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Decreased menstrual flow

  Hypofunction of the pituitary gland leads to insufficient secretion of estrogen by the ovaries, causing insufficient endometrial proliferation but a basically normal menstrual cycle, with a significant decrease in menstrual flow and a period shorter than two days, which is called 'menorrhagia'. This disease often accompanies weight gain and can develop into amenorrhea in adolescents and childbearing-aged individuals, while it often leads to menopause in perimenopausal individuals.

  The normal range of a woman's menstrual flow is generally between 80 to 100 milliliters. Some women have slightly less menstrual flow, but their ovarian排卵function and the function of secreting female hormones are normal, so these women still have the ability to bear children. In addition, some women have a very low menstrual flow, which may be due to systemic消耗diseases such as tuberculosis, malnutrition, anemia, or mental factors such as tension, depression, fear, and fatigue, as well as environmental changes. A certain proportion of women with a low menstrual flow caused by these factors can also have children. However, if it is due to diseases such as hypofunction of the endocrine system, tumors, incomplete development of the uterus, and so on, leading to a decrease in menstrual flow or amenorrhea, the infertility rate will increase significantly.

Table of Contents

1. What are the causes of decreased menstrual flow
2. What complications can decreased menstrual flow lead to
3. What are the typical symptoms of decreased menstrual flow
4. How to prevent decreased menstrual flow
5. What laboratory tests need to be done for decreased menstrual flow
6. Diet recommendations and taboos for patients with decreased menstrual flow
7. Conventional methods of Western medicine for treating decreased menstrual flow

1. What are the causes of decreased menstrual flow?

  Endocrine disorders, gynecological inflammation, changes in mental environment, anemia, and so on. In addition, it may be due to inherent reasons of the endometrium itself, such as endometrial tuberculosis causing endometrial lesions or artificial abortion, dilation and curettage causing thinning of the endometrium, all of which can lead to a decrease in menstrual flow.

  The following are several common causes of decreased menstrual flow:

  1, Women with irregular lifestyles are prone to have a decrease in menstrual flow because during their period, exposure to cold stimuli can cause excessive contraction of blood vessels in the pelvic cavity, resulting in a decrease in menstrual flow, even amenorrhea and other symptoms;

  2, Women who overeat for weight loss may experience a decrease in menstrual flow;

  3, Staying angry or encountering important spiritual stimulation and psychological trauma can easily lead to a decrease in menstrual flow in girls;

  16. Some drugs can cause oligomenorrhea, such as birth control pills, antipsychotic drugs, antitumor drugs, drugs for treating endometriosis (such as tamoxifen, danazol, nemestran, etc.), in addition, drugs such as tripterygium glycosides and bromocriptine can also cause menstrual reduction, and detailed medical history should be inquired during clinical treatment.

  15. Multiple induced abortions or rough surgery may damage the basal endometrium of the uterus or cause adhesions in the uterine cavity, leading to oligomenorrhea, so it is also necessary to inquire about the situation of induced abortion. Postpartum hemorrhage may first manifest as oligomenorrhea, followed by amenorrhea;

  14. Endocrine disorders, such as abnormal secretion of various hormones or anovulation, etc.

  13. It may be due to the inherent reasons of the endometrium itself, such as endometrial tuberculosis causing endometrial changes or artificial abortion and curettage causing thinning of the endometrium, etc.

12. What complications can low menstrual flow cause

  10. Low menstrual flow can cause headaches: Headaches are a common disease, and the incidence rate in women is higher than in men, which is related to women's unique physiological characteristics. Epidemiological survey results show that headaches related to menstruation account for about 20% of female headaches.

  9. Low menstrual flow is a crisis of gynecological inflammation: Menstrual disorders have brought serious harm to women's physical health. For example, menstrual arthritis, vaginitis, menstrual toothache, menstrual asthma, endometrial displacement, cervicitis, etc.

