as nausea, vomiting or loss of appetite, and breast tenderness.Without pregnancy, before menstruation, the level of estrogen hormone in women’s body will also rise, and similar gastrointestinal reactions and breast pain will also appear.
In addition, when there are these problems, there will also be endocrine diseases such as menopause and similar early pregnancy reaction pituitary tumors, thyroid dysfunction abnormalities, and other endocrine diseases. Originally irregular menstruation, often do not come to menstruation for a long time., Vomiting; taking drugs: take drugs containing estrogen or other drugs when taking drugs; anxiety caused by long -term infertility, affecting mental and psychological state. Over time, the hypothalamus -pituitary -ovarian axis is normal in the body.The function is disturbed, hormone secretion is disordered in the body, and then inhibit ovarian ovulation, and there are related fake pregnancy symptoms such as menopause, breast swelling, nausea, vomiting, and appetite changes.
Can not accurately judge whether you are pregnant through the symptoms of early pregnancy, and what else’s early signs of pregnancy can help for reference?
In addition to the above -mentioned discontinuation, breast pain, nausea and vomiting, after pregnancy, the changes in breasts and vagina are also specific:
First, the volume of the breasts gradually increases, the veins are revealed, and the nipple isola is deepened.Dark brown nodules appear in the hyperplasia around the areola, called Montessori Nodules.
Second, when doing gynecological examinations, the vaginal mucosa and cervical vulva are congested purple -blue, and the uterus will become softer.
After pregnancy, some women will have frequent urination, and some women will have more estrogen, such as skin pigmentation (facial, white line), spider moles, liver palms, irregular vaginal bleeding, abdominal pain or abdominal distension, abdominal pain, abdominal distension,Symptoms such as constipation.
Speaking of the end, I remembered a patient I met yesterday. I described my menstruation with unconventional menstruation, and my menstruation was delayed this month.When I told her the possible reason, let her test her pregnancy to confirm whether she was pregnant, but she said that her menstruation had never been a problem, and finally said that I was an immoral doctor.It’s really ridiculous!
According to this logic, there is no problem with the previous menstruation, and there will be no problems in the future.
Pregnancy testing is actually a very simple thing. Menstruation is not a problem. Why not deceive yourself?
If menstruation is usually regular and sexual life, once the menstruation exceeds the original cycle for more than one week, consider whether to be pregnant. If it exceeds 10 days, it is highly suspected of pregnancy. It is recommended to go to the hospital for examination and do not control the symptoms by yourself.
It is necessary to do urine or blood HCG examination if you are pregnant. Finally, the diagnosis of the gestational sac through the ultrasound examination is not enough to see the above symptoms. The combination of symptoms combined with auxiliary examination is the "gold standard" of diagnosis.
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