menstrual extension
Introduction
Introduction The disease is equivalent to the medullary atrophy of ovarian dysfunctional uterine bleeding in Western medicine, pelvic inflammation, endometritis and other menstrual extension. The extension of the menstrual period caused by intrauterine devices and tubal ligation is also treated according to this disease.
Cause
Cause
Qi deficiency
The body is weak, or the fatigue is excessive, the temper is damaged, the gas is insufficient, the rushing is not solid, and the menstrual blood cannot be restricted, so that the menstrual period is prolonged.
Virtual heat
The body is yin deficiency, or the disease is yin for a long time, producing more milk, or worrying about it, yin and blood loss, yin deficiency, heat, heat and rushing, rushing is not solid, can not restrict menstrual blood and lead to prolonged menstruation.
Bloody
Physical depression, or anger and liver injury, liver qi stagnation, qi stagnation and blood stasis; or menstrual yin and yang, so that the external evil spirits in the cell, evil and blood phase into a sputum, sputum stagnation, blood stasis.
Examine
an examination
Related inspection
Gynecological ultrasound examination of sex hormones six examinations gynecological routine examination
Laboratory inspection:
Blood routine examination hormone level detection, coagulation function, platelet adhesion function and aggregation function test BT timing for endometrial or blood progesterone determination.
Other auxiliary inspections:
Hysteroscopy, laparoscopic B-mode ultrasound, uterine artery angiography.
Related checks:
Pee:
Female: follicular phase: 3.2mol/24h (1mg/24h)
Luteal phase: 6.4 ~ 25.6mol / 24h (2 ~ 8mg / 24h)
blood:
Female: Follicular phase: 0.61.9nmol/L (0.20.6ng/ml)
Peak period of the corpus luteum: 0.96 to 11.2 nmol/L (0.3 to 3.5 mg/ml)
After ovulation: 20.8103.0nmol/L (6.532.2ng/ml)
Platelets:
Normal value: microscopic counting method, automatic blood cell counter: (100 ~ 300) × 109 / L (100,000 ~ 300,000 / mm3)
According to the clinical manifestations and the above related examinations, the determination of blood progesterone concentration 5 to 9 days before the help of ovulation-type dysfunctional uterine bleeding.
Diagnosis
Differential diagnosis
Normal menstrual duration is 2 to 7 days, and a few are 3 to 5 days. If the menstrual duration lasts longer than 7 days, the menstrual period is extended. The menstrual period should be emphasized and the cause should be investigated in depth. Usually associated with the following diseases, should be identified:
1, blood diseases such as thrombocytopenic purple epilepsy, aplastic anemia, etc., often accompanied by menstrual cramps, if severe uterine bleeding, prolonged menstruation. Others such as chronic anemia, chronic hepatitis, cirrhosis, nephritis, etc., can make the blood vessel wall weak, and the permeability increases to cause bleeding.
2, pelvic inflammation, intrauterine polyp, endometritis and other factors of intrauterine blood circulation;
3, chronic uterine hypertrophy (uterine myositis) due to pelvic congestion, ovarian estrogen continues to increase, so that the myometrium hypertrophy, causing menorrhagia and menstrual period is too long.