  8. Can directly lead to infertility. The World Health Organization conducted a survey on infertility and sterility using targeted diagnostic methods in 33 centers in 25 countries at the end of the 1980s. The results show that the prevalence of infertility in some areas of developing countries can reach up to 30%, while in China, the statistics are 6%-10%. Due to the upward trend of the age of childbearing and the increase in sexually transmitted diseases, the incidence of infertility and sterility is on the rise. Menstrual disorders in women are also a direct cause of infertility and sterility.

  7. Can cause freckles and acne, affecting beauty: These freckles and acne cannot be solved by cosmetics, as they are reflections of the body's changes, especially the external manifestations of menstrual disorders and some diseases such as cancer and liver cirrhosis. If not treated in a timely manner, not only will it affect beauty, but it will also affect physical health.

3. What are the typical symptoms of low menstrual flow

  Typical symptoms of low menstrual flow: low menstrual flow, short duration, abnormal menstrual blood color, with a few blood clots, weakness in the lower back and knees, dizziness and tinnitus, irritable mood. This disease often accompanies weight gain, and those occurring during adolescence and childbearing age may develop into amenorrhea, while those occurring during menopause often enter menopause.

4. How to prevent low menstrual flow

  1. How to prevent cold-type constitution: Women who often eat cold food. Their menstrual periods are likely to be delayed, with less menstrual flow or darker color, some may experience cold pain in the lower abdomen before or during menstruation, and in severe cases, even the face may turn blue, with cold limbs. Heat敷 can slightly alleviate the pain. During examination, it is often found that the tongue color is lighter, the tongue coating is white, and the pulse is deep and tight. Treatment should focus on warming meridians and dispersing cold, and it is advisable to avoid eating cold foods. You can eat mugwort and ginger egg soup - 10 grams of mugwort, 15 grams of ginger, 1 bowl of water boiled to half a bowl, remove the residue, add 1 egg yolk and stir, then cook it in the soup and eat it.

  2. How to prevent phlegm-damp constitution: People with this constitution are often overweight, feel chest oppression, menstrual periods are likely to be delayed or light, and are often accompanied by a lot of leukorrhea. It is advisable to eat more foods that reduce phlegm and fat, such as radish, kelp, water chestnuts, winter melon, sea cucumber, and sea cucumber skin, and eat less fatty and fried foods that promote phlegm and dampness. Overweight people should eat less and exercise more to reduce weight. They can drink hawthorn and lotus leaf drink -- 10 grams of hawthorn, tangerine peel, and lotus leaf, boil in water, and drink the juice as tea.

  3. During menstruation, it is necessary to avoid cold and dampness, avoid getting wet, wading, swimming, drinking cold drinks, etc., especially to prevent the lower body from getting cold and pay attention to keeping warm.

  4. It is not advisable to add foods such as scallions, beans, pumpkin, garlic, ginger, chestnuts, oranges, etc. to the diet; in addition, vinegar, soy sauce, vegetable oils, chili, pepper, and other spices, as well as beef and chicken broths, have a certain effect on this kind of menstrual irregularity.

5. What laboratory tests are needed for light menstrual flow

  1. Perform an ultrasound and blood test to check various hormone levels to understand whether there are any abnormalities in your hormone levels;

  2. Consistently measure the basal body temperature for 2 to 3 cycles to understand whether there is ovulation;

  3. At the same time, tuberculin skin test and erythrocyte sedimentation rate (ESR) test can be done to determine whether there is active tuberculosis;

  If there is endocrine abnormality or anovulation, targeted treatment should be carried out according to the specific abnormal hormones and whether fertility is desired, etc. If in the active phase of tuberculosis, anti-tuberculosis treatment should be given. If all the above examinations are normal, no treatment is needed.

