There is still residue after the first menstruation.
May 31, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
After the first menstruation, if there is still residual bleeding, it could be due to menstrual disorders, endocrine imbalances, uterine polyps, etc., and may be managed through general treatments, medications, or surgical interventions. Besides these causes, other possibilities include gynecological diseases, incomplete luteal regression, cesarean section scar憩室 (cesarean section niche), among others. For an accurate diagnosis, patients are advised to undergo a thorough medical evaluation at a hospital to identify the underlying cause and receive appropriate, targeted treatment.
Residual bleeding after the first menstruation may be caused by menstrual disorders, endocrine imbalances, uterine polyps, etc., and can be managed through general management, medication, or surgical treatment. Specific analyses are as follows:
1. Menstrual Disorders
In younger patients who experience residual bleeding after their first menstruation, the hypothalamic-pituitary-ovarian axis may not yet be fully mature, leading to unstable hormone levels and resulting in menstrual irregularities. This is usually a normal physiological phenomenon. If there are no other uncomfortable symptoms, specific treatment is generally not required. As time progresses and the body gradually matures, regular menstrual cycles typically establish themselves.
2. Endocrine Imbalance
This may occur due to chronic sleep deprivation or high levels of psychological stress, which can reduce overall bodily functions and disrupt the body's equilibrium, making endocrine imbalance more likely. Patients may take medications such as Wuji Baifeng Pills, Buzhong Yiqi Pills, or Guipi Pills under medical guidance to help improve the condition.
3. Uterine Polyps
These may result from excessively high estrogen levels or inflammatory stimulation causing excessive growth of uterine tissue, leading to polyp formation. This often causes heavy menstrual bleeding or prolonged menstrual periods. When necessary, treatments such as hysteroscopic polypectomy or curettage may be performed.
Besides the above causes, residual bleeding could also stem from gynecological diseases, incomplete luteal regression, cesarean section scar憩室 (cesarean section niche), among other reasons. For an accurate diagnosis, patients are advised to undergo a thorough examination at a hospital to identify the underlying cause and receive appropriate treatment.
