Understanding Irregular Menstrual Cycles: Causes and Concerns
Menstrual issues Hello Doctor: My question is that I had my period at the beginning of January (I don't remember the exact date), then I had a light period again in mid-January that lasted for about two days and then stopped. During this time, I had unprotected intercourse w...
Dr. Yang Wangjun Reply:
Hello: If there is abnormal vaginal bleeding, the first step is to take a pregnancy test to rule out the possibility of a miscarriage. Next, a thorough examination should be conducted to check for cervical polyps or endometrial polyps that may be causing the bleeding. An ultrasou...[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns
Understanding Brown Discharge: What It Means for Your Menstrual Health
Secretions issues? Hello doctor, last month (December) I experienced brown discharge before my expected menstrual period, and I did not get my period that month (December) at all. It has been like this until today, but I have not had any sexual intercourse. What could this situat...
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in middle-aged women may include hormonal imbalance, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If ...[Read More] Understanding Brown Discharge: What It Means for Your Menstrual Health
Understanding Abnormal Menstrual Flow: Causes and Concerns
Menstrual issues Hello, doctor. I would like to ask about my menstrual issues. I have had sexual intercourse, but I have always used protection. For the past few months, my menstrual flow has been watery and dark red in color. I visited a gynecologist in mid-December, and after m...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If symptoms p...[Read More] Understanding Abnormal Menstrual Flow: Causes and Concerns
Understanding Delayed Periods, Negative Pregnancy Tests, and Uterine Thickening
Delayed menstruation, one line on the pregnancy test, thickened endometrium? Hello Dr. Lu: My last menstrual period was on September 29, and my cycle is usually around 30 days, which has been very regular since I was young. This month, my period should have started on October 29....
Dr. Lü Lizheng Reply:
1. In the center of the uterus, there is a layer of tissue known as the endometrium. The embryo implants itself in the endometrium; if the embryo does not implant, the endometrium will shed and be expelled through the vagina, which is what we observe as menstruation. 2. Therefo...[Read More] Understanding Delayed Periods, Negative Pregnancy Tests, and Uterine Thickening
Understanding Endometrial Thickness After Adenomyosis Surgery
Endometrial thickness Doctor, after the removal of adenomyosis, does the uterus become smaller, similar to how an apple is peeled? Therefore, when there is endometrial hyperplasia, does it become thicker until menstruation occurs and it returns to a normal endometrial thickness? ...
Dr. Lü Lizheng Reply:
The normal endometrium is located in the center of the uterus, on the surface of the muscular layer. In contrast, adenomyosis is characterized by endometrial tissue growing in the wrong location, specifically within the muscular layer of the uterus. Endometrial hyperplasia refers...[Read More] Understanding Endometrial Thickness After Adenomyosis Surgery
Understanding Endometrial Hyperplasia: Symptoms, Treatments, and Concerns
Endometrial hyperplasia issues? Hello, I have been experiencing heavy menstrual bleeding for two years. This year, in order to conceive, I discovered that I have endometrial hyperplasia and atypical adenomatous hyperplasia. I have been taking Farlutal (500 mg per day) for almost ...
Dr. Xu Junrui Reply:
Hello Peipei, the medication Fulu Duo contains a high dosage of progesterone, and it is possible to experience spotting during its use. If you are concerned, you may return for a consultation with your physician. Additionally, both Youjie Tong and Fulu Duo contain progesterone, s...[Read More] Understanding Endometrial Hyperplasia: Symptoms, Treatments, and Concerns
Understanding Menstrual Irregularities: Possible Causes and Concerns
Menstrual issues Hello, my last menstrual period started on April 11, and I haven't had my period in May, June, or July. I have had sexual intercourse, but we always used condoms, and I have taken two pregnancy tests, both of which were negative. I consulted a traditional Ch...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal menstrual cycles may include pregnancy, polycystic ovary syndrome, hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors or endometrial hyperplasia. If menstruation does no...[Read More] Understanding Menstrual Irregularities: Possible Causes and Concerns
Understanding PCOS: Managing Breakthrough Bleeding and Activity Concerns
Polycystic Ovary Syndrome (Ovulatory Phase Bleeding) After seeking medical attention, it was discovered that I have polycystic ovary syndrome (PCOS). I am being treated with oral contraceptives, and to prevent breakthrough bleeding before my period, I am taking progesterone in ad...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal bleeding outside of the menstrual period in women may include hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal ...[Read More] Understanding PCOS: Managing Breakthrough Bleeding and Activity Concerns
Heavy Menstrual Bleeding: Causes and Solutions for Women at 45
Menstrual flow My mother, who is 45 years old, has been experiencing heavy menstrual bleeding for a week. She has already seen a doctor, but there has been no improvement. Could you please provide some guidance?
