Adolescent menstruation is abnormal, do you need treatment?

As soon as the summer vacation, a gynecological clinic will see a pair of mothers and daughters. These girls have a common feature: the middle/college entrance examination is over.

These girls have to varying degrees of menstrual disorders, and some manifests that vaginal bleeding is constantly (I can’t finish menstruation).Increased menstrual flow … They also have one thing in common: after examination, neither uterus and ovaries have no organic lesions (no fibroids, no polyps …).

Most of them can return to normal menstruation after rest and relaxation. Only individuals affect normal learning and life need to be treated with bleeding.

In the above situation, we call it "adolescence blood". Today we will talk about this adolescence that is not a rare disease.

Hulk brain, pituitary, and ovarian are involved in the adjustment of the menstrual cycle.

Adolescent girls, at the beginning of the menstrual tide, because HP0A has not yet matured, the moon is often irregular, and it is very sensitive to external factors such as emotional fluctuations, high learning pressure, exercise, environment, climate, and nutritional imbalance, and it is prone to menstrual disorders.

This situation is mostly related to ovulation and no organic lesions. Professional terms are called "functional uterine bleeding" (DUB).

Generally, after 5-7 years, the regular ovulation is established.

Not all adolescent menstrual abnormalities are DUB, which need to exclude organic lesions. Therefore, after you take your child to the hospital, you need to do the following examination:

The doctor will ask your child if you have a sexual life

In clinical work, when we encountered a doctor asked about sex, the mother was furious; and after encountering B -ultrasound, it was prompted that after a few months of pregnancy, the mother vowedSexual life leads to a tragedy of timely diagnosis of delay treatment in time.

Therefore, we must tell the doctor frankly that if so, you must first exclude pregnancy -related bleeding, and you need to check HCG or urine pregnancy test.

In addition, if there is a history of taking medicine, you need to tell your doctor.

Then, the following examination will be done:

Blood draw test: Blood routine (clarify whether there are anemia, infection, etc.), coagulation function (excluding abnormal coagulation function), liver and kidney skills, thyroid function, etc. to eliminate other system diseases.

The B -ultrasound is to eliminate the abnormalities of the uterine ovarian structure. For example, the endometrium polyps, adenomy muscle disease, and uterine fibroids are sometimes clear.Some ovarian tumors with endocrine function can also cause abnormal uterine bleeding.

Sometimes, it is necessary to check whether the external genitals are abnormal.

Only the above inspections are not prompted to be abnormal can the "adolescent blood".

Some mothers believe that adolescence and menstruation is abnormal and normal, regardless of care; some mothers are worried, worried about affecting her daughter’s future fertility ability, and the child’s heart is also very stressful, and he always feels that he has a serious illness.

You should know:

The abnormal menstruation of adolescence is caused by HPOA’s immature and ovulation, but there are also a few due to uterine ovarian have organic lesions or other systemic diseases (hematological diseases, thyroid diseases, etc.).

Therefore, as a mother, you must pay attention to observe the menstrual situation of your daughter, and the following situations occur:

The menstrual period is more than 7 days;

Menstrual abdominal pain cannot be relieved after medication;

Non -menstrual bleeding;

Bleeding has more or every 1-2 hours to change the sanitary napkin;

No menstruation for more than 3 months;

Menstruation becomes irregular;

Future menstruation within 3 years after menstruation or breast development of 15 years or above;

Feather or other discomfort during menstruation …

You need to go to the hospital in time to eliminate the quality lesions of the instrument.

Of course, the symptoms are mild, only manifested as irregular menstruation, the amount of bleeding is not much, and the duration does not exceed 1 month. It does not affect normal learning and life. There is no anemia and infection. It can not be treated. Just observe.

For example, the blood that we mentioned earlier after the tense test, most of the symptoms are mild and do not need to be treated.

However, if the amount of bleeding is large and the duration is long, it must be diagnosed and treated in time.


Uterine endometrium shedding method: It is suitable for certain estrogen levels in the body, hemoglobin (HGB)> 80g/L, stable blood pressure pulse, no unwell person such as dizziness.

Drug selection: simple progesterone (progesterone, ground flexion, luteal ketone capsules, acetate methalin -hydroxyl acetone).

In the short term after stopping the drug (generally not more than 7 days), there will be vaginal bleeding, which is equivalent to a menstruation.If the bleeding volume exceeds the previous menstrual volume, or the bleeding time needs to be reopened by more than 2 weeks.

Uterine endometrial repair method: suitable for acute large bleeding, long bleeding time, HGB <80g/L.

Drug selection: estrogen (erogotyl gymiol, benzoic acid estradiol, etc.).

After the HGB increases to 90g/L, add progesterone retreat to bleeding.

Uterine endometrial atrophy method: suitable for acute bleeding, stable condition.

Drug selection: three generations of short-acting contraceptives (Mom Fulong, Min Ding, Da Ying-35, etc.).

Adjustment cycle

Periodic aesthetic treatment: It is advisable to use natural or close to natural progesterone (such as musching ketones), which is conducive to the establishment or recovery of ovarian axis function.

Short -acting contraceptive pill: suitable for women with contraception.

How many cycles do you need to treat?It is recommended that you: Monitor the base temperature to see if there is ovulation and ovulation and drugs.If there is no ovulation, continue to apply, or stop the menstrual period from January to February, you should continue to maintain the cycle.

Auxiliary treatment

Correct anemia, hemostasis, and anti -infection.


Eliminate concerns, fear and other psychology, actively and optimize the disease, and actively cooperate with doctors’ treatment.

Observation follow -up

HPOA takes a period of time to mature. Menstruation may occur repeatedly, and long -term management needs to be managed until a regular ovulation.

In addition, you should pay attention to menstrual hygiene during adolescence. Life and study should pay attention to the combination of work and rest, and cultivate a balanced and healthy eating habits.

in conclusion:

Menstruation is abnormal during adolescence, you should take a doctor as soon as possible to eliminate the quality lesions of the instrument;

Symptoms can not be treated without treatment, maintain a pleasant mood, and reduce stress, most of them can gradually return to normal;

The amount of bleeding is large and the duration is long, which requires hormones to stop bleeding and adjust the cycle;

Adolescents need to be managed for a long time.

Baby Scale-(24inch)