Menstruation without bleeding
May 26, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Menstruation without bleeding may be caused by pregnancy, hormonal imbalances, weight issues, pelvic inflammatory disease, hymenal atresia, etc., and appropriate treatment should be based on the specific condition. Although pregnancy usually causes cessation of menstruation, some women may experience menstrual-like symptoms during early pregnancy without actual menstrual bleeding. This is considered normal and generally not a cause for excessive concern.
Menstruation without bleeding may be caused by pregnancy, hormonal imbalances, weight issues, pelvic inflammatory disease, or imperforate hymen, among other factors. Appropriate management should be based on the specific underlying cause. Detailed explanations are as follows:
1. Pregnancy
Although pregnancy typically results in the cessation of menstruation, some women may experience menstrual-like symptoms during early pregnancy without actual menstrual bleeding. This is considered normal and generally not a cause for concern.
2. Hormonal Imbalance
Hormonal imbalances, especially insufficient progesterone levels, may result in inadequate endometrial buildup, leading to absent or minimal menstrual bleeding. It is recommended to follow medical advice and use medications such as progesterone capsules or medroxyprogesterone acetate tablets to manage the condition.
3. Weight Issues
Extreme obesity or extreme thinness can disrupt the normal menstrual cycle, causing menstrual symptoms without significant bleeding or with reduced flow. Maintaining a healthy body weight is important.
4. Pelvic Inflammatory Disease (PID)
If a patient has pelvic inflammatory disease, inflammatory factors can irritate the pelvic tissues and fallopian tube mucosa, causing local congestion and swelling, which may lead to internal blood accumulation that cannot be discharged normally—resulting in the aforementioned symptoms. It is recommended to seek hospital treatment; surgical drainage may be necessary to remove accumulated blood. Anti-inflammatory treatment with medications such as cefixime capsules or amoxicillin capsules may be used under medical supervision.
5. Imperforate Hymen
During development, abnormal epithelial cell growth of the vaginal cord can lead to thickening of the membranous tissue, resulting in an imperforate hymen and vaginal obstruction. Menstrual blood may then accumulate in the fallopian tubes or abdominal cavity, causing the symptoms described. This condition may also be accompanied by constipation and rectal pressure. It is recommended to seek medical care at a hospital, where a surgical incision in the hymen can be made to allow drainage.
Women should maintain emotional stability, and if any discomfort occurs, immediate medical attention is advised.
