What are the symptoms of endometrial lesions?

Generally, endometrial lesions refer to abnormal changes occurring in the endometrium, and their main symptoms include abnormal uterine bleeding, abnormal vaginal discharge, menstrual disorders, lower abdominal pain, and postmenopausal bleeding. Detailed analysis is as follows:

1. Abnormal Uterine Bleeding: Patients may experience uterine bleeding outside the menstrual period. The bleeding occurs irregularly, sometimes manifesting as light spotting and sometimes as heavy bleeding similar to menstrual flow. The bleeding may last for several days or even weeks and may recur after stopping. This is associated with disruption of the normal endometrial shedding mechanism caused by the lesion.

2. Abnormal Vaginal Discharge: Increased vaginal discharge may occur. Initially, the discharge may be thin and white. As the lesion progresses, blood-tinged discharge may appear. If infection occurs, the discharge may become purulent with a noticeable odor. This is due to increased secretion from glands stimulated by necrosis and infection of the lesion tissue.

3. Menstrual Disorders: Menstrual cycles become irregular, sometimes occurring earlier and sometimes delayed. The duration of menstruation extends beyond 7 days, with significantly increased menstrual flow. Blood clots may be present in the menstrual blood. Some patients may also experience irregular bleeding between menstrual cycles, causing the entire cycle to lose its normal rhythm.

4. Lower Abdominal Pain: The lesion may cause dull or pressure-like pain in the lower abdomen, which may worsen during menstruation, manifesting as cramping pain. This is due to the lesion affecting uterine contractions or causing blood or fluid accumulation in the uterine cavity, which stimulates the uterine wall and causes pain. The pain is typically localized in the central area of the lower abdomen.

5. Postmenopausal Bleeding: Vaginal bleeding in postmenopausal women is a common symptom. The bleeding volume is generally small, often spotting, with dark red or bright red blood. The bleeding is irregular, possibly occurring occasionally or recurring repeatedly. This phenomenon is associated with abnormal endometrial hyperplasia or lesions after menopause.

In daily life, if the above symptoms appear, one can monitor the condition by recording changes in bleeding and discharge, maintaining regular作息 (作息 means作息 habits here, but there's no direct translation), avoiding excessive fatigue and mental stress, and paying attention to personal hygiene to reduce the risk of infection.