Menstruation occurred 22 days after hysteroscopic evacuation.

Jun 01, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Menstruation occurring 22 days after hysteroscopic curettage may be caused by physiological factors or pathological factors, such as endometriosis, ovarian dysplasia, etc. The specific analysis is as follows: Hysteroscopic curettage generally refers to the removal of pregnancy-related tissue or endometrial lesions from the uterine cavity via hysteroscopic surgery. After undergoing this procedure, patients may experience menstrual changes.

Menstruation occurring 22 days after hysteroscopic curettage may be caused by physiological factors or pathological conditions such as endometriosis and ovarian dysgenesis. The details are as follows:

I. Physiological Factors

Hysteroscopic curettage usually refers to a surgical procedure performed via hysteroscopy to remove pregnancy-related tissue or diseased endometrial tissue from the uterine cavity. After this procedure, a patient's hormone levels may not immediately return to normal. This hormonal fluctuation can stimulate endometrial thickening, leading to menstruation 22 days after the procedure, which is considered a normal physiological phenomenon.

II. Pathological Factors

1. Endometriosis

Endometriosis may be triggered by iatrogenic implantation, retrograde menstruation, genetic factors, and other causes. In this condition, endometrial cells abnormally proliferate in areas such as the ovaries or cervix, potentially impairing normal organ function and resulting in this phenomenon. Treatment may include medications such as Danazol Capsules or Gestronol Capsules, as directed by a physician.

2. Ovarian Dysgenesis

Ovarian dysgenesis may result from genetic factors or chromosomal abnormalities, causing structural and functional damage to the ovaries. This impairs normal corpus luteum formation and may lead to early menstruation. Treatment may involve medications such as progesterone capsules or dydrogesterone tablets, as prescribed by a doctor.

In addition, menstruation 22 days after hysteroscopic curettage could also be caused by hyperprolactinemia, adenomyosis, cervical cancer, or other conditions. It is recommended to actively cooperate with treatment and maintain a positive and relaxed mindset.

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