What can be done about prolonged menstrual bleeding caused by a uterine diverticulum?

Aug 20, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, prolonged menstrual bleeding caused by a uterine diverticulum may be due to factors such as retained menstrual blood in the diverticular cavity, hormonal fluctuations, endometritis, presence of polyps within the diverticulum, or poor scar healing at the site of the uterine diverticulum. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, surgical intervention, or other appropriate methods.

Generally, prolonged menstrual bleeding caused by uterine diverticulum may be due to residual menstrual blood in the diverticular volume, hormonal fluctuations, endometritis, coexisting diverticular polyps, poor scar healing of the uterine diverticulum, and other factors. It is recommended to seek timely medical attention to identify the exact cause and then improve the condition under a doctor's guidance through general treatment, medication, surgical treatment, and other approaches. Detailed explanations are as follows:

1. Residual menstrual blood due to diverticular volume: After the formation of a uterine diverticulum, menstrual blood tends to accumulate in the recessed area and is expelled slowly afterward, leading to prolonged bleeding. Increasing physical activity moderately during menstruation, such as walking, can help promote the discharge of menstrual blood; prolonged sitting should be avoided, and one should stand and move for 5 minutes every hour to reduce residual blood in the diverticulum.

2. Hormonal fluctuations: Imbalances between estrogen and progesterone can affect endometrial repair, prolong bleeding duration, and worsen prolonged menstrual symptoms. Maintaining a regular lifestyle, avoiding staying up late, and keeping emotionally stable are recommended. Diet-wise, consuming more soy products such as tofu and soy milk may help regulate hormone levels. Hormone monitoring should be performed when necessary, following medical advice.

3. Endometritis: Bacterial infection causing endometrial inflammation leads to slow endometrial healing due to inflammatory stimulation, accompanied by prolonged menstrual bleeding and lower abdominal pain. Patients should follow medical instructions to take anti-infective medications such as cefixime dispersible tablets, metronidazole tablets, and doxycycline hydrochloride tablets.

4. Uterine diverticulum with polyps: Excessive endometrial proliferation within the diverticulum forms polyps, which hinder the discharge of menstrual blood and prolong the bleeding period. Patients should follow medical advice to take endometrial-regulating medications such as dydrogesterone tablets, progesterone capsules, and ethinylestradiol cyproterone acetate tablets. If the polyps are large, hysteroscopic polypectomy can be performed to remove the polyps and restore normal uterine cavity structure.

5. Poor scar healing of the uterine diverticulum: Previous surgical scars heal poorly, resulting in a deeper and larger diverticulum volume with significant residual menstrual blood. Patients can undergo hysteroscopic diverticulum repair surgery to restore scar tissue, reduce the diverticular volume, and decrease menstrual blood residue.

During menstruation, maintaining good hygiene is important, including frequent sanitary pad changes and avoiding tub baths. Avoid consuming spicy and cold foods. Instead, eat iron-rich foods such as lean meat and spinach to prevent anemia caused by prolonged bleeding. Comprehensive care can promote physical recovery.

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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 are the symptoms of a uterine diverticulum?

Under normal circumstances, uterine diverticulum, as a complication following uterine surgery, mainly presents symptoms including prolonged menstruation, bleeding after menstruation, dysmenorrhea, pain during intercourse, and abdominal discomfort. If the above symptoms occur in daily life, they can be alleviated by paying attention to rest, avoiding excessive fatigue, maintaining good hygiene habits, etc., while undergoing regular gynecological examinations to monitor changes in the condition.

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How thick does the endometrium need to be for menstruation to occur?

Under normal circumstances, when the endometrial thickness reaches 10 to 14 millimeters, a woman will experience menstruation. However, this value is not fixed and can be influenced by various factors. If there is menstrual delay, amenorrhea, prolonged menstrual bleeding, or abnormal uterine bleeding, regardless of endometrial thickness, medical treatment should be sought and managed under a doctor's guidance; self-diagnosis or delaying treatment is not recommended.

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Can Traditional Chinese Medicine effectively manage a uterine diverticulum?

In general, whether Chinese medicine can effectively treat uterine diverticulum needs to be analyzed based on the patient's specific condition. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. To avoid unnecessary harm to the body, it is advisable to choose an appropriate treatment plan under the joint guidance of qualified traditional Chinese medicine and Western medicine practitioners.