On the first day of menstruation, the blood looks like coffee grounds.

Jun 01, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Blood resembling coffee grounds on the first day of menstruation may be caused by physiological factors or pathological conditions such as endometrial damage or premature ovarian failure, and appropriate treatment should be based on the specific situation. During menstruation, estrogen levels in the body are lower than normal, causing the endometrium to gradually shed. A small amount of endometrial tissue is expelled from the body, resulting in light menstrual flow and blood coagulation.

On the first day of menstruation, menstrual blood resembling coffee grounds may be caused by physiological factors or pathological conditions such as endometrial damage or premature ovarian failure. Appropriate management should be based on specific circumstances. Detailed analysis is as follows:

I. Physiological Factors

During menstruation, estrogen levels in the body fall below normal, causing the endometrium to gradually shed. A small amount of endometrial tissue is expelled from the body, and due to low menstrual flow and blood coagulation, the discharge may resemble coffee grounds on the first day of menstruation. This is a normal phenomenon.

II. Pathological Factors

1. Endometrial Damage

Frequent dilation and curettage (D&C) procedures may lead to endometrial injury and thinning, which can interfere with normal endometrial shedding during menstruation, resulting in this appearance. Patients are advised to take medications such as estradiol valerate tablets or amoxicillin capsules under medical supervision to promote healing of the damaged tissue.

2. Premature Ovarian Failure

This condition has a certain genetic predisposition and may be inherited via autosomal chromosomes. Individuals with a family history of premature ovarian failure are at higher risk. In such cases, estrogen levels progressively decline and ovarian function deteriorates, leading to reduced menstrual flow and the described symptom. Patients are advised to seek medical care for treatments such as ovulation induction or immunotherapy.

In addition, this symptom may also be caused by other conditions including vaginitis, salpingitis, or uterine fibroids. It is recommended to maintain regular sleep patterns, follow medical instructions for medication use, and avoid discontinuing treatment without consulting a healthcare provider.


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