What medical conditions can uterine bleeding indicate?

Jul 16, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, uterine bleeding may be a sign of various diseases. Common causes include dysfunctional uterine bleeding, endometriosis, endometrial polyps, uterine fibroids, and cervical cancer. To promptly identify the cause of uterine bleeding, it is recommended to monitor the frequency, amount of bleeding, and associated symptoms, and to undergo regular gynecological examinations. Additionally, maintaining healthy lifestyle habits and avoiding excessive fatigue are advised.

Generally, uterine bleeding may be a sign of various diseases. Common causes include dysfunctional uterine bleeding, endometriosis, endometrial polyps, uterine fibroids, and cervical cancer. Detailed explanations are as follows:

1. Dysfunctional Uterine Bleeding: Endocrine disorders causing abnormal ovarian function can disrupt the normal shedding of the endometrium, leading to uterine bleeding. This manifests as irregular menstrual cycles, variable menstrual flow, and bleeding of varying duration, closely related to hormonal fluctuations.

2. Endometriosis: When displaced endometrial tissue invades the uterine muscle layer or other areas, it may interfere with normal uterine contractions, causing increased menstrual flow and prolonged menstruation. Some patients may also experience postcoital bleeding, which is associated with congestion and shedding of displaced tissue.

3. Endometrial Polyps: These fragile polyps have a rich vascular supply and are prone to irregular bleeding, often presenting as intermenstrual bleeding or postmenopausal bleeding. Bleeding is usually light and may appear only as blood streaks in vaginal discharge, related to polyp ulceration or infection.

4. Uterine Fibroids: Fibroids may cause uterine bleeding when they interfere with uterine contractions or increase the surface area of the endometrium. This may manifest as increased menstrual flow, prolonged menstruation, or spotting between periods. The bleeding is usually dark red and lasts longer than normal menstruation.

5. Cervical Cancer: Cancerous tissue is fragile and prone to ulceration and bleeding. In early stages, it often presents as contact bleeding, such as bleeding after sexual intercourse or gynecological examination. In later stages, irregular vaginal bleeding may occur, with gradually increasing blood loss, related to vascular invasion by the tumor.

To promptly identify the cause of uterine bleeding, it is recommended to monitor the frequency, amount, and associated symptoms of bleeding and undergo regular gynecological examinations. Maintaining healthy lifestyle habits and avoiding excessive fatigue in daily life can help maintain reproductive health.

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What is the fastest medication to stop prolonged menstrual bleeding?

Generally speaking, there is no single medication that immediately stops prolonged menstrual bleeding in all cases. Treatment should be based on the underlying cause, and commonly used medications include tranexamic acid tablets, Yunnan Baiyao capsules, Duanxueliu tablets, Gongxinning capsules, and Baogong Zhixue granules. Tranexamic acid tablets contain tranexamic acid as the main ingredient, which inhibits fibrinolysis and is suitable for abnormal uterine bleeding caused by various factors. This medication should be taken only as directed by a physician.

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What medication can be taken to eliminate uterine polyps?

In general, uterine polyps are often associated with endocrine disorders and inflammatory stimulation. Common symptoms include abnormal uterine bleeding and prolonged menstrual periods. Patients may follow medical advice to use medications such as progesterone soft capsules, dydrogesterone tablets, levonorgestrel tablets, drospirenone ethinylestradiol tablets, and metronidazole tablets to assist in eliminating or controlling the polyps. A detailed analysis is as follows:

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What Are the Nine Causes of Abnormal Uterine Bleeding?

Generally speaking, there is no established medical term or concept known as "nine causes of abnormal uterine bleeding." Main causes of abnormal uterine bleeding include ovulation-related bleeding, hormonal imbalances, endometrial polyps, endometritis, and submucosal uterine fibroids. If abnormal symptoms occur, it is recommended to seek timely medical consultation and treatment at a正规 hospital. Detailed analysis is as follows:

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What causes uterine bleeding?

In general, uterine bleeding may be caused by menstruation, ovulation period bleeding, dysfunctional uterine bleeding, endometritis, uterine fibroids, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Daily habits should include maintaining a regular sleep schedule, avoiding excessive fatigue, eating a balanced diet, and reducing the intake of spicy and irritating foods.