What's going on with unclean blood all along

Unclean blood on the body may be caused by endocrine disorders, uterine fibroids, endometrial polyps, coagulation dysfunction, gynecological inflammation, etc. It can be intervened through hormone therapy, surgical resection, anti infective treatment, hemostatic drugs, and other methods.

1. Endocrine disorders:

Long term staying up late, excessive stress, or excessive dieting may lead to hormonal imbalances, manifested as abnormal menstrual cycles, prolonged periods, or spotting. Commonly seen in diseases such as polycystic ovary syndrome and luteal insufficiency, it needs to be diagnosed through six tests of sex hormones. Adjusting daily routine and supplementing with vitamin E can help improve symptoms. In severe cases, medication such as progesterone should be used under the guidance of a doctor to regulate the cycle.

2. Uterine fibroids:

Muscle wall or submucosal fibroids may cause increased menstrual flow, prolonged menstruation, and some patients may experience non menstrual bleeding. Fibroids compressing the uterine cavity can lead to incomplete shedding of the endometrium, manifested as persistent brown discharge. Ultrasonography can make a clear diagnosis. Laparoscopic myomectomy should be considered for myomas over 5cm. For smaller myomas, try traditional Chinese patent medicines and simple preparations such as Guizhi Fuling Capsule.

3. Endometrial polyps:

Abnormal proliferation of polyp tissue can interfere with normal endometrial shedding, leading to premenstrual bleeding or incomplete menstrual bleeding. Hysteroscopy is the gold standard for diagnosis. Polyps with a diameter exceeding 1 centimeter are recommended to undergo hysteroscopic resection, and regular follow-up after surgery is necessary to prevent recurrence. Polyps may be related to high levels of estrogen, and short-term postoperative use of progesterone can regulate the endometrium.

4. Coagulation dysfunction:

Blood diseases such as thrombocytopenia and hemophilia can lead to prolonged clotting time, manifested as difficulty in stopping bleeding from wounds or prolonged menstruation for more than 10 days. Four coagulation parameters and platelet count need to be checked, and after diagnosis, coagulation factors or platelets need to be infused. Long term heavy menstrual flow may cause anemia and requires the use of blood tonifying drugs such as ferrous succinate.

5. Gynecological inflammation:

Chronic cervicitis, endometritis and other infectious diseases will lead to tissue congestion and edema, contact bleeding or bloody secretions. When accompanied by symptoms such as lower abdominal pain and abnormal vaginal odor, routine vaginal discharge and HPV testing are necessary. During the acute phase, cefuroxime combined with metronidazole should be used for anti infection. For chronic inflammation, local treatment with Kangfu anti-inflammatory suppositories can be used. During continuous bleeding, vigorous exercise and sexual activity should be avoided, the external genitalia should be kept clean and dry, and pure cotton underwear should be changed daily. Eat more iron rich foods such as pig liver and spinach, and supplement with vitamin C in moderation to promote iron absorption. When bleeding lasts for more than two weeks or accompanied by symptoms such as dizziness and fatigue, it is necessary to seek medical attention immediately to investigate malignant lesions. For women over 40 years old who experience irregular bleeding, it is recommended to complete cervical TCT and endometrial biopsy to rule out serious diseases such as endometrial cancer.