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Causes of non-menstrual bleeding

Apr 02, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, non-menstrual bleeding may be caused by factors such as ovulation bleeding, cervical inflammation, endometrial polyps, uterine fibroids, or endometriosis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. It is also advisable to maintain good external genital hygiene, choose breathable cotton underwear, and change them frequently.

Generally, non-menstrual bleeding may be caused by factors such as ovulation bleeding, cervical inflammation, endometrial polyps, uterine fibroids, or endometriosis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Ovulation bleeding: During ovulation, estrogen levels may experience brief fluctuations, which can lead to partial shedding of the endometrium and result in slight bleeding. This typically occurs in the middle of the menstrual cycle, involves minimal blood loss, and lasts for a short duration. It is considered a normal physiological phenomenon and usually does not require special treatment.

2. Cervicitis: This may be caused by infections with pathogens such as *Chlamydia trachomatis* or *Neisseria gonorrhoeae*. Symptoms include abnormal vaginal bleeding and increased vaginal discharge. Patients are advised to follow medical instructions and use medications such as azithromycin capsules, *Tinospora capensis* capsules, or minocycline hydrochloride capsules for treatment.

3. Endometrial polyps: These may arise due to hormonal imbalances or inflammatory stimulation. Symptoms include irregular vaginal bleeding and increased menstrual flow. Medical consultation is recommended, and treatment typically involves hysteroscopic polypectomy.

4. Uterine fibroids: These may develop due to genetic factors or abnormal sex hormone levels. Symptoms include irregular vaginal bleeding and palpable abdominal masses. Patients should seek medical care, and treatment may involve myomectomy to improve symptoms.

5. Endometriosis: This condition may result from retrograde menstruation or immune system factors. Symptoms include localized pain, bleeding, and discomfort during intercourse. Patients are advised to follow medical instructions and take medications such as gestrinone capsules, norethisterone tablets, or dydrogesterone tablets to manage symptoms.

It is recommended to maintain good external genital hygiene, wear breathable cotton underwear, and change them frequently. Avoid strenuous exercise and excessive fatigue, and ensure adequate rest. Additionally, maintain a balanced diet and increase intake of iron-rich foods such as pork liver and pig blood.


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