What should I do if I have light menstrual flow and the endometrium is not shedding?
May 13, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Light menstrual flow and failure of endometrial shedding are associated with various factors, such as endocrine disorders, endometrial polyps, and endometriosis. Appropriate treatment should be selected based on the specific cause. Additionally, these symptoms may also result from luteal phase deficiency, uterine fibroids, or cervical cancer. It is recommended to promptly visit a hospital for examination and follow the treatment plan guided by the attending physician.
Generally, scanty menstrual flow accompanied by failure of the endometrium to shed is associated with various factors such as endocrine disorders, endometrial polyps, and endometriosis. Appropriate treatment should be selected based on the specific underlying cause. Detailed analysis is as follows:
1. Endocrine Disorders
Improper diet or emotional stress may disrupt endocrine function, leading to symptoms such as prolonged menstrual cycles and increased menstrual flow, while also affecting endometrial shedding. It is recommended to maintain a balanced diet and avoid spicy or irritating foods. If necessary, consult a doctor for medications such as compound norethisterone tablets, motherwort granules, or danggui pills.
2. Endometrial Polyps
A significant rise in estrogen levels can cause excessive growth of localized endometrial tissue, forming smooth masses within the uterine cavity that interfere with normal endometrial shedding, resulting in reduced menstrual flow. For larger polyps, treatments such as hysteroscopic polypectomy or subtotal hysterectomy may be performed under medical guidance. Regular follow-up visits after surgery are recommended.
3. Endometriosis
This condition occurs when endometrial tissue grows and infiltrates outside the uterine cavity, causing enlargement of the uterine cavity and impairing normal uterine contractions, leading to failure of endometrial shedding and menstrual cycle irregularities. After diagnosis, patients should consult a physician for treatment options including conservative surgery or semi-radical surgery. Adequate rest is advised following surgery.
In addition, other possible causes include luteal phase defect, uterine fibroids, and cervical cancer. It is recommended to seek timely medical evaluation and cooperate with the treating physician's management plan.
