What should I do if I experience chronic bleeding due to endocrine disorders

Abnormal bleeding caused by endocrine disorders can be improved through lifestyle adjustments, hormone therapy, traditional Chinese medicine regulation, psychological intervention, and regular check ups. Abnormal bleeding is usually caused by hormonal imbalances, polycystic ovary syndrome, thyroid dysfunction, endometrial lesions, and stress factors.

1. Hormonal imbalance:

Imbalance in the ratio of estrogen to progesterone is a common cause, which may lead to menstrual cycle disorders or premenstrual bleeding. Short acting oral contraceptives such as ethinylestradiol, cyproterone, or progesterone capsules can be used to regulate the menstrual cycle. The plan should be selected under the guidance of a doctor based on hormone test results. 2. Polycystic ovary syndrome: Patients with polycystic ovary syndrome often have hyperandrogenism, manifested as irregular uterine bleeding. Treatment should be combined with metformin to improve insulin resistance, combined with drugs such as ethinylestradiol and cyproterone to regulate menstruation, while controlling body mass index between 18.5-23.9.

3. Thyroid abnormalities: Both hyperthyroidism and hypothyroidism can lead to abnormal shedding of the endometrium. When thyroid function examination shows abnormal TSH, medication such as levothyroxine sodium or methimazole should be taken to correct thyroid function. Usually, bleeding symptoms gradually improve after 3-6 months of medication.

4. Endometrial lesions:

Long term anovulatory bleeding may cause endometrial hyperplasia or polyps. When ultrasound shows endometrial thickness exceeding 12 millimeters, hysteroscopy is recommended. After diagnosis, one can choose to use progesterone drug to transform the endometrium or undergo hysteroscopic endometrial resection.

3. Stress factors:

Chronic stress affects hormone secretion through the hypothalamic pituitary axis, manifested as stress-induced bleeding. It is recommended to engage in 30 minutes of aerobic exercise daily, combined with mindfulness meditation to relieve stress, and ensure 7-8 hours of sleep.

Daily intake of plant estrogens such as soy products and flaxseed should be maintained to avoid a high sugar and high-fat diet exacerbating metabolic disorders. Walking or swimming at least 3 times a week can help improve endocrine status and avoid vigorous exercise during bleeding periods. Recording basal body temperature and bleeding cycle can help doctors determine ovulation status. It is recommended to recheck six hormone tests and gynecological ultrasound every 3-6 months. If the amount of bleeding exceeds twice the menstrual flow or lasts for more than 10 days, organic lesions should be promptly excluded.