What causes intrauterine hemorrhage?

Hematometra may be caused by endometriosis, uterine fibroids, incomplete abortion, coagulation disorders, endometritis, etc. Hematometra usually manifests as abnormal vaginal bleeding, lower abdominal pain, increased menstrual flow and other symptoms, which can be improved through drug treatment, surgical treatment and other methods.

1. Endometriosis

Endometriosis may be related to factors such as reflux of menstrual blood and immune abnormalities. It usually presents with symptoms such as dysmenorrhea, pain during sexual intercourse, and infertility. Patients can follow the doctor's advice to use ibuprofen sustained-release capsules, medroxyprogesterone acetate tablets, danazol capsules and other drugs to relieve symptoms. If necessary, laparoscopic surgery is required to remove ectopic lesions.

2. Uterine fibroids

Uterine fibroids may be related to abnormal estrogen levels and genetic factors, and usually manifest as prolonged menstruation, increased menstrual flow, compression symptoms, etc. Patients can use mifepristone tablets, tranexamic acid tablets, Guizhi Fuling capsules and other drugs to control the condition as directed by the doctor. If the fibroids are large, uterine myomectomy or hysterectomy is required.

3. Incomplete abortion

Incomplete abortion may be related to improper surgical operation and retained embryos, and usually manifests as persistent vaginal bleeding, lower abdominal pain, fever and other symptoms. Patients need to undergo ultrasound examination in time to confirm the residual tissue. They can follow the doctor's instructions to use motherwort granules and oxytocin injection to promote uterine contraction. If necessary, a uterine curettage is required.

4. Coagulation dysfunction

Coagulation dysfunction may be related to thrombocytopenia and lack of coagulation factors, and usually manifests as skin ecchymosis, nosebleeds, menorrhagia and other symptoms. Patients can use tranexamic acid tablets, vitamin K1 injection, human coagulation factor VIII and other drugs to improve coagulation function as directed by the doctor, and at the same time, the primary disease needs to be treated.

5. Endometritis

Endometritis may be related to bacterial infection and uterine cavity manipulation, and usually presents with symptoms such as fever, lower abdominal pain, and purulent discharge. Patients can use cefixime dispersible tablets, metronidazole tablets, levofloxacin tablets and other antibiotics as directed by the doctor. In severe cases, uterine drainage is required.

When symptoms of intrauterine hemorrhage occur, strenuous exercise should be avoided, the vulva should be kept clean, and sanitary napkins should be changed frequently. An appropriate amount of iron-rich foods such as animal liver, spinach, etc. can be added to the diet to prevent anemia. If the amount of bleeding exceeds the usual menstrual flow or lasts for more than 7 days, you need to seek medical attention immediately to investigate the cause. Pay daily attention to changes in menstrual cycles and bleeding patterns, and conduct regular gynecological examinations.