Endometrial shedding?

Endometrial shedding is a normal physiological phenomenon during the female menstrual cycle, mainly caused by changes in hormone levels. Endometrial shedding may manifest as menstrual cramps, mild abdominal pain, backache and other symptoms, and usually does not require special treatment.

1. Hormone changes

Endometrial shedding is related to cyclic changes in estrogen and progesterone levels in the body. As the corpus luteum of the ovary degenerates, the progesterone level decreases, the endometrium loses hormonal support, and the vasoconstriction causes ischemia and necrosis of the endometrial tissue, which eventually falls off to form menstruation. This process is usually accompanied by a slight feeling of bloating in the lower abdomen, which can be relieved by hot compress or rest.

2. Menstrual cramps

Periodic shedding of the endometrium manifests as regular vaginal bleeding, known as menstruation. Normal menstruation lasts for 3-7 days, with a bleeding volume of 30-80 ml, containing shed endometrial fragments. If there are excessive blood clots, prolonged menstruation, or severe pain, it may be related to adenomyosis, and you need to seek medical attention.

3. Abnormal shedding

Abnormal endometrial shedding during non-menstrual periods may be caused by factors such as luteal insufficiency and endometrial polyps, manifesting as intermenstrual bleeding. Endometrial polyps may cause increased menstrual flow and prolonged menstrual periods. They can be diagnosed through ultrasound examination, and hysteroscopic polypectomy can be performed if necessary.

4. Pregnancy related

The endometrium no longer sheds periodically after pregnancy, but implantation bleeding may occur in early pregnancy. If a large amount of endometrioid tissue is discharged during pregnancy, you need to be alert to the possibility of miscarriage and seek medical attention immediately to check progesterone levels and embryonic development.

5. Disease factors

Endometriosis causes abnormal growth and loss of endometrial tissue outside the uterus, causing pelvic pain and infertility. Endometritis may cause irregular shedding of the endometrium and abnormal secretions, and requires antibiotic treatment such as metronidazole tablets and levofloxacin tablets.

It is recommended that women avoid strenuous exercise and cold foods during menstruation, and pay attention to perineal hygiene. If menstrual cycle disorders, abnormal bleeding or severe dysmenorrhea occur, gynecological examination and ultrasound monitoring should be carried out in time. Daily iron-containing foods such as animal liver, spinach, etc. can be supplemented in an appropriate amount to prevent iron deficiency anemia caused by menstrual blood loss.