Sohu Health Live Room Guest: Liu Ying, Deputy Chief Physician of Gynecology, Chinese Academy of Traditional Chinese Medicine, and Associate Professor of Gynecology, University of Traditional Chinese Medicine.
The host said: Good afternoon, netizens! Today, we invited Professor Liu Ying, a famous gynecologist, to talk with us about dysmenorrhea and irregular menstruation. Dysmenorrhea and irregular menstruation are problems that plague many female friends. Because Chinese medicine uses natural animal and plant ingredients, it may have little impact on people, so many people like the treatment of Chinese medicine.
Moderator: I would like to ask Professor Liu Ying, theoretically speaking, what is the cause of irregular menstruation?
Liu Ying: Irregular menstruation is actually a clinical symptom. The most common causes are cold, heat and dampness. In fact, the main cause of gynecological diseases is cold, heat and dampness. The disorder of liver will lead to the disorder of qi and blood and qi deficiency. These factors will lead to gynecological diseases. The biggest disease of female friends is irregular menstruation.
The host said: So what are the manifestations of gynecological diseases?
Liu Ying: Menstrual disease is the basic disease of women, and it is also the biggest disease. It can cause many diseases, such as infertility and pelvic tumors. Generally speaking, irregular menstruation may be early menstruation or menstrual disorder, so we say early menstruation, late menstruation and menstrual disorder. Excessive menstrual flow, if not treated, will develop into metrorrhagia; Too little menstrual flow may be because the endometrium is very thin, so it should be treated. There are also some menstrual cycle changes, including long waiting time and so on. Then there are some diseases associated with irregular menstruation, such as menstrual abdominal pain, or pelvic organic lesions.
The host asked: What kind of symptoms can Tongjing Pill take?
Liu Ying: Tongjing Pill is generally primary dysmenorrhea, with no lump, dysmenorrhea, primary lump and endometriosis. Therefore, we will use Chinese medicine and some herbs that have been used for many years to make water pills, such as Tongjing pills, which are more convenient for patients to take. At present, these drugs are used very well in China, because they are very convenient, and traveling to school will not affect the use of drugs. B-ultrasound will be performed after taking the medicine.
Netizen asked: I am 24 years old now. /kloc-at the age of 0/4, menstrual cramps are always irregular. I come every three or five months. I saw a doctor in 2000 and took progesterone. After taking it for 3 months, it is irregular for half a year. In 2003, I saw a doctor and said that estrogen was low.
Liu Ying: We try not to let patients rely on these drugs in clinic, because if they rely on exogenous sex hormones for a long time, the secretion of hormones in the body will be less. Then Chinese medicine is dialectical treatment, such as blood deficiency, that is, blood dryness, so as to replenish qi and blood. When blood is full during menstruation, it will naturally come. There is also a kind of dampness, which is blood stasis. At this time, we should use some drugs to eliminate dampness, regulate qi and promote blood circulation. It can normalize menstruation and improve accompanying symptoms, such as dysmenorrhea, backache, etc.
The host asked: What causes dysmenorrhea in traditional Chinese medicine?
Liu: The TCM explanation of pain is that qi and blood are abnormal. It hurts if you can't, so many women feel that it hurts if you can't get menstrual blood. Then our treatment is to dredge menstruation and relieve pain. Therefore, Tongjing Pill and Guilin Xiaoliu Pill are both treated according to the etiology. Another is dysmenorrhea caused by damp heat. Usually there are many leucorrhea, yellow color, peculiar smell, and often backache. We use pelvic inflammatory pill to treat this disease, which can not only clear away damp heat, but also induce diuresis and reduce swelling. Some patients can also use this medicine to relieve dysmenorrhea.
Moderator: Many people say that the general principle is painless, but the pain is unreasonable. Sometimes it is cured with traditional Chinese medicine, but how to solve the problem of relatively large blood volume?
Liu Ying: It depends on what causes it, such as blood fever. We should use drugs to clear away heat and cool blood. If it is because of qi deficiency and fatigue, it is necessary to use qi-invigorating drugs, such as Guilin Xiaoliu Pill, which can not only change qi and blood, but also change the amount of bleeding.
Netizen asked: I want to ask, I have been amenorrhea for four years. I took a lot of medicine during the period. As long as you take medicine, you will menstruate, but you won't come if you don't take medicine?
Liu: This kind of patient must go to the clinic. One reason for amenorrhea is blood deficiency. Ancient doctors said that the blood was dry, so there was no menstrual blood. At this time, liver and kidney should be supplemented; Another is due to qi stagnation, such as anger and anxiety; There is also a kind of cold, with some drugs to get through menstruation, and menstruation often comes soon.
Netizen asked: Do I have blood samples secreted one week after menstruation?
Liu Ying replied: You should have a gynecological examination to see if there are any organic lesions. If there are polyps, you can take them; If it is caused by other reasons, Chinese medicine will treat it according to the cause.