6. Dietary taboos for patients with light menstrual flow

  1. Brown sugar water, jujube or motherwort syrup for调理.

  2. For those with Qi stagnation and blood stasis, they should eat foods that promote blood circulation and Qi, such as celery, shepherd's purse, spinach, scallions, and coriander. For those with weak bodies and insufficient Qi and blood, it is advisable to eat foods that tonify Qi and blood, such as chicken, pork liver, pork blood, beef liver, walnuts, lychees, longans, jujubes, and yam.

  3. Supplement with vitamin E-rich foods. Vitamin E has the function of maintaining the normal function of reproductive organs and muscle metabolism, and foods rich in vitamin E include germ of grains, germ of wheat, egg yolks, beans, hard nuts, leafy vegetables, peanut oil, and sesame oil. According to the different manifestations of dysmenorrhea, food with warming, smoothing the flow of Qi, removing blood stasis, and tonifying the body should be given. Foods that warm the meridians and dispel coldness, such as brown sugar, ginger, and fennel.

  4. People with light menstrual flow should avoid eating sour and spicy foods such as vinegar, sour and spicy dishes, pickled vegetables, pomegranates, myrica rubra, strawberries, starfruit, cherries, hawthorn, mango, apricots, plums, lemons, and other astringent foods, as they are not conducive to the smooth flow of menstrual blood, especially for those with dysmenorrhea who should avoid these foods. Spicy and刺激性 foods such as chili, pepper, garlic, scallions, ginger, and chives can cause pelvic congestion and inflammation in some people, or cause excessive uterine contraction, exacerbating the pain in dysmenorrhea patients.

  4. Not suitable for strong tea: Strong tea, in addition to having certain nutritional value, also has the effect of preventing and treating diseases. However, the special physiological factors of women during menstruation determine that it is taboo to drink strong tea. Because strong tea contains a high amount of caffeine, which stimulates the nerves and cardiovascular system, causing excitement, increasing the basic metabolism, and is prone to dysmenorrhea, prolonged menstrual period, and excessive menstrual blood. At the same time, the tannins in strong tea react with iron in the food in the intestines to form precipitates, blocking the absorption of iron, causing iron deficiency anemia.

  5. Not suitable for drinking alcohol: Alcohol has the effect of promoting blood circulation, and drinking alcohol during the menstrual period is also easy to cause excessive menstrual blood, prolonged menstrual period, and is not good for health. It is advisable to avoid drinking alcohol during the menstrual period.

  6. Not suitable for fried food: Fried food is also a big taboo for women during their periods. Because affected by the corpus luteum hormone in the body, the sebaceous secretion of women during the menstrual period increases, making the skin oily, and the capillaries dilate, making the skin sensitive. Eating fried food at this time will increase the burden on the skin, and it is easy to appear acne, acne, folliculitis, and even dark circles. In addition, due to the slow metabolism of fat and water during the menstrual period, eating fried food at this time, fat is also easy to accumulate in the body.

  8. Not suitable for cold drinks: Eating cold drinks or raw and cold dishes during the menstrual period is easy to produce internal coldness in the human body; while coldness can lead to poor blood circulation, causing less menstrual blood and even dysmenorrhea. Even in the hot summer season, it is not suitable to eat ice cream and other cold drinks during the menstrual period. Diet should be warm and hot for the sake of smooth blood circulation. It is advisable to avoid eating ice products, winter melon, eggplant, luffa, cucumber, winter melon, crab, snails, kelp, bamboo shoots, tangerines, pears, pomelos, watermelons, and sour and astringent foods such as plum vinegar and unripe fruits with sour taste during the menstrual period to avoid causing blood stasis.

7. Conventional methods of Western medicine for treating oligomenorrhea

  The conventional method of Western medicine for treating oligomenorrhea is generally to use exogenous hormones to help patients establish a cycle and temporarily restore normal menstruation. However, once medication is stopped, menstruation will become abnormal again, and trying to take hormone drugs will also cause certain damage to the female ovary's own function. Therefore, it is generally not recommended to treat oligomenorrhea with hormones alone.

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