Abnormal menstruation is particularly common in our daily lives, and excessive menstruation is one of its forms. Its occurrence must be taken seriously and the reasons for its occurrence must be clearly defined.
Is Excessive Menstruation a Disease
The reasons for excessive menstrual flow vary among women of different ages and physiological stages: uterine fibroids, gynecological inflammation, endometriosis, and adenomyosis, accompanied by severe dysmenorrhea. Certain blood diseases that affect coagulation, such as thrombocytopenia, aplastic anemia, leukemia, etc., can also lead to menstrual disorders and excessive menstrual flow.
Excluding the excessive menstrual flow caused by these reasons, it is likely to be dysfunctional uterine bleeding (HMB). Functional uterine bleeding, abbreviated as "functional uterine bleeding", refers to menstrual disorders without organic lesions, often manifested as abnormal menstrual cycles, excessive menstrual volume, prolonged menstrual periods, incomplete bleeding, and even irregular vaginal bleeding. In severe cases, symptoms such as massive bleeding may occur. It is an abnormal menstrual disorder or bleeding caused by dysfunction of the endocrine regulatory system. According to Yang Yezhou, dysfunctional uterine bleeding is mainly seen in women during puberty and amenorrhea. It is divided into dysfunctional uterine bleeding caused by incomplete development of the glandular axis, anovulation, or anovulation in adolescent women. In clinical practice, there are symptoms of irregular blood loss or excessive menstrual flow. In severe cases, anemia and hemorrhagic shock can be caused by ovulation dysfunctional uterine bleeding. There is a menstrual cycle when ovulation occurs, and the amount of menstrual blood is large, which is often caused by the high activity of endometrial plasmin or the imbalance of secretion of prostaglandin vasomotor factors.
Diseases with excessive menstruation
1. Due to excessive secretion of ovarian estrogen, long-term stimulation of endometrial hyperplasia beyond normal thickness leads to an increase in bleeding volume during shedding, such as anovulatory functional uterine bleeding.
2. Excessive menstrual flow in women may be due to uterine fibroids. Endometrial bleeding is the main symptom of uterine fibroids, but in the vast majority of patients, it often manifests as periodic increase in menstrual bleeding, sudden irregular menstruation, or one of the following situations: excessive menstruation, periodic bleeding, often accompanied by prolonged menstruation, shortened menstruation, irregular bleeding with excessive menstruation, loss of normal periodicity, excessive menstruation, no omissions, and long duration.