What is the cause of menstrual bleeding, revealing the 7 major culprits

Many women feel that they have a lot of menstrual flow, and excessive menstrual flow is naturally not a good thing, but first of all, we need to figure out a question - how much is menstrual flow? The doctor believes that normal menstrual bleeding should be 20~60ml, and more than 80ml is excessive menstrual flow.Based on the approximate estimation of the dosage of sanitary napkins, the normal dosage is to change four or five times a day on average, and each cycle does not exceed two packs (each pack is counted as 10 pieces). Taking women aged 25~40 as an example, the abnormally increased vaginal bleeding is mainly related to the following seven factors:

1. Improper contraception

Sometimes, abnormal vaginal bleeding is associated with the form of contraception used. The most common "trouble" is the intrauterine device. In our country, this is the most common contraceptive method used by women after childbirth, and the most prominent problems it brings are shortened menstrual cycles, prolonged menstrual periods, significant increase in menstrual flow and postmenstrual bleeding. In particular, the new generation of active intrauterine devices with copper ions has increased the amount of menstrual bleeding while improving the contraceptive efficacy.

2. Genital infection

Inflammation of the reproductive organs is another common cause of abnormal vaginal bleeding. The structure of the female reproductive organs makes it more susceptible to various pathogenic factors from the outside world. When women are in a situation where their own defense function is reduced by anxiety, nervousness, fatigue, etc., various pathogenic factors may take advantage of the weakness, resulting in inflammation of the reproductive organs, local blood vessels become fragile, and bleeding during menstruation is not easy to coagulate, often causing increased menstrual flow and prolonged menstruation. If you feel that you are not feeling well in general recently, have heavy vaginal bleeding with pain in your lower abdomen or lower back, increased vaginal discharge, unusual color or odor, fever, frequent urination and pain, you should consider whether your reproductive organs are infected.

3. Miscarriage or abnormal pregnancy

Abnormal vaginal bleeding in mature women is sometimes associated with pregnancy complications. If your menstrual period is usually very punctual, but you are late for more than a week or more than ten days for no reason, and then it flows non-stop like a floodgate, mixed with more blood clots or tissues than usual, and the time is longer than usual. Well, it's likely to be a minor miscarriage.

Similar events are more likely to occur after induced abortion (whether surgical or medical abortion), especially after medical abortion, there is a 5%~10% chance of abortion failure or incomplete abortion.In addition, if it is accompanied by increased vaginal bleeding, palpitation, dizziness, cold sweats, abdominal pain, or even fainting, it may be possibleectopic pregnancysigns.

4. Endometriosis

Endometriosis, adenomyosis, simply put, is the appearance of tissue that should have grown in the inner layer of the uterine wall in other places. These "ectopic" endometrium interfere with the normal functions of the reproductive organs, and are often accompanied by various menstrual disorders - prolonged menstruation, excessive menstrual bleeding, premenstrual spotting, and secondarydysmenorrheaWait a minute.

If you notice a gradual increase in menstrual flow, and it is accompanied by increasing severitydysmenorrhea, if you feel severe discomfort or even pain when making out with your lover, if you find yourself in the right agepregnantEfforts have failed repeatedly...... Please note that it is likely that you have already developed endometriosis disease.

5. Tumors

The most common genital tumors in women of childbearing age are nowhere elseUterine fibroidsFinish.Uterine fibroidsThe incidence rate is very high, up to 20%~25%, but 99.5% of them are benign, and the two types of uterine fibroids that cause menorrhagia are mostly intermuscular and submucosa.

6. Blood diseases

Increased menstrual bleeding may also not be a problem with the reproductive organs themselves, but a sign of a blood disorder. Menstruation, like other bleeding phenomena in the human body, is regulated by its own coagulation system. If there is an abnormality in the coagulation system, such as in a person with hemophilia who is born with a deficiency of a certain clotting factor, heavy menstrual bleeding and long bleeding are sometimes the only manifestation in women with hemophilia because the blood does not clot easily.

Other common blood diseases, such as thrombocytopenic purpura, leukemia, aplastic anemia, etc., are also prone to affect the coagulation system and cause heavy menstrual flow. If you are prone to various infections at the same time, often have a fever (especially high fever), and in addition to frequent menstruation, abnormal bleeding conditions such as skin ecchymosis, nosebleeds, and bleeding gums occur, it is necessary to be alert to whether you have a blood disease in time.

7. Endocrine disorders

If all of the above conditions are ruled out, it is time to consider whether there is a possibility of dysfunction. This is the case of endocrine disorders that many people often refer to. However, each person's situation will be different, and the doctor will determine what type of hormone level imbalance and its possible causes according to different menstrual phases, basal body temperature measurement, reproductive hormone measurement, etc., combined with diagnostic curettage, ultrasound scan, MRI and other auxiliary examinations, and then carry out targeted treatment.If you often have symptoms such as irregular menstruation, heavy and low menstrual flow, irregular menstrual periods, premenstrual spotting, etc., and no other obvious cause cannot be found, then it is likely that the dysfunction is at work.