First, what is menstrual disorders
Menstrual cycle or bleeding of abnormal or pre-menstrual, abdominal pain and menstrual symptoms. Common gynecological diseases. Chinese generally referred to as irregular menstruation, menstrual disorders, and irregular menstruation in turn grouped into early menstruation, late, menorrhagia, or after a few months. According to medical definition, every 21-35 days come by, there will be normal and regular menstrual period. If less than or more than this period, such as days to once every 14, 15, or more than 40 days to a drag, it is not normal. Normal blood volume should be less than 80 ml. Tend to vary the length of period, ranging from 2-8 days, the general average of 4,5 days end.
Performance of the menstrual cycle or bleeding disorders have the following situations:
① Irregular uterine bleeding. Including: menorrhagia or duration is too long. Common in uterine fibroids, endometrial polyps, endometrial hyperplasia, endometriosis; after a few months, the amount and period are less; menstrual period frequency interval that is less than 25 days; menstrual cycle extension the menstrual interval longer than 35 days; irregular bleeding, caused by a variety of reasons, no bleeding regularity. The above circumstances may be local reasons, causes or systemic endocrine diseases.
② Dysfunctional uterine bleeding. Refers to the internal and external genitalia without obvious organic disease, regulation by the endocrine system disorders caused by abnormal uterine bleeding. Menstrual disorders are the most common form, is common in puberty and menopause.
③ Postmenopausal vaginal bleeding. Refers to the cessation of menstruation for six months after the bleeding, often from the cancer, inflammation and other causes.
④ Amenorrhea. Means from the future menstrual or menstrual cycle has been established for more than 3 cycles and then stopped.
Second, the pathological cause menstrual disorders
1. Local – that is, on its own factors. Uterine fibroids are common, especially sub mucosal uterine fibroids, even if the fibroids are smaller, can also cause menorrhagia; followed by adenomyosis and pelvic endometriosis within the unit. As to the uterine muscle wall of endometrial growth, enlarged uterus and other factors, menstrual flow is often more.
2. Systemic factors are mainly the body in a high estrogen state, the cause of menorrhagia simple.
3. Other reasons are: 1, blood diseases, such as thrombocytopenia, coagulation dysfunction, and other bleeding disorders; 2, liver disease, hypertension, diabetes, leading to increased vascular fragility, poor blood clotting; 3, after childbirth or abortion after the first period volume may be the high side; 4, the use of hormones, anti-clotting drugs can also cause excessive menstrual time. Where the menstrual volume, must find reasons to avoid blood loss anemia and chronic health hazards.
Third, menstrual disorder
1. Pre-menstrual and / or menorrhagia often by the blood heat, hot red any disturbance or deficiency cannot be unifying the blood, or red kidney due to any non-solid. Those who belong to blood heat, and should distinguish between real hot, Hot.
Common syndromes are:
① yang menstrual blood heat. Card see early menstruation, quantity, color red or purple, with red face, irritability, thirst, red tongue, yellow coating, slippery pulse.
② Yin menstrual blood heat. Card see early menstruation, small, or even reduce, the color red thick, accompanied by facial flushing, dysphoria fever, night sweats, insomnia, dry mouth, tongue, little coating or no coating, rapid pulse.
③ type of irregular menstruation Qi is not taken. Card see early menstruation, more than the amount of pale, thin quality, accompanied by palpitations, shortness of breath, Shenpi fatigue, pale, loss of appetite, pale tongue, thin, thin weak pulse.
④ kidney does not irregular solid type. Card see early menstruation, more or less the amount, color dark, thin quality, with lumbar pain, legs and feet, weakness, pale tongue, weak pulse.
2. Post-menstrual and / or after a few months, often by the chronic illness or postpartum blood loss and blood Hao Shang, or spleen deficiency camp less; or deficiencies, many labor delivery room Haoshang essence, does not charge any red kidney; or months after the food cold or feel cold, the blood of the Hanning; mental depression, poor emotional, Yu Qi stagnation caused by blood.Common syndromes are:
① deficiency type irregular menstruation. Card, see the late menstruation, less pale, thin quality, accompanied by dizziness, insomnia, palpitations, pale, Shenpi fatigue, pale tongue, weak pulse weak.
② kidney deficiency irregular menstruation. Card, see later menarche, menstruation delayed, less color, normal or dark, thin-walled, with back pain, the tongue is normal or underweight, the pulse.
③ cold blood type irregular menstruation. Card, see the late period, less dark color, a block, or pale, thin, with lower abdomen, thermophilic hi, heat gain is reduced, or aversion to cold, urine long, thin stools, pale tongue thin white fur, the pulse was tight or weak, Shen Chi.
④ qi type irregular menstruation. Card; see the late period, less a block of dark color, poor discharge, with lower abdomen pain, breast swelling hypochondriac pain, depression, normal or darker tongue, pulse string astringent.
Fourth, menstrual disorders diagnostic tests
Whether menstrual disorders, are three dimensions to determine that the regularity and amount of bleeding, menstrual length. Note that the adolescent and menopause, menstrual changes will be relatively large. In adolescent girls, the reproductive system has not yet mature, irregular ovulation, so menstruation is generally in the first few years would be more unstable. Moreover, women close to menopause, as ovarian function is nearing completion, menstruation becomes less regular.
Fifth, treatment of menstrual disorders
Excessive menstrual flow, too little is not normal, not very good because of Endocrinology. If it is irregular and occasionally one or two, then no need to stress, however, if menstrual disorders continue, it is best to check out what’s wrong.
1. The most important thing is to first find out the cause before deciding the treatment method.
2. If the long uterine fibroids, fibroids will depend on the size of the decision making of surgery;
3. If menorrhagia were caused by hormonal imbalance, it would be the right medicine. Some women are using the contraceptive ring, the inflammation of the uterine cavity, resulting in bleeding, if the condition is not serious, stop using can return to normal.
4. If it is caused by dysfunctional bleeding, because there is no exact cause, usually a doctor will make patients take drugs, some very effective drugs that can effectively improve the irregular menstruation.
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