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in middle-aged women may include hormonal imbalance, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If ...[Read More] Heavy Menstrual Bleeding: Causes and Solutions for Women at 45
Understanding Irregular Periods: Symptoms, Causes, and Solutions
Menstruation is delayed or irregular? Doctor, I'm sorry, but I'm the one who asked about pseudoeczema last time. After I asked my question, I noticed brown discharge. In the past, this would usually mean my period was coming in a few days, but this time it hasn't c...
Dr. Yang Wangjun Reply:
Hello: (1) If there is abnormal vaginal bleeding, pregnancy-related miscarriage symptoms should be ruled out first. If there is no pregnancy, a pelvic examination and ultrasound should be performed to check for vaginal lacerations, cervical polyps, endometrial hyperplasia, and ot...[Read More] Understanding Irregular Periods: Symptoms, Causes, and Solutions
Understanding Abnormal Bleeding: Causes and Concerns for Women
Intermenstrual bleeding Hello, my last menstrual period started on January 17, and the last time I had intercourse was on January 14, during which I used a condom and confirmed that there was no ejaculation inside. However, on February 9, I suddenly experienced a discharge of bro...
Dr. Yang Wangjun Reply:
Hello: Vaginal bleeding should first be evaluated with a pelvic examination to rule out organic causes of bleeding, such as vaginal lacerations, cervical polyps, or cervical erosion. Next, a pregnancy test should be performed to exclude bleeding due to miscarriage or ectopic preg...[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women
Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women
What is wrong with me? From September to November, I experienced seven episodes of abnormal bleeding (I am unsure which one was a normal menstrual cycle). On November 11, I underwent a transvaginal ultrasound, during which the doctor informed me that there were no follicles in ei...
Dr. Lin Wenbin Reply:
The absence of visible follicles in the ovaries does not necessarily indicate that ovulation has occurred; it may also suggest that no follicles have matured. Abnormal growth of the endometrium can lead to menstrual irregularities. The initial treatment approach is to use progest...[Read More] Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women
Understanding Dark Brown Discharge Before Menstruation: Causes and Concerns
Increased dark brown discharge before menstruation? Hello, doctor. I have been experiencing discharge before or after my period for one to two years, but it's not every month, and the amount varies each time. This time, however, it has been particularly heavy. My last menstr...
Dr. Lü Lizheng Reply:
In response to the increased secretion, inflammation should be prioritized as a consideration, followed by endometrial hyperplasia or the presence of polyps. The influence of ovulation and hormonal secretion abnormalities should also be taken into account. Please visit a gynecolo...[Read More] Understanding Dark Brown Discharge Before Menstruation: Causes and Concerns
Post-D&C: Is Bleeding Normal After Uterine Curettage?
Post-D&C (Dilation and Curettage) Hello: After undergoing a dilation and curettage (D&C) due to endometrial hyperplasia, I am experiencing spotting on the fourth day post-operation. Is this normal? Could it be due to poor wound healing or uterine contraction? I have an ap...
Dr. Cao Guotao Reply:
Hello: It is normal to have some spotting after a dilation and curettage (D&C) procedure. You only need to return for a follow-up appointment if the bleeding is excessive; otherwise, you can follow up as scheduled in one week. Wishing you good health.[Read More] Post-D&C: Is Bleeding Normal After Uterine Curettage?
