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Vaginal bleeding in many women often encounter problems. Some are physiological vaginal bleeding, such as normal menstruation, postpartum lochia of discharge, etc., is a normal physiological context, is not hazardous to their health. Pathological vaginal bleeding is different, it is not only a manifestation of physical disease, and bleeding itself can damage health. Vaginal bleeding can come from the vulva, vagina, cervix, endometrium, but from the womb for a maximum. Abnormal vaginal bleeding are many reasons, such as: ovarian endocrine dysfunction, abnormal pregnancy, cancer, reproductive tract inflammation, injury, foreign body, or systemic diseases. Identification of age on bleeding has important reference value for: young girls and postmenopausal women after (older women) vaginal bleeding more consideration to the tumor; adolescent female vaginal bleeding first consider the dysfunctional uterine bleeding ; while women of childbearing age more consideration pregnancy-related diseases. Unfortunately, because of the famous actor Li Yuanyuan cervical cancer and death.It is reported that, although she had long ago there were some symptoms, such as sex after a small amount of vaginal bleeding , but not enough attention until the baby was conceived after the check out with cancer. Early cervical cancer can be asymptomatic, and chronic cervicitis is not much difference, only in women, cervical cytology screening or when found. If there is increased vaginal discharge , irregular bleeding and postmenopausal bleeding should contact the special attention, including contact bleeding may be the only early sign of cervical cancer.
Normal menstrual blood Women Cyclical vaginal bleeding known as menstruation, is normal to measure women's menstruation, generally can be judged from the following aspects. Menstrual cycle: from the first day of menstruation to the first day of next menstruation period known as the month after. Most people between 28-35 days, but there are a few short to 20 days or up to 45 days a cycle, in the above context, as long as a regular period, are normal. Menstrual period: vaginal bleeding known as menstruation period, the majority of menstruation lasting 3-5 days, but as little as 1-2 days, up to 7-8 days is also normal. Menstrual blood: normal menstrual period, menstrual blood was 20-120 ml, the majority of 50 ml, to menstrual cramps up the second three days, then gradually decreased. Characteristics of menstrual blood: Characteristics of menstrual blood is not solidified, Chenganhongse.Menstrual blood, in addition to blood, but also contains fragments of the endometrium, cervical mucus and vaginal epithelial cells. Vaginal bleeding is a common gynecologic symptoms. Any part of women's reproductive tract, including the Palace, cervix, vagina, the hymen and vaginal vestibule can be bleeding. Since the vaginal blood flow, blood loss ranging from (less who guttate, and more can life-threatening); bleeding ranges can be manifested as menstrual disorders, irregular bleeding or in sexual intercourse after gynecological examinations and other contact bleeding after. But no matter what kind of situation, in addition to the normal period, the are referred to as "vaginal bleeding." Vaginal bleeding of 10 forms: 1. Increased by the amount of: menstrual quantity (> 80ml) or menstrual cycle, normal extension, but for uterine fibroids of the typical symptoms, others such as adenomyosis, ovulatory menstrual disorders , such as IUD insertion may have The amount of increase in the phenomenon. Risk index: ★ 2. Periodic and irregular vaginal bleeding: mostly anovulatory dysfunctional uterine bleeding, it should be to rule out early stage endometrial cancer . Risk index: ★ ★ ★ ★ 3. No discernible long-term cycle of continuous vaginal bleeding: general mostly due to the reproductive tract, the first consideration should be given cervical cancer or endometrial cancer may be. Risk index: ★ ★ ★ ★ ★ 4. Postmenopausal vaginal bleeding after: occurs in women of childbearing age, should consider pregnancy-related diseases, such as miscarriage , ectopic pregnancy , molar , etc.; occur in perimenopausal women who are mostly anovulatory dysfunctional uterine bleeding, However, the reproductive tract should be excluded. Risk index: ★ ★ ★ ★ ★ 5. Vaginal bleeding associated with vaginal discharge increased : general should consider advanced cervical cancer, endometrial cancer or uterine fibroids with submucosal infection. Risk index: ★ ★ ★ ★ ★ 6. Bleeding after sexual intercourse: sexual intercourse occurred immediately after a blood, should be considered early cervical cancer, cervical polyp or submucous myoma possible. Risk index: ★ ★ ★ 7. After bleeding between: If the next menstrual cramps in the first 14 to 15, which lasted 3 to 4 days, and very little blood, the more the ovulation bleeding. Risk index: ★ 8. After spotting before or after: a few days before menstruation or cramps continue after a few days a small amount of vaginal bleeding or a very small amount of red and brown vaginal discharge, can be found in Department of ovulatory menstrual disorders or IUD side effects.Furthermore, endometriosis may also be a similar situation. Risk index: ★ ★ 9. Years after menopause, vaginal bleeding: If the bleeding was minimal, lasting 2 to 3, the net, mostly postmenopausal endometrium is due to bleeding or senile vaginitis ; if more blood volume, blood remains in the net or recurrent vaginal bleeding, you should consider the possibility of endometrial cancer. Risk index: ★ ★ ★ ★ 10. Intermittent vaginal discharge bloody water: be alert to the possibility of fallopian tube cancer. Risk index: ★ ★ ★ ★ ★ Normal abnormal vaginal bleeding Abnormal vaginal bleeding, menstrual bleeding between periods, bleeding oral contraceptives is "normal", not a disease, as long as the life of a little attention on the line. If vaginal bleeding occurs in the middle of the menstrual cycle, which occurs in about 14 days before menstruation, duration 1-2 hours or 1-2 days, less, rarely to menstruation, usually caused because of ovulation, known as ovulation bleeding , is a normal phenomenon. In addition, vaginal bleeding with oral contraceptives may also be relevant.Regular oral contraceptives female friend can sometimes be bit irregular vaginal bleeding, missed contraceptive services may be relevant, but also occur in those who did not miss a, can be avoided by adjusting the medication. First aid measures 1. A small amount of bleeding, should pay attention to the patient's mental state, the number of number of pulse pump fast offensive and absolute bed rest for patients. Pale , a sweating , shall be the head lowered and feet elevated some, have some light salt water, keep warm and it is not overheated. Eat properly or both services hemostatic sedatives. Go to be in stable condition hospital . 2. Also the cold water bag or ice pack on the lower abdomen, cold compress to stop bleeding. Nausea should be face to one side to prevent choking . Notes 1. Any major bleeding should please a doctor or call the emergency center, otherwise it will lead to death. 2. Such as less bleeding, first observed resting at home, so when the foot or by car would cause deterioration in their conditions, can be carried to the hospital. 2010-07-08
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