How to treat irregular endometrial shedding

I believe everyone knows the importance of the uterus to female friends. Female friends must protect their uterus well in daily life. Once the uterus has abnormal conditions, female friends must pay attention to it and seek treatment in time to avoid worsening of the condition. Some female friends may experience irregular shedding of the endometrium, so how should we treat it?

Irregular shedding of the endometrium can lead to abnormal uterine bleeding, which is more common in women of childbearing age. Due to incomplete follicular development, although ovulation occurs, the corpus luteum atrophy is incomplete or lasts too long, and estrogen and progesterone cannot drop quickly, resulting in irregular shedding of the endometrium and prolonged bleeding. Menstruation still occurs on schedule, but the bleeding time is extended to 10 days.

Due to incomplete luteal atrophy caused by dysfunction of the hypothalamus-pituitary-ovarian axis or luteolytic mechanism, the endometrium continues to be affected by progesterone and cannot be completely shed as expected.

On the 3rd to 4th day of a normal menstrual period, the secretory endometrium has been completely shed. It is replaced by regenerated proliferative endometrium. However, when the corpus luteum is incompletely atrophied, the endometrium showing secretory reaction can still be seen on the 5th to 6th day of menstruation. In some areas, there is still bleeding in the endometrium, while in other areas, new proliferative endometrium has appeared.

1. Progesterone

By adjusting the feedback function of the hypothalamus-pituitary-ovarian axis, the corpus luteum can shrink in time and the endometrium can be shed completely and on time. You can start taking progesterone supplements daily 1-2 days after ovulation or 10-14 days before the next menstruation for 10 consecutive days. Those who want to have children can inject progesterone intramuscularly or take natural micronized progesterone orally. Those who do not desire to have children can take oral monophasic contraceptives, starting on the 5th day of menstruation, 1 tablet per day for 21 consecutive days as a cycle, and take 3 consecutive cycles to suppress ovulation.

2. Chorionic gonadotropin

HCG can be injected intramuscularly every other day after the basal body temperature rises, for a total of 3 to 5 times, to promote corpus luteum function.

In the above article, we introduced the importance of the uterus to female friends. Irregular endometrial shedding is a type of uterine disease. The above article gives us a detailed introduction to the treatment methods of irregular endometrial shedding. I hope it will be helpful to everyone.