Understanding Endometrial Hyperplasia: Symptoms, Treatment, and When to Seek Help
Endometrial hyperplasia In September, the doctor confirmed menopause through a blood test. On December 15, menstruation returned with heavy flow, numerous blood clots, and prolonged duration. After delaying until December 30, a vaginal ultrasound was performed, revealing endometr...
Dr. Cao Guotao Reply:
Hello, if an ultrasound shows thickening of the endometrium, I generally recommend that my patients undergo a pathological examination of the endometrium before considering any medication. Therefore, I suggest you consult your obstetrician-gynecologist or go to the hospital for f...[Read More] Understanding Endometrial Hyperplasia: Symptoms, Treatment, and When to Seek Help
Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Menorrhagia This month, my menstrual cycle has been very irregular. It was supposed to start on the 13th but didn't begin until the 26th. I initially thought I had ovulation bleeding, but it only lasted briefly and then stopped. Since then, I've experienced intermittent...
Dr. Yang Wangjun Reply:
Hello: (1) Abnormal vaginal bleeding requires a pregnancy test to rule out miscarriage or ectopic pregnancy as potential causes of bleeding. (2) Next, a pelvic examination should be performed to check for any vaginal or cervical lacerations or lesions that may be bleeding. An ult...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Understanding Abnormal Endometrial Thickening: Causes and Treatment Options
Endometrial hyperplasia Hello, Doctor. I have been experiencing prolonged menstrual periods since October 2011. In October, I took tranexamic acid to stop the bleeding. In November, my period lasted for 16 days, and my hemoglobin dropped to 10. The doctor administered progesteron...
Dr. Zhang Kunmin Reply:
Hello, the thickness of the endometrium varies throughout the menstrual cycle, being thinnest right after menstruation and reaching its thickest point during the luteal phase after ovulation, just before the next period. It is recommended to measure the endometrial thickness 2-3 ...[Read More] Understanding Abnormal Endometrial Thickening: Causes and Treatment Options
Understanding Birth Control Pills and Pain Relievers for Endometriosis
Contraceptive pills and pain relievers? Hello Dr. Lu, 1. Why can birth control pills suppress endometriosis? Isn't it true that while birth control pills inhibit ovulation, the hormones in the pills still induce menstruation? In this case, doesn't the endometrium stil...
Dr. Lü Lizheng Reply:
Dear Moss: 1. In addition to containing female hormones, a more important component of contraceptive pills is progesterone, which can effectively suppress endometrial hyperplasia. 2. The function of pain relievers is to regulate prostaglandins, which promote uterine contracti...[Read More] Understanding Birth Control Pills and Pain Relievers for Endometriosis
Understanding Uterine Inflammation and Chronic Vaginal Infections
Uterine inflammation? Hello, Doctor: I have been suffering from chronic vaginal infections, endometrial hyperplasia, and endometriosis. Around July 25, I started experiencing abdominal pain, and on the 27th, I consulted a doctor who diagnosed me with uterine inflammation and a va...
Dr. Lü Lizheng Reply:
Dear Ean: 1. Why do I frequently experience vaginal infections and uterine inflammation, and how can I maintain and cure this condition? Answer: Vaginal infections may be caused by fungi, particularly Candida, which can easily recur and may develop resistance to treatment. If r...[Read More] Understanding Uterine Inflammation and Chronic Vaginal Infections
Understanding Thickened Endometrium and Heavy Menstrual Bleeding
Thickened endometrium, resulting in heavy menstrual bleeding with each cycle? Hello Doctor: Since the year before last, my menstrual cycle has become irregular. Sometimes the flow is light, but it can last for two weeks without stopping. I visited a gynecologist and took medicati...
Dr. Chen Changfu Reply:
Women in the perimenopausal phase may experience irregular ovulation due to ovarian dysfunction, leading to an inability to ovulate on a regular schedule. As a result, the endometrium continues to proliferate and thicken under the influence of pre-ovulatory female hormones, causi...[Read More] Understanding Thickened Endometrium and Heavy Menstrual Bleeding