Netizen asked: I have a stomachache before menstruation every time. Do I have breast pain?
Liu Ying: If the examination is lobular hyperplasia of breast, it is the most common. This granule can be used before menstruation until menstruation comes. If there is dysmenorrhea, it can be combined with Tongjing Pill. If it is not only hyperplasia of mammary glands, but also fibromas. It needs to be combined with Guilin Xiaoliu Pill, and the change of tumor body takes about two months.
Moderator: Many women will have breast pain, backache and soreness before menstruation. Is there any good way to reduce these uncomfortable feelings?
Liu: Symptoms such as breast distension, abdominal distension and low back pain before menstruation are actually caused by endocrine changes. Chinese medicine believes that qi and blood are not smooth. No matter what the reason, we should adjust our mentality before menstruation, and at the same time we can use drugs, such as breast Sanjie granules; Eat more light food, such as radish, including all kinds of mushrooms and green leafy vegetables. Don't eat too much soybean food, it is easy to produce gas. Some health care products contain estrogen, such as some honey products, and we should also pay attention to eating less.
Netizen asked: Why is there a blood clot?
Liu Ying: Chinese medicine believes that blood clots are caused by blood stasis. Some may be due to a cold, such as eating sorbet; There is also qi stagnation, such as being angry or in a bad mood, which can also cause blood clots; Another is that damp heat is particularly heavy, which is composed of dampness and blood. Different conditions are treated with different drugs, such as dysmenorrhea caused by damp heat. To use pelvic inflammatory disease pills, you can cooperate with Tongjing pills. If it is caused by simple qi stagnation, we use some drugs to soothe the liver.
Netizen question: Hello, Dr. Liu, am I suffering from cervical erosion for three degrees?
Liu Ying: If it is third degree, too much secretion may hinder the combination of sperm and egg.
Netizen asked: I want to ask if there are any other reactions during ovulation.
Liu Ying: Most patients have no feeling when ovulating, and some patients may have a little pain on one side; In addition, it can be observed from the leucorrhea whether it is ovulation period. At this time, the leucorrhea should be very clear and transparent, such as raw egg white; There is also a measurement of basal body temperature, which drops on the basis of the original body temperature or rises the next day; Another way is to go to the hospital to see if this follicle is discharged during two menstrual periods.
Netizen asked: how come there will be a week's blood sample secretion before I come to menstruation?
Liu Ying: If there is blood secretion before menstruation, check it. Simple blood secretion depends on what causes it. Such as damp heat. You can use pelvic inflammatory pill. If it is qi deficiency, you can use drugs that inject blood. If accompanied by dysmenorrhea, I can use Tongjing Pill. If it is premenstrual, I can use Ruxian Sanjie Granule, which can not only treat breast lump, but also regulate menstrual cycle.
Netizen asked: My menstrual period is relatively short, and I have to advance 4 or 5 days every time?
Liu: Generally, we consider whether there is pelvic inflammatory disease or submucosal myoma. We should come to the hospital for examination first, and then take the medicine according to your situation after the examination. If you think there are many questions, you can write down our consultation telephone number. Outpatient service: 0 1065934452, research institute: 0 1067 19099, 0 1067 165438, you can call at any time.
Netizen asked: I haven't menstruated for three months, but I'm not pregnant. Is there an irregular lump in the left ovary the result of B-ultrasound examination?
Liu Ying replied: If there is no inflammation and it is a simple lump, we will treat it with Guilin Xiaoliu Pill for two to three months, and then do B-ultrasound examination. There are also sticky substances in the ovaries. You can also take Guilin Xiaoliu Pills and check the B-ultrasound to see if the lump disappears.
Netizen asked: You said to use Guilin Xiaoliu Pill, so is there an irregular lump on my left ovary a tumor? Will there be other diseases in general? If I haven't menstruated for three months, will it be an ectopic pregnancy?
Liu Ying: This needs a detailed examination in the hospital. If the B-ultrasound report is only a simple ovarian mass, it will return to normal after three months.
Netizen asked: Is there always blood secretion after sexual intercourse?
Liu Ying: The vulva is damaged, the vagina is inflamed, or there are polyps in the cervix, which may cause bleeding, so it depends on what causes it. If it is vaginal inflammation, then clean the vulva and then apply medicine locally; If it is a polyp, I can remove it. If it is a myoma, I will use Guilin Xiaoliu Pill.
Netizen asked: I have moderate cervical erosion. Can it be treated with traditional Chinese medicine?
Liu: It can be treated with Chinese medicine. On the one hand, it is necessary to clean the vulva, and at the same time, local medication is enough. In addition, local hygiene is very important. All gynecological operations have to sneak into the cervix, and the blood supply is very rich, so this part is very dangerous. Its treatment should be comprehensive treatment, and the effect will be better.
Netizen asked: I am pregnant for 8 weeks. Everything was normal when I first had the examination, but I felt very painful when I had the gynecological examination. Later, I found out that Pap scored second?
Liu Ying replied: The second grade of Pap may be Grade A and Grade B, which can be ignored during pregnancy. If it's grade A, just clean the vulva. If the doctor says he needs treatment, he can go to the hospital and scrub with iodine. Do not advocate taking medicine; Then B is often a serious inflammation, and we often have to do scraping again after three months of treatment.
Netizen asked: I especially want to sleep during my period, which also affects my work. What should I do?
Liu Ying: Some women feel particularly sleepy and tired during their menstrual period. In fact, they can relax themselves by watching some movies, TV or some beautiful pictorial they like. They must relax themselves during menstruation, and don't be particularly tired during menstruation. If you are really tired and affect your work and life, you can use some drugs to invigorate the spleen and kidney, which will make you feel more energetic.
Netizen asked: I have experienced uterine bleeding before. I haven't menstruated for the last three months. I had a cycle before, and the cycle was normal. Moreover, menstruation stopped after coming for a day or two, and came again after 10, and came again after a day or two?
Liu Ying replied: In this case, I have a history of massive bleeding and used estrogen. In this case, we need to do a B-ultrasound to see the thickness of endometrium. If the endometrium is thick, we will use drugs to peel off the endometrium and let it grow a new endometrium after peeling. This treatment needs to be observed for a period of time, especially the treatment of menstrual cycle. A real menstrual treatment cycle should be three courses of treatment.
Netizen asked: I have been menstruating for two days in the past six months. Is menstrual blood black?
Liu Ying: The color of menstrual blood should be from light to red and then to light. If some patients say it is brown or there is a blood clot, this situation is blood stasis. If it is qi stagnation and blood stasis, it may be a more complicated disease. In this way, Guilin Xiaoliu Pills can be used, and then Ruxian Sanjie Granules can be used. The other is caused by damp heat, that is, there is usually a yellow leucorrhea, which can also cause wet blood interweaving. At this time, pelvic inflammatory disease pills and Guilin Xiaoliu pills can be used for treatment.
Netizen asked: Married for two years, pregnant three times. I took medicine for the first time, and I got pregnant again about half a year later. The second time, I also took abortion medicine and did Qing palace? The third time is the same.
Liu Ying: We should pay attention to whether there is inflammation in the endometrium after uterine curettage, and whether the endometrium is normal now. It is possible that the endometrium will be very thin after repeated curettage, so one of the treatments at this time is to replenish qi and blood, so that the endometrium can return to normal and regenerate children.
Netizen asked: Every time after my menstruation, no matter how I wash it, it still stinks. Is there a problem?
Liu Ying replied: In this case, I have to go to the hospital for gynecological examination, and I will take some secretions for smear to see if there are trichomonads and molds. Now there is a BV. If BV is positive, this smell is generally fishy, and the other is damp and hot. We can treat it with traditional Chinese medicine such as pelvic inflammatory pill.
Netizen asked: I am irritable one week before each menstrual period. Does my back seem to hurt like a fracture every time?
Liu Ying: This is a typical menstrual qi stagnation. Use some drugs to soothe the liver and regulate qi.
Netizen asked: Is it abnormal to increase leucorrhea before menstruation?
Liu Ying: After menstruation, leucorrhea can be more. If there is an odor and the leucorrhea turns dark yellow or yellowish green, you need to go to the hospital for treatment. There may be pelvic inflammatory disease or vaginitis.
Netizen asked: I sometimes menstruate twice a month, which has been almost a year. Colleagues say that my face is sallow and I have a lot of menstruation every time?
Liu Ying: If there is a little bleeding between periods, it may be menstrual bleeding. If the amount is small, it may be that ovulation is a bit abnormal; If you look really pale, be sure to check whether there are pelvic lesions, whether there is inflammation of the endometrium, or even inflammation of the appendix, which needs further examination. If there is inflammation, we may treat it. If not, it is the problem of ovulation, and it can also be treated with traditional Chinese medicine.
Netizen asked: My last period was 14, and it usually cleared in 4 days, but I began to have a stomachache on May 2 and began to bleed heavily on May 7. Will I still be bleeding after 5 days?
Liu Ying: This is a symptom of pelvic congestion. This kind of medicine often needs to regulate qi and remove blood stasis, such as Guilin Xiaoliu Pill and Pelvic Inflammatory Pill, which can make menstruation normal, and then the discomfort should disappear.
Netizen asked: If the attachment often hurts, is it pelvic inflammatory disease?
Liu Ying: If the appendix often hurts, it may be pelvic inflammatory disease.
Netizen asked: There is a small pimple on the vulva. Is it folliculitis?
Liu Ying: If it is folliculitis, you can use some cleaning lotion or some anti-inflammatory ointment around the hair follicle.
Netizen asked: What examination should I do to know whether the intima is normal and how to replenish qi and blood?
Liu Ying: You can check the thickness of the endometrium with B-ultrasound, which is generally 0.8cm, and it is thicker if it is above 0.8cm. The thicker the patient, the more bleeding. In addition, you can take some ginseng pills to replenish qi and blood.
Netizen asked: Does my stomach hurt again after a week of menstruation?
Liu Ying: It depends on whether menstruation is normal. If it is normal, it is necessary to have a gynecological examination if abdominal pain occurs. If menstruation is abnormal, the possibility of ectopic pregnancy should be ruled out first.
Netizen asked: There are always some secretions one or two days before menstruation these days. Isn't it? What is the reason? Is it serious?
Liu: Under normal circumstances, leucorrhea can increase slightly before and after menstruation. With the increase of age and the change of ovarian function, it is possible that the secretion that used to be quite small is now increasing. If leucorrhea smells, you should go to the hospital for examination.
The host asked: If there is an inspection, what kind of inspection should be done?
Liu Ying: Usually we go to gynecology. Those who have had a history of sexual life will have gynecological examination and routine vaginal discharge examination, so as to see if there are any infections, such as trichomonas, mold and Canadian Bacillus.
Netizen asked: I am 29 years old this year, but my period is always early. I'm going to have a baby, but I haven't been pregnant for months.
Liu Ying: We call it premature menstruation, depending on whether it is functional or organic. If it is functional and there is nothing abnormal in B-ultrasound and gynecological examination, then some Chinese medicines can be used at this time. If it is caused by fibroids, Guilin Xiaoliu Pill and Tongjing Pill should be used for the same treatment. If it is caused by inflammation, pelvic inflammatory disease pills should be used. The causes are different and the treatment methods are different.
Netizen asked: My menstrual cycle has been uncertain, with a small amount and a dark red color. What Chinese medicine should I use?
Liu Ying: This situation needs to be analyzed. For example, it is caused by qi deficiency, so we use some traditional Chinese medicines to replenish qi, so it depends on the specific situation, such as tongue pulse.
Netizen asked: I have a funny period on my face. The doctor told me to take hormones. I took it once, and my menstruation was delayed 10 days. Can I still eat?
Liu Ying: Generally speaking, we don't like to use hormones. You can use some Shuangyi pills, which are drugs for clearing liver-heat and are good for menstruation and Doby.
Netizen asked: I am taking norethindrone now. I took it for the third time on the 24th, but my period hasn't come yet last month. Are you pregnant?
Liu Ying: Any contraceptive pill has side effects. Once menstruation is irregular, pregnancy should be ruled out first. Birth control pills should be considered after pregnancy. Some people are sensitive. Once they take medicine, they don't menstruate. From the point of view of gynecologists, if we are newly married and don't want children, we generally don't advocate taking birth control pills. It is best to use tools for contraception, which is clean and has no side effects that drugs may bring. If you can't accept intrauterine devices after giving birth, you should use birth control pills. Therefore, contraceptives must be used with caution.
Netizen asked: I went to the hospital for consultation today because I haven't been pregnant for a long time. I suspect it's tubal nowhere. How can I be sure?
Liu Ying: If ovulation is normal, we won't get pregnant for half a year, and then we will check the fallopian tubes. The fallopian tubes can then be examined by fluid drainage or angiography.
Netizen asked: How is my back pain during menstruation every month?
Liu: It depends on whether menstruation is normal. If menstruation is normal, we often consider menstrual blood deficiency, because after menstruation, the blood sea is empty, and liver and kidney can be supplemented to improve it.
Netizen asked: I am 46 years old this year. When I had an occasional gynecological examination seven years ago, the PRL was very high, reaching 15 1 mg at the highest time. I did an MRI immediately and found nothing unusual. I even have amenorrhea now.
Liu Ying: Some patients can't do MRI and CT examination, so we can often strengthen them. Some patients will have very small micro-stones. The only problem now is to rebound after falling. In this case, we usually combine traditional Chinese medicine with acupuncture, and the combination of traditional Chinese and western medicine may be better.
Netizen asked: I started menstrual disorder three years ago, and I can take medicine and injections intermittently for one or two months. The doctor said it was caused by uterine atrophy?
Liu Ying: Now we need to do a B-ultrasound to see how big the uterus is. If the uterus does not develop well, it should be said that Chinese medicine can help to recover. If the atrophy time is too long and too short, the recovery of treatment may be even smaller.
The host said: Because of the time, today's interview can only end here. In the future, netizens can call Liu Jiaoshou directly to ask questions. The telephone numbers are 0 1065934452, 0 1067 19099, 0 106765438+. Thank you, Professor Liu Ying.
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