45 years old, severe dysmenorrhea, heavy menstrual flow
Jun 01, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
A 45-year-old woman suffers from severe dysmenorrhea and heavy menstrual bleeding, which may be caused by factors such as excessive fatigue, endometriosis, or uterine fibroids. Symptomatic treatment should be provided based on the specific situation. The detailed analysis is as follows: If proper daily care is not maintained during menstruation, or if there is improper diet—such as consuming large amounts of raw or cold foods—the uterus may be subjected to abnormal stimulation.
A 45-year-old woman experiencing severe dysmenorrhea and heavy menstrual bleeding may be suffering due to factors such as excessive fatigue, endometriosis, or uterine fibroids. Appropriate treatment should be based on the specific underlying cause. Detailed analysis is as follows:
1. Excessive Fatigue
If proper daily care is not taken during menstruation, or if there is improper diet—such as consuming large amounts of cold or raw foods—the uterus may receive abnormal stimulation, leading to local smooth muscle spasms and poor discharge of menstrual blood. This could result in severe menstrual pain and heavy bleeding in a 45-year-old woman. It is recommended to keep the body warm during this period and consume easily digestible foods.
2. Endometriosis
Engaging in intense physical activity during menstruation may cause retrograde menstruation, allowing menstrual blood to flow into the pelvic cavity. The endometrial tissue contained in the blood can then implant and grow within the pelvis, leading to endometriosis. In such cases, excess endometrial tissue and its bleeding can irritate the peritoneum, causing these symptoms. Patients are advised to take medications such as ibuprofen sustained-release capsules or medroxyprogesterone acetate tablets under medical supervision.
3. Uterine Fibroids
The recent use of hormonal medications containing sex hormones may increase hormone levels in the body, stimulating the endometrium and causing benign proliferation of local smooth muscle, thus triggering uterine fibroids. As fibroids grow larger, they may enlarge the uterine cavity and impair uterine contractions, resulting in heavy menstrual bleeding and severe pain. It is recommended to seek hospital treatment, possibly through myomectomy.
In addition, conditions such as uterine polyps, adenomyosis, or uterine cysts may also cause similar symptoms. If these symptoms persist for a prolonged period, early medical evaluation is advised to avoid delayed diagnosis and treatment.
