What to do if menstruation is abnormal

Irregular menstruation can be improved by adjusting lifestyle, drug treatment, traditional Chinese medicine conditioning, psychological counseling, surgical treatment, etc. Irregular menstruation is usually caused by endocrine disorders, gynecological diseases, mental stress, malnutrition, organic diseases and other reasons.

1. Adjust your lifestyle

Maintain a regular schedule, avoid staying up late, and ensure 7-8 hours of sleep every day. Pay attention to a balanced diet, consume iron-containing foods in moderation, such as lean meats and animal livers, and avoid raw, cold, spicy foods. Perform aerobic exercise, such as brisk walking and swimming, 3-5 times a week for 30 minutes each time. Record the menstrual cycle and observe changes in bleeding volume and duration.

2. Drug treatment

Use progesterone capsules as directed by your doctor to regulate progesterone levels and improve prolonged menstrual cycles caused by insufficient luteal corpus function. Dydrogesterone tablets can be used for the hemostatic treatment of anovulatory uterine bleeding. Short-acting contraceptive pills such as desogestrel and ethinylestradiol tablets can regularize the menstrual cycle and need to be taken continuously for 21 days. The traditional Chinese medicine Motherwort granules promote blood circulation and regulate menstruation, and are suitable for irregular menstruation due to qi stagnation and blood stasis. Xuefu Zhuyu Capsule can improve menstrual flow caused by cold coagulation and blood stasis.

3. Traditional Chinese Medicine conditioning

Acupuncture is performed on Guanyuan, Sanyinjiao and other acupoints, 2-3 times a week, for 3 consecutive menstrual cycles. Moxibustion at Shenque point can warm the meridians and dispel cold, 15-20 minutes each time. Take traditional Chinese medicine decoction according to the syndrome differentiation. For kidney deficiency type, use Guishen Pills, and for liver stagnation type, use Xiaoyao Powder. Cupping is performed on the lumbosacral area to improve pelvic blood circulation. Auricular acupoint pressure beans select reflex areas such as endocrine and uterus, and press 3-5 times a day.

4. Psychological counseling

Long-term anxiety and depression can affect the function of the hypothalamic-pituitary-ovarian axis, and mindfulness meditation can relieve stress. Cognitive behavioral therapy helps regulate excessive preoccupation with menstruation. Build a support system and share your feelings with family and friends. Avoid excessive dieting to lose weight. Excessive weight fluctuations can easily lead to amenorrhea. Practice abdominal breathing and reduce tension for 10 minutes a day.

5. Surgical treatment

Hysteroscopy can remove organic lesions such as endometrial polyps or submucosal fibroids. Laparoscopy to treat ovarian cysts or polycystic ovary syndrome. Endometrial ablation is indicated for functional uterine bleeding that is refractory to medical therapy. Uterine artery embolization is used to treat menorrhagia caused by adenomyosis. Severe cases require hysterectomy and postoperative hormone replacement therapy.

Establish a health file to record changes in the menstrual cycle, and conduct annual gynecological examinations and ultrasounds. Avoid strenuous exercise and bathing during menstruation, and use breathable cotton sanitary products. Control your weight within the normal range and maintain your body mass index at 18.5-23.9. Supplementing vitamin B complex and vitamin E can help maintain ovarian function. If your menstrual period is prolonged for more than 10 days or the cycle is shorter than 21 days, you should seek medical attention promptly to check for uterine fibroids, endometriosis and other diseases.