What causes uterine bleeding?
Disease description:
Recently, I noticed uterine bleeding and feel a bit frightened. I would like to understand what might be causing this—could it indicate a problem somewhere in my body?
Doctor's answer (1)
Dr. Zhang Lu
Uterine bleeding may be caused by menstruation, ovulation bleeding, hormonal abnormalities, gynecological diseases, endocrine disorders, and other factors.
Physiological uterine bleeding, known as menstruation, occurs naturally due to the shedding of the female endometrium. Some women may also experience uterine bleeding during ovulation, primarily due to changes in hormone levels within the body.
Gynecological conditions such as endometritis can cause uterine bleeding due to inflammatory stimulation leading to endometrial congestion and edema. This type of bleeding is often accompanied by symptoms such as abdominal pain and abnormal vaginal discharge. Uterine fibroids can also cause uterine bleeding, as the fibroids may interfere with uterine contractions or increase the surface area of the endometrium, resulting in heavier menstrual flow, prolonged menstrual periods, or irregular bleeding.
Endocrine disorders are common causes as well. For example, long-term mental stress and irregular lifestyles can affect ovarian function, leading to hormonal imbalances and irregular shedding of the endometrium resulting in bleeding. Hormonal abnormalities, improper use of contraceptive pills, and other endocrine-related factors can also lead to abnormal uterine bleeding.
Diagnosis should be made by integrating medical history, physical examination, and necessary auxiliary tests, such as ultrasound, hysteroscopy, and pathological examination, to identify the underlying cause and formulate an appropriate treatment plan.
