How to treat endometrial bleeding?

When endometrial bleeding occurs, women only know to panic, instead of choosing the most appropriate treatment method for themselves in time. If endometrial bleeding occurs, they cannot blindly choose some methods to treat the disease, which will make the phenomenon of endometrial bleeding more serious. If endometrial bleeding occurs, it may cause life-threatening conditions and cause huge damage to the body. So how should this phenomenon of endometrial bleeding be treated?

1. Stop bleeding

⑴ Hormone hemostasis: Select the type and dosage of hormone according to the bleeding process, amount of bleeding and the patient's anemia degree. Estrogens: Ethylene ferrocyanide 5 mg on the first day, 3 or 2 times a day, reduce to 4 mg each time on the second day, and then gradually reduce to 1 mg each time, for 20 days of treatment. If the bleeding is heavy, you can use magnetodiol to inject 5 mg every 2 to 4 hours in 24 hours. After the bleeding stops, use tablets to maintain 1 mg, once a day, for 20 days. Progesterone: progesterone 10 mg, intramuscular injection, once a day for 5 days; or 20 mg, intramuscular injection, once a day for 3 days. In case of heavy bleeding, 8 mg of megestrol can be taken orally, once every 6 or 8 hours. After the bleeding stops, the dosage can be gradually reduced to 4 mg each time, once a day, for 20 consecutive days. You can also take Fukang tablets orally, 5 to 7.5 mg each time, once every 6 to 8 hours. After the bleeding stops, gradually reduce the dosage to 2.5 to 5 mg each time, once a day, for 20 days. Androgen: 25-50 mg of testosterone propionate, intramuscular injection, once a day, for 3-5 days. Or nandrolone phenylpropionate 25 mg each time, intramuscular injection, once or twice a week. (It only reduces the amount of blood and cannot be used alone to stop bleeding.) When using hormones to stop bleeding, you should pay attention to the following: You must understand the principles of hormone hemostasis and the effects of various hormones before use, and you should not use them blindly. After stopping the use of hormone hemostasis, there is usually withdrawal bleeding. Do not use hormones to stop bleeding again immediately to avoid aggravating the condition. After taking the medicine, anemia patients should gradually reduce the dosage to the maintenance dose and continue taking the medicine for at least 20 days from the date the bleeding stops. ⑵ General hemostatic drugs: Vitamin K4 2-4 mg, orally, 3 times a day, or vitamin K110 mg, intramuscularly, 1-2 times a day; hemostatic 250-500 mg, intramuscularly or intravenously; Anloxue 10 mg intramuscularly, twice a day, oxytocin 10u, intramuscularly, or add 250 ml of 10% glucose solution, intravenously. ⑶ Curettage and hemostasis: When drug hemostasis is ineffective, curettage and hemostasis should be performed. It can also clarify the diagnosis and is suitable for married people.

2. Adjustment cycle

Magnetic progestin artificial cycle: suitable for adolescent and childbearing age patients. On the 5th day of bleeding, take 0.5-1 mg of ethinyl stilbestrol orally once a night for 20-22 days. On the 16th day of medication, add 10 mg of progesterone by intramuscular injection once a day for 7 days. Can be applied continuously for 3 cycles. Progestin treatment: intramuscular injection of progesterone 10 mg once a day starting on the 15th to 16th day of the menstrual cycle for 7 to 10 days; or oral administration of progesterone acetate, 8 to 12 mg per day starting from the 18th day for 8 days. If the above treatments can be combined with Chinese medicine treatment as appropriate, the best effect of adjusting the cycle can be achieved.

3. Ovulation induction

⑴ Starting from the 5th day of menstruation, take 0.125-0.5 mg of ethinyl estradiol orally, once a night, for 20 days, and take it for 3 cycles. It is suitable for adolescents with functional uterine bleeding or poor uterine development. ⑵ Take 50-150 mg of chlorpheniramine orally starting from the 5th day of menstruation, once a night, for 5 days, and one course of treatment is 3 months. ⑶ Human chorionic gonadotropin (HCG), 100-2000 IU, intramuscular injection from the 12th day of menstruation, once a night, for 3 days, to promote ovulation in the mid-term. ⑷ Gonadotropin-releasing hormone (LHRH, LRH) imitates the physiological secretion form, that is, pulse administration is effective. It can be used for continuous pulse administration in the middle of the menstrual cycle, intramuscular injection or intravenous drip, 5 mg per day, for 3 days. Do not take too large a dose of this medicine.

If you suffer from endometrial bleeding, you must choose the right method for treatment so that the bleeding can be dealt with as soon as possible. You can choose to use Panax notoginseng powder to stop bleeding. You can also choose Yunnan Baiyao to treat yourself when treating bleeding. When treating the disease, you should pay attention to rest and lie down more, but you cannot do strenuous exercise, which is not good for the disease.