Intermenstrual Bleeding Explained in TCM
Intermenstrual bleeding, also known as abnormal uterine bleeding or metrorrhagia, refers to vaginal bleeding that occurs at any time during the menstrual cycle other than during the normal menstrual period. It may also be referred to as spotting or breakthrough bleeding.
Intermenstrual bleeding can be caused by a variety of factors, including:
Hormonal imbalances
Uterine fibroids
Endometrial, uterine polyps
Thyroid disorders
Pregnancy complications
Certain medications
Severe cases could be endometrial cancer or uterine sarcoma etc., necessary exams should be done.
If you experience irregular uterine bleeding, it is important to consult with your healthcare provider to determine the underlying cause and receive appropriate treatment.
Intermenstrual bleeding itself does not directly lead to infertility. However, it can be a symptom of underlying conditions that can affect fertility. For example, conditions such as Polycystic Ovary Syndrome (PCOS), endometriosis, or uterine fibroids can cause abnormal uterine bleeding and also affect a woman's ability to conceive.
In Traditional Chinese Medicine (TCM), intermenstrual bleeding is classified into two types:
Metrorrhagia - which refers to copious bleeding with a sudden onset
Metrostasis - characterized by trickling bleeding with a gradual onset
TCM believes that metrorrhagia and metrostasis are due to the loss of control of the Chong-Ren meridians. The Chong and Ren meridians are important channels of energy that govern the reproductive system. When there is a disruption or blockage in these meridians, it can lead to various gynecological disorders, including intermenstrual bleeding. The causes can be attributed to:
Blood heat
Kidney deficiency
Spleen deficiency
Blood stasis