Ten days after menstruation, there is still bright red blood

The presence of bright red blood on the tenth day of menstruation may be related to factors such as endocrine disorders, uterine fibroids, endometrial polyps, coagulation disorders, and luteal insufficiency. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Endocrine disorders

Factors such as staying up late for a long time and high mental stress may lead to hypothalamic-pituitary-ovarian axis dysfunction and prolong the menstrual cycle. The symptoms include increased menstrual flow, menstrual period lasting more than 7 days, and bright red color. It can be improved by adjusting work and rest and reducing stress. If necessary, follow the doctor's advice and use progesterone capsules, dydrogesterone tablets and other drugs for adjustment.

2. Uterine fibroids

Intramural or submucosal fibroids may increase the area of ​​the uterine cavity, leading to incomplete shedding of the endometrium and prolonged menstruation with bright red bleeding. It is often accompanied by symptoms such as dysmenorrhea and increased menstrual flow. The diagnosis can be confirmed through ultrasound examination. For smaller fibroids, mifepristone tablets can be used to reduce the size of uterine fibroids as directed by your doctor.

3. Endometrial polyps

Polyps protruding from the surface of the uterine cavity can easily lead to abnormal uterine bleeding, which may manifest as prolonged menstruation, spotting, or bright red blood clots. Hysteroscopy is required to confirm the diagnosis, and polyp removal can be performed under hysteroscopy. Drospirenone and ethinylestradiol tablets may be taken after surgery to prevent recurrence.

4. Coagulation dysfunction

Diseases such as thrombocytopenia and hemophilia may cause coagulation abnormalities, which may manifest as prolonged menstruation and difficulty in stopping bleeding. Coagulation function testing is required, and treatment for the primary disease is required after diagnosis. For example, if you have immune thrombocytopenia, you can use prednisone acetate tablets as directed by your doctor.

5. Luteal insufficiency

Insufficient secretion of progesterone by the corpus luteum may lead to delayed shedding of the endometrium and prolonged menstrual periods with bright red bleeding. Basal body temperature monitoring shows that the high temperature phase is shortened, which can be diagnosed through progesterone testing. It is necessary to follow the doctor's advice to supplement progesterone soft capsules and other drugs.

During prolonged menstruation, the vulva should be kept clean, the perineum should be washed with warm water 1-2 times a day, and bathing and sexual intercourse should be avoided. Eat more iron-rich foods such as animal liver, spinach, etc. to prevent anemia. Pay attention to record the bleeding time and amount. If the bleeding lasts for more than 14 days or anemia symptoms such as dizziness and fatigue occur, seek medical attention immediately. Carry out light exercise such as walking appropriately to avoid strenuous exercise aggravating bleeding. Maintain emotional stability and avoid excessive anxiety that affects endocrine regulation.