Modern medicine categorizes menopause into two types: primary and secondary. Primary menopause refers to having passed the age of eighteen without having menstruation, and the common causes include congenital anatomical abnormalities, chromosomal abnormalities, endocrine disorders, and nutritional deficiencies. Secondary menopause refers to the fact that there was menstruation, but due to some factors caused by more than three cycles of menopause.
Causes of menorrhagia[1]: Common causes include systemic diseases, such as anemia, nephritis, tuberculosis, endocrine disorders, ovarian abnormalities, and the sequelae of induced abortion, etc. According to traditional Chinese medicine, the causes of menorrhagia are multifaceted, such as blood loss, prolificacy, indentured labor, excessive worry, depression, and the feeling of cold and dampness, etc. The diagnosis can be divided into the following categories: "menopause", "menopause", and "menopause". The diagnosis can be divided into two categories: "false" and "real".
"Deficiency" is mostly due to insufficient yin and blood, or even depletion of blood, the blood sea is empty, no blood can go down, mainly due to insufficient qi and blood and kidney deficiency, the treatment is to tonify the spleen and kidneys, and when there is enough qi and blood, menstruation will come on time, and the "real" menopause is mainly due to The actual evil is blocked, the veins are blocked, the menstrual blood can't go down due to.
The most common causes are qi stagnation, blood stasis, phlegm dampness, and cold dampness. Patients often feel that their menstruation is coming and not coming, and that they have discomfort such as swelling and pain in the lower abdomen, breast distension, and lumbago.
The abortion causes menstrual cramps
Clinical studies have found that many women who have had abortions will have an impact on their menstrual cycle, and some will also experience pain in their stomachs.
This is mainly due to the fact that improper scraping surgery damages the cervix of the uterus, or the basement membrane of the endometrium, resulting in adhesions to the inner cervix, or partial adhesions to the uterine wall, which then leads to amenorrhea. In this way, even if cyclic changes in the endometrium occur, cyclic lower abdominal pain develops because menstrual blood cannot flow out and is trapped in the uterine cavity. Clinically, this is known as secondary amenorrhea. Mild cervical adhesions can be separated with a probe, while severe cervical or uterine adhesions require surgical separation. In order to prevent re-adhesion, an intrauterine device can be inserted after the operation. For the excessively shrunken endometrium, it is expected that the ability to conceive can be restored with artificial cycle treatment for half a year, but miscarriage and preterm labor often occur after pregnancy.
Therefore, the first pregnant women must pay full attention to abortion, found that pregnancy should be timely medical care, try to buy time to do early abortion, in order to avoid scraping the adhesion of the uterus. Newlyweds who are not materially and ideologically prepared for pregnancy must attach great importance to contraception beforehand.
2 Symptoms Editor
1, blood circulation: the face suddenly hot and flushed, a few seconds to subside. It is also accompanied by palpitations, night sweats, etc.
2. Mental aspect: there are changes such as emotional instability, anxiety, suspiciousness, insomnia, depression, etc.
3. Menstruation: firstly, the menstrual period becomes very irregular, the amount of menstruation will become a lot or very little, and finally stops eventually.
4. Skin: Skin changes also belong to the symptoms of irregular menstruation. Subcutaneous tissues and water are reduced, become dry and thin, and lose luster. The epidermis of the vagina also atrophies causing degenerative vaginitis, vaginal itching, tingling, pain in conjugal life and other phenomena. The epidermis of the urethra is also atrophic, causing aseptic urethritis, frequent urination and urinary incontinence, etc.
5. Other aspects: the symptoms of not having a menstrual period are also in other aspects, such as dizziness and headache, neck pain and shoulder pain, and lumbar pain and back pain.
3 examination and diagnosis edit
Uterine examination
(1) hysteroscopy: to understand the depth, width, and shape of the official cavity with or without deformities, with or without adhesions, and take the endothelial lining to check for pathological changes;
(2) laparoscopy: to visualize the appearance of the uterus and gonads except for the abnormalities of the congenital development, and to take the biopsy of the ovaries if necessary;
(3) Uterine axial oviduct iodine oil imaging: to understand the shape of the uterine cavity, the presence of malformation, whether the fallopian tubes are patent, except tuberculosis;
(4) drug test examination: progesterone and estrogen test, to observe whether there is a reaction of the uterine lining.
Ovarian function test
(1) vaginal mucus crystal examination: to know the level of estrogen;
(2) cervical mucus crystal examination: to know the level of estrogen and the presence or absence of the effect of progesterone;
(3) basal body temperature measurement: to know the presence or absence of ovulation and the function of luteal body;
(4) estrogen and progesterone level measurement: to know the function of ovary.
Pituitary function test
(1) Measurement of PSH and LH levels in the blood: if higher than the normal level suggests ovarian hypoplasia; if lower than the normal level indicates pituitary hypoplasia or higher center hypoplasia.
(2) Pituitary excitability test: generally 15-30 minutes after the drug, LH value is higher than 2-4 times before the drug, for the pituitary function is good, if not elevated or elevated very little indicates that the disease may be in the pituitary gland.
(3) blood prolactin (PRL) measurement: such as PRL<50ug/ml, should be further PRL. excitation or inhibition of the test, in order to identify the functional secretion of PRL increased and pituitary adenoma.
(4) Pterygoid x-ray film, ting, nuclear magnetic **** vibration and other tests: to except pituitary tumor.
Chromosomal examination
To exclude abnormalities of exogenous development.
4 menstruation does not come cause edit
1, pregnancy
Can be in the menstrual period in the menstrual period delayed for ten days, available early pregnancy test paper test urine, if positive is very likely to be pregnant, the paper is negative, and vice versa. But if you are pregnant, you will also have other symptoms such as nausea, breast swelling and so on. The last thing you need to do is to have an ultrasound.
2, the side effects of drugs
such as endocrine disorders after taking the pill, can also cause delayed menstruation. The central dopamine receptor is inhibited, resulting in the hypothalamus releasing factors into the anterior pituitary gland to reduce the amount of the anterior pituitary gland secretion of gonadotropins and corticosteroid hormones, resulting in menopause and delayed ovulation, etc. The anterior pituitary gland is also known as the anterior pituitary gland.
3, caused by surgery
Uterine surgery caused by cervical adhesions, resulting in menstrual blood stasis, thus delaying menstruation.
4, other
such as mental tension, stress, environmental changes and other psychological factors, some diseases that affect the endocrine. All can cause delayed menstruation.
5, endocrine disorders, such as the emergence of hyperadrenocorticism, there are patients with chronic diseases, such as anemia, tuberculosis, nephritis, diabetes and other diseases, experts say that the above disease, in addition to the harm to health, or lead to menstruation does not come to a common cause.
6, from the point of view of Chinese medicine, this disease is mostly for the yin and blood deficiency, and also depleted, generally due to the qi and blood deficiency and kidney deficiency caused by the treatment of this disease, should be tonifying the spleen and kidney as the main, when the qi and blood to be replenished, the menstruation will be normal.
7, when women have pituitary gland lesions, such as pituitary gland dysfunction, pituitary tumor disease. As well as ovarian lesions, common ovarian cysts, ovarian dysplasia several diseases, are common causes of menstruation, this time should be timely treatment, which is very critical. [2]
5Treatment Editor
Family Treatment Measures
Menstruation, a woman's best friend, is a normal physiological phenomenon and a sign of a woman's health. However, Chinese medicine believes that menstrual blood is the yin blood of the human body, and the constant loss of menstrual blood will make the female organism relatively easy to be in a state of insufficient blood, coupled with stressful work, fast pace of life and bad habits, make women's menstruation delayed.
After the end of women's menstruation from the first day to the seventh day, the body secreted a large amount of estrogen, the body's physiological cells are active, the metabolism is accelerated, in a state of inner peak, also known as the woman's "golden seven days", at this time, any conditioning will be twice as effective!
During the menstrual period, many women experience discomfort. Therefore, in the first three days of menstruation, according to their own situation to decide the form of exercise, to the more gentle, soothing, relaxation, stretching exercise, such as meditation-type yoga, steady Mai Shu sports massage, the primary gymnastics, or just at home to do some simple stretching movements. On the fifth day of menstruation, the body begins to recover, at this time you can begin to walk slowly, jogging and other aerobic exercise. However, it is still important to avoid some ball and weight-bearing sports.
Through these light exercises help the body's blood flow smoothly and relieve stress. During exercise, it is important to avoid applying pressure to the abdominal cavity and avoid raising the leg position too high. If you feel tired or notice a sudden increase or decrease in bleeding, stop exercising immediately.
In our daily life, we should try to keep our private parts clean, and use a lotion that can effectively inhibit and kill the germs that cause gynecological diseases, not only in the cleaning of the private parts while effectively inhibiting and killing the germs, but also increase the resistance of the private parts themselves. Female belongs to the Yin, women's physiological structure is more complex, the body's organs are more fragile, a little inattention can cause physiological and structural disorders of the gynecological organs, which in turn triggers gynecological diseases. Gynecological common chronic pelvic inflammatory disease, endometriosis, cold body, cold limbs, dysmenorrhea, menstrual cramps, irregular menstruation, menstruation does not come, uterine cold infertility, etc. can be achieved through the appropriate treatment with traditional Chinese medicine massage, foot bath to achieve therapeutic purposes, at the same time, but also through the stimulation of foot reflex zones, commonly used in the stability of the Mai Shu Sports Massage Wheel, the lower limbs driven by the wheel of the overall coordination of the movement involves the thighs, calves, knee joints, Ankle joints, soles and toes and other parts of the muscles, bones, and focus on the soles and sides of the feet to produce a massage effect, can effectively regulate the body's physiological functions, improve the immune system function, relieve menstrual disorders. It can effectively regulate the physiological functions of human body, improve the function of immune system and relieve menstrual disorders.
Conventional treatment
No menstruation due to ovarian development or dysfunction, no menstruation is treated as follows:
One is, artificially using hormone drugs for artificial cycle treatment, the first step of the first step of the nightly oral ethylphenol 0.5-1 mg, **** 20 days, the second step in the last 6 days of the last six days of the service ethylphenol, every day intramuscular injection of flavanone 10 mg, complete the Within 3-5 days after completion of the above treatment, menstruation will occur, and then the next artificial cycle of treatment will begin on the 6th day after menstruation with another dose of ethiophenol. Usually 3 cycles in a row, or more cycles, under the artificial menstrual cycle, may gradually normalize menstruation.
The second is, the use of chorionic gonadotropin 1000 international units, in the 10th day of menstruation, every other day intramuscular injection once, **** 5 times, can also promote ovarian function and menstruation.
The Chinese medicine is very good at promoting menstruation, according to the pulse and clinical performance, teenage girls dieting and weight loss lead to menopause and amenorrhea, perhaps some people feel strange, but this is a grim objective reality. In the United States and other Western countries, dieting and weight loss in the incidence of amenorrhea in women as high as 20% or more. China has not carried out statistics in this regard, but gynecological clinics have been reported, should cause women to pay enough attention. It can be adjusted with the Chinese medicine Yu Gong Pei Lin pill.
Dietary regimen
Women who have had menstruation and have interrupted it for more than six months are called secondary menstrual failure or secondary amenorrhea. Due to acquired organic damage and amenorrhea, the most appropriate use of medicinal diet, through the long-term regulation of food. It is possible to obtain unexpected results.
Preventing and regulating secondary menstruation, we should do the following:
1, pay attention to the regimen, menstruation, after the birth, blood room is open, the evil is easy to invade, we should pay attention to the warmth, to avoid the rain, wading in the water, feel the cold, and so on. The cold is likely to cause ovarian dysfunction and lead to amenorrhea.
2, to maintain a happy and relaxed mood, reduce mental stimulation and adverse stimuli, so as to avoid qi and blood rebellion, affecting the normal flow of menstruation. The fear and anxiety of the disease can be lifted, and the disease can be cured as soon as possible.
3, pay attention to diet and nutrition, adjust dietary habits, not picky, not partiality, eat more high-protein foods, such as eggs, milk, lean meat, fish, turtle, oysters, shrimp, etc., as well as vegetables, fruits, in order to ensure that enough nutrients intake. Enhance physical fitness. To eat more nutritious, with the benefit of the kidney and spleen, nourishing blood, easy to digest such food, such as pigeon, turtle, mutton, chicken, liver, spinach, silver fungus, jujube and so on. Do not eat cold, greasy food. To avoid damage to the spleen and stomach. Obese people should also control the diet, eat less sweets and fat-rich foods, while taking a variety of effective measures to achieve the purpose of scientific weight loss.
4, the combination of work and rest, appropriate to strengthen physical exercise and physical labor, in order to enhance physical fitness, to ensure the normal operation of qi and blood, and rationalization of work.
5, active treatment of certain chronic diseases, such as tuberculosis, malnutrition, anemia, thyroid dysfunction, etc., as well as parasitic diseases, so as to avoid further development of the condition into amenorrhea.
6, others such as good family planning. Reduce or avoid abortion surgery damage. The correct use of oral contraceptives. The time of breastfeeding should not be too long, etc., are the prevention of amenorrhea must pay attention to.
Dietary methods
1, hawthorn brown sugar drinking water: 50 grams of raw hawthorn meat, brown sugar 40 grams. Hawthorn water decoction to remove the dregs, punch into the brown sugar, hot drink. Non-pregnant people serve several times, menstrual blood can also come down. Function activates blood circulation and regulates menstruation, main treatment for women with menstrual disorders.
2, black fungus red dates tea: 30 grams of black fungus, red dates 20, black fungus red dates **** boiled soup to serve. 1 time a day, even served.
The appropriate food for menstruation does not come:
1, the choice of staple foods and beans wheat, millet, corn, purple glutinous rice and other and bean products.
2, meat, eggs, dairy selection of pork, pork skin, beef, mutton, animal offal, rabbit meat, chicken, fish, eggs, milk and milk products.
3, the choice of vegetables rape, cabbage, cabbage, spinach, amaranth, celery, lotus root, mustard greens, green garlic, cauliflower, persimmon peppers, tomatoes, carrots, mushrooms, fresh mushrooms and so on.
Dietary taboos
1, crab:
Sexual cool, can cool the blood to dissipate blood stasis, women during menstruation, avoid eating cold and cold things, especially those who suffer from cold dysmenorrhea, more should be avoided to eat.
2, snail:
Sexy cool, can clear heat. Avoid eating cold things such as snails during menstruation.
3, chocolate:
Chocolate can make emotions out of control. Chocolate will cause more emotional instability and sugar addiction, in addition to gaining weight, but also increase the demand for vitamin B. At the same time, sugar depletes
the body of vitamin B and minerals, and makes people more likely to eat sugary foods. Eating sweet foods high in sugar not only fails to improve the symptoms of menstrual discomfort, but may also affect the hormonal balance in the body due to unstable blood sugar, aggravating the uncomfortable
feelings of menstrual discomfort.
4, pepper, cloves, pepper:
Menstrual period should eat light, flavor flat, rich in nutrients, should not eat stimulating spicy food, so as not to stimulate vasodilatation, caused by early menstruation and menstrual excess. Peppercorns, cloves and peppercorns are all ingredients that can be used to make dishes taste better. However, in the menstrual period of women should not eat these spicy stimulating food, otherwise it is easy to lead to dysmenorrhea, excessive menstrual bleeding and so on.
5, pear:
Do not eat more raw pear during menstruation.
6, persimmons:
Persimmons contain tannins, easy to combine with iron and hinder the body's intake of iron in the food, due to the loss of a large number of women in the menstrual period of blood, the need to replenish the iron, so it is not advisable to eat persimmons.
7, salt:
Women eat too salty food before the onset of menstruation is harmful. Excessively salty food will increase the salt and water reserves in the body, thus causing headaches, agitation and irritability before the onset of menstruation.
8, bamboo shoots:
Bamboo shoots cold, and contains more crude fiber and insoluble calcium oxalate, women should avoid eating during menstruation.
9, watermelon:
Women who are menstruating should abstain from eating. [