What to do when a girl bleeds for the first time

Female friends are always worried about bleeding when they do it for the first time. In fact, most women will bleed when they lose their virginity. In this case, don’t be too nervous. As long as it is within a normal range, it will not have much impact on your body. However, you must prevent infection and pay attention to cleaning in time to avoid viral and bacterial infections.

Correctly estimate the amount of vaginal bleeding; pay attention to the balance of water, electrolytes and acid-base; ensure the supply of calories, protein and vitamins; meet the patient's daily life needs and avoid accidental injuries.

2. Symptomatic care

Persuade patients to get adequate rest; provide effective hemostasis and prevent infection; supplement nutrition to enhance the body's resistance; complete various examinations and tests as ordered by the doctor; and strengthen psychological care.

3. Prevent infection

Instruct patients to keep the perineum clean, change sanitary pads regularly, flush the perineum 1 to 2 times a day, drink plenty of water to prevent retrograde infection.

Middle-aged women with prolonged menstrual periods, increased menstrual blood volume, and a certain regularity of the menstrual cycle should consider ovulatory uterine bleeding. The basal body temperature is atypically biphasic; endometrial biopsy shows a poor secretory reaction, which can be diagnosed as uterine bleeding caused by an incomplete corpus luteum; if the endometrial biopsy performed on the fifth day of the menstrual period still shows a secretory phase reaction, then uterine bleeding caused by incomplete corpus luteum atrophy is confirmed.

It usually occurs on the 12th to 16th day of the menstrual cycle, lasts for 1 to 2 hours or 1 to 2 days, with a small amount, and very rarely reaches the menstrual volume. The cause is usually due to the rupture of the follicle and a temporary drop in estrogen levels. Sometimes it is accompanied by mild abdominal pain. As long as the bleeding pattern is carefully checked and there are no other causes, the diagnosis is usually not difficult.

5. Postmenopausal uterine bleeding

In recent years, the increasing use of estrogen and progesterone has led to an increase in the rate of uterine bleeding. In addition, for some patients, although the amount of estrogen secreted by the ovaries decreases after menopause, the adrenal glands still secrete a small amount of estrogen, which gradually accumulates and can cause endometrial hyperplasia and lead to uterine bleeding.

2. Pregnancy-related bleeding

1. Miscarriage

If a woman of childbearing age has had regular menstruation in the past and experiences vaginal bleeding after amenorrhea, early abortion should be considered first. During threatened abortion, there is a small amount of vaginal bleeding, no abdominal pain or mild lower abdominal pain, and early pregnancy reactions. Examination may reveal that the cervix is ​​not open, the size of the uterus is consistent with the month of amenorrhea, and blood and urine pregnancy tests are positive. If the fetus is dead or the cause of miscarriage has not been eliminated, vaginal bleeding increases with paroxysmal uterine pain, and the cervix is ​​open, it should be diagnosed as inevitable miscarriage. If the fetus is expelled but part or all of the placenta remains in the uterine cavity, hindering uterine contraction and causing continuous vaginal bleeding, it is diagnosed as incomplete abortion.