What are the criteria for judging menstrual irregularities? What are the items to check for menstrual irregularities

Menstruation is a physiological reaction that occurs every month in women, but there are also abnormalities in menstruation, which have a serious impact on women and must be taken seriously.

Symptoms of menstrual irregularities

1. Menstrual blood color: Normal blood is dark red, with scattered small fragments of endometrium, cervical mucus, and mixed vaginal epithelial cells in the blood, without blood clots. Menstrual blood is as light as water, and only pink or black purple is abnormal. If the menstrual blood is completely clotted and abnormal, there may be other bleeding parts, and medical attention should be sought as soon as possible to ensure health.

2. Early menstrual cycle: Early menstrual cycle refers to a shortened menstrual cycle, shorter than 21 days, and continuously occurring for more than 2 cycles. It belongs to the ovulation type of dysfunctional uterine bleeding foundation, with menstrual disorder and temperature biphasic. The follicular phase is short, only 7-8 days, and the luteal phase is shorter than 10 days, with a temperature increase of less than 0.5 ℃.

3. Mid menstrual bleeding (also known as menstrual bleeding or ovulatory bleeding): refers to bleeding caused by two normal mid menstrual cycles where estrogen levels temporarily decrease and the endometrium loses hormonal support, resulting in endometrial detachment.

4. Menstrual period (also known as menstrual period): Women's menstrual period is approximately 2-5 days. The general pattern of menstruation is that there is not much menstrual blood on the first day, it increases on the second or third day, and gradually decreases afterwards until the menstrual blood is clean. This is because on the first day, endometrial detachment has just begun, and on the second and third days, there is an increase in endometrial detachment and bleeding. The uterus is stimulated, strengthens contraction, and excretes a large amount of menstrual blood. Some people, after their menstrual blood is clean, come back a little after a day or two, commonly known as menstrual blood turning back. This is not a disease, but a normal phenomenon. However, some women have physiological days as long as 10-20 days, with continuous menstruation, and some physiological days are extremely short, just a blink of an eye. Both of these phenomena are abnormal.

5. Menstrual extension: The menstrual period is normal, normal, but prolonged, with a period exceeding 7 days or even 2 weeks of cleansing. People with inflammation usually have lower abdominal pain, worsened menstruation, and a large amount of vaginal discharge, with yellow or yellow white color, thick texture, and odor. Patients with incomplete corpus luteum atrophy are accompanied by excessive menstrual flow; Patients with prolonged endometrial repair still have a small amount of persistent vaginal bleeding after the normal menstrual period.

6. Menstrual blood volume: The menstrual volume of women varies from person to person, generally ranging from 20 to 100 milliliters. Generally speaking, it is normal to replace sanitary napkins and paper 3-5 times a day. If there is too much menstrual blood, changing into a sanitary napkin and paper will immediately get wet, and menstrual blood flow is also abnormal. Excessive menstrual bleeding may be caused by factors such as excessive mental tension, environmental changes, malnutrition, metabolic disorders, etc. Excessive expiration of menstrual blood can lead to anemia, and the cause should be identified and treated. Of course, if the menstrual flow is too low due to abnormal uterine or ovarian conditions or systemic diseases, this situation is also abnormal, and timely medical attention should also be sought. Excessive menstrual flow is more common among adolescent girls. The main reason for this is that during puberty, the ovarian function is not yet fully mature, and at this time, a portion of menstruation is anovulatory. No ovulation, no corpus luteum, no corpus luteum, no progesterone deficiency. Therefore, the endometrium is only in the proliferative phase and cannot reach the perfect secretion phase. The incomplete shedding of the endometrium affects uterine contraction and excessive menstrual bleeding. If this situation is not noticed, anemia symptoms such as pale complexion, weakness, and dizziness should also be treated for a long time.