What are the symptoms of endometrial bleeding?

Do you know the symptoms after endometrial bleeding? This symptom will have a great impact on women's lives, because the endometrium is a very important reproductive organ for us women. If we don't treat the endometrium well, then bleeding will cause great harm to women's bodies. The most important thing is that it will cause some unnecessary trouble to women's fertility. So we must first understand the symptoms of the disease and then treat it in time. So what are the symptoms of endometrial bleeding?

The menstrual cycle loses its normal regular cycle and is replaced by excessive menstrual flow at different frequencies, prolonged menstrual period, or irregular uterine bleeding, which sometimes stops and sometimes flows, and the amount of blood varies. There is generally no pain when there is no ovulation blood supply, but excessive blood loss is often accompanied by anemia.

Main clinical manifestations:

1. Ovulation bleeding: Due to the low estrogen level before ovulation, a small amount of vaginal bleeding can be seen during the ovulation period.

2. Premenstrual bleeding: There is a small amount of vaginal bleeding a few days before menstruation, followed by normal menstruation. This type of bleeding is caused by luteal insufficiency and insufficient secretion of estrogen and progesterone.

3. Postmenstrual bleeding: The initial stage of menstruation is normal, but in the later stage, the bleeding is small and lasts longer. This type of bleeding is characterized by incomplete endometrial exfoliation and a mixture of incompletely exfoliated secretory endometrium and early proliferative endometrium. This is mainly due to the slow regression of the corpus luteum and the continuous secretion of progesterone.

4. Bleeding caused by endometrial hyperplasia: It is a typical anovulatory bleeding. Due to the continued existence of follicles and the secretion of a certain amount of estrogen, the endometrium proliferates abnormally, and the endometrium often shows glandular cystic hyperplasia.

5. Bleeding caused by incomplete endometrial maturation: This is a type of abnormal bleeding that is common in the luteal phase. Endometrial proliferative and luteal phase changes may exist simultaneously. It is caused by an imbalance in the secretion of estrogen and progesterone. [4]

Symptoms of uterine bleeding caused by endocrine dysfunction:

1. Intermenstrual bleeding[5], which is a small amount of vaginal bleeding between days 12 and 16 of the menstrual cycle. Because the follicle ruptures, the estrogen level drops temporarily and generally does not require treatment.

2. Postmenopausal uterine bleeding. Regardless of the incidence or severity, tumors should be considered first until non-cancerous tumors are ruled out or confirmed. There are also many cases of uterine bleeding related to pregnancy inflammation, trauma and systemic diseases. The causes should be identified and the best treatment method should be selected after a clear diagnosis.

3. Neonatal vaginal bleeding: It is not uncommon for a small number of newborn girls to have a small amount of vaginal bleeding within a few days after birth. It usually stops on its own and does not require treatment.

4. Dysfunctional uterine bleeding. It is divided into anovulatory and ovulatory functional uterine bleeding. Anovulatory functional uterine bleeding often occurs during adolescence and menopause.

Clinical manifestations of dysfunctional uterine bleeding

The above contents are about the various symptoms of endometrial bleeding. When our endometrium begins to bleed, it is a disease that we should pay attention to, because the female endometrium is related to fertility. If endometrial bleeding is left untreated in time, it will cause the endometrial bleeding to become serious and cause infertility.