What Can I Do About Heavy Menstrual Flow?

Low menstrual flow (less menstrual flow) The menstrual cycle is basically normal, and the menstrual flow is significantly reduced, or even a little bit is net; Is a menstrual disease. ^[1] Less menstrual period and late menstruation, often accompanied by weight gain. The disease can develop into amenorrhea in adolescence and childbearing age, and it often enters menopause in menopause.

Less menstrual flow

Less menstrual flow (

Less menstrual flow means

1. Excessive dieting for weight loss

For a variety of reasons, many women have met their body requirements

1. Low menstruation has caused a lot of harm to women's physical health, mainly including endometrial displacement, cervicitis, menstrual arthritis, menstrual rash, menstrual toothache, and menstrual asthma.

2. It can also cause women's acne, which affects the beauty of women's faces, and these stains can not be solved with cosmetics alone. If not diagnosed and treated early, it will not only affect beauty, but also affect physical health.

3. Low menstrual flow can cause headaches for women, and severely cause

Key points for low menstrual flow diagnosis

1. The menstrual cycle is basically normal, the menstrual volume is significantly reduced, and even the drip-by-drop diagnosis is the main point of the disease, which is often seen with the late menstruation.

2. Some drugs can cause less menstruation, such as contraceptives, psychiatric drugs, antitumor drugs, endometriosis drugs (such as tamoxifen, danazol, nemetone, etc.). Rattan tablets, bromocriptine and other drugs can also cause reduced menstruation, and should consult the relevant medical history in detail at the time of consultation.

3. Repeated abortion surgery or rough operation, damage to the lining of the uterine lining or uterine cavity adhesions will cause less menstruation, so you need to ask about the abortion operation. Postpartum hemorrhage sometimes manifests as less menstruation and then amenorrhea.

4. Anovulatory dysfunctional dysfunction is relatively rare with simple menstrual periods, sometimes a precursor to anovulatory amenorrhea. Polycystic ovary syndrome can also be seen with less menstruation, often with late menstruation, weight gain, and then amenorrhea. Those with premature ovarian failure first show less menstruation and then amenorrhea.

5. Menstrual cycle with late menstruation should first exclude abortion or ectopic pregnancy, urine, blood pregnancy test and B-ultrasound can be identified.

To diagnose and differentially diagnose the above diseases, the following are available for reference:

(1) Inquire about medical history carefully: history of previous menstruation, history of menopause, fertility, history of abortion surgery, history of chronic diseases or medications affecting menstruation, history of gynecological diseases, etc.

(2) Gynecological examination: whether there are special abnormalities in the internal and external genitals. If it is polycystic ovary syndrome, the bilateral ovaries are slightly enlarged; in endometriosis, one or both ovaries are enlarged and cystic. Sexual, adhesion to the uterus, uterine body fixed and backward, uterine isthmus and palpable nodules.

(3) Pelvic B-ultrasound (or vaginal B-ultrasound): It is of reference value for the diagnosis of abortion, ectopic pregnancy, endometriosis, polycystic ovary syndrome, and intrauterine adhesions (see the diagnosis of each disease for details).

(4) Blood endocrine examination: Inspection items such as T, PRL, FSH, LH, E2, P, etc. are of reference value in the diagnosis of polycystic ovary syndrome, premature ovarian failure, and anovulatory dysfunction. If taking sex hormones, it can affect the blood endocrine report results. ^[6]

Clinical examination with low menstrual flow

Too little menstrual blood is usually drawn for blood tests to check for follicle stimulating hormone, luteinizing hormone, estrogen, prolactin, and progesterone to determine whether the ovarian or pituitary hormone is defective. Secondly, the basal body temperature is plotted to observe whether ovulation or progesterone deficiency occurs. Ultrasound can also be used to detect endometrial thickness and whether ovulation occurs. If it is caused by cervical occlusion due to factor uterine adhesions, it can be separated by hysteroscope and placed in a contraceptive device, and then treated with hormones for 3 months. If progesterone is insufficient, you can add progesterone or use ovarian treatment. Relaxing and reducing stress in your life also helps with normal menstruation.

Distinguishing menstrual flow

Menstruation is a physiological response to periodic uterine bleeding. Generally, the amount of 30 ml per menstrual period is too little, and 180 ml is too much. Normal should be 60 ml each time. This requires us to pay attention to the amount of sanitary napkins used, no more than two packs per cycle. If it is not enough to use three packs of sanitary napkins at a time, each sanitary napkin is soaked, it is too much menstrual flow; on the contrary, if one pack of menstruation is not used up every time, it is too little menstruation, you should go early See a doctor. ^[7]