It is very important for women of childbearing age to judge whether they are healthy or not if they want to conceive without suffering from diseases. If the "great aunt" is abnormal, it will more or less have a negative impact on women's physical and mental life, and even lead to female infertility.
In addition, some women's "great aunt" abnormality is completely caused by abnormal uterine bleeding. It is very important for women to distinguish normal menstruation and abnormal uterine bleeding. Therefore, special attention should be paid to it.
case
Ms. Li, 31, is exactly the age of having a second child. They want to have a second child. Not that they don't want it, but now she has her troubles. Every time she has menstruation, she has to have gonorrhea and Lala bleeding for several days in the middle period, sometimes for more than 10 days, which has been bothering her for a long time, and the effect of oral medication was not good. When Ms. Li came to aiqier maternity hospital to look for the director of children, her face was full of melancholy, far from the spirit of a 31 year old woman. "Aunt" just clean her, pelvic ultrasound shows: endometrial thickening about 1.4cm.
Looking at the results of the examination, director Tong said: "I'm afraid that if this thickness is considered, whether the endometrium has polyps or not should be considered.". She said, "I suggest you have a hysteroscopy..."
Ms. Li said anxiously, "isn't it necessary to cut the uterus?"
Sympathizing with Ms. Li's anxiety, director Tong explained to her, "if the examination is endometrial polyp, it can be treated by hysteroscopy, without cutting the uterus!"
(director Tong Yafei is doing hysteroscopic surgery for Ms. Li)
What is abnormal uterine bleeding?
Abnormal uterine bleeding is a common symptom and sign in gynecology. It refers to abnormal bleeding from uterine cavity which is inconsistent with the cycle frequency, regularity, length and amount of bleeding in normal menstruation.
Abnormal uterine bleeding is common in ovulation disorders, uterine fibroids, endometrial polyps, adenomyosis, endometrial atypical hyperplasia (precancerous lesions) or malignant change and coagulation dysfunction. Therefore, once bleeding different from menstruation occurs, it is necessary to seek medical attention in time, find out the causes as early as possible, and standardize treatment. Hysteroscopy is the most intuitive instrument to examine endometrial lesions.
How long does menstrual cycle belong to normal?
The length of the menstrual cycle depends on the length of the ovarian cycle. Generally, the interval between two menstruations is 21 to 35 days, which is normal. The average menstrual cycle is 28 days. It's normal to advance or delay 7 days. As long as it can keep a certain regularity, it can't be considered as irregular menstruation. When the menstrual cycle is more than 35 days, it is rare; when the menstrual cycle is less than 21 days, it is frequent.
How much is menstruation and menstrual volume normal?
The bleeding time of menstruation is generally 3-7 days, and the amount of menstruation is 5-80ml each time. However, it is not easy to calculate the amount of blood loss during menstruation. It can only be roughly calculated by how many times a day the pads are changed, and the amount of blood loss on the second to third day of menstruation is the most. In general, the monthly menstrual volume of women may exceed 80ml, as long as the body can tolerate it, there is no need to deal with it.
What disease is menses little common in?
Decreased menstruation is often seen in ovulation disorders, such as polycystic ovary syndrome, premature ovarian failure. In addition, patients with a recent history of induced abortion have the possibility of intrauterine adhesions, and the amount of menstruation decreases or even amenorrhea after intrauterine adhesions.
What disease is menorrhagia common in?
The most common increase in menstrual volume is leiomyoma, especially submucous leiomyoma. The second is adenomyosis. In addition, it can also be adolescence or Perimenopausal Anovulatory uterine bleeding, or even cervical cancer, endometrial cancer and so on. After abortion or induction of labor, uterine cavity remains can also cause a large amount of vaginal bleeding.
What should be paid attention to before and after hysteroscopy?
The best time for hysteroscopy is within 3-7 days after menstruation is clean. During this period, the endometrium is thin and the lesions in the uterine cavity can be seen clearly. In addition, it is not easy to make too thick endometrium enter the abdominal cavity through the fallopian tube. For patients with large amount of vaginal bleeding, hemostasis should be performed first, and hysteroscopy should be performed after the bleeding is reduced. Patients with a small amount of bleeding from the vagina can have hysteroscopy at any time.
Finally, I would like to remind the majority of female friends that menstruation and abnormal uterine bleeding cannot be confused. When menstruation disorder or irregular vaginal bleeding occurs, it is necessary to go to the regular hospital for examination and treatment in time, so as not to affect personal health and cause more serious physical and mental damage.
Tong Ya Fei
Director of Obstetrics and Gynecology
Director of Department of Obstetrics and Gynecology of the third people's Hospital of yuanyan City, who has been engaged in obstetrics and gynecology for more than 40 years, has rich clinical experience in the treatment of high-risk pregnant women and the treatment of childbirth. Good command of gynecology and obstetrics, especially cervical cancer, ovarian cancer, endometrial cancer and other gynecology radical surgery and infertility diagnosis and treatment, have a good reputation; good at gynecology all kinds of laparoscopic surgery and vaginal surgery diagnosis and treatment.
Outpatient time: Monday to Friday (all day) Sunday (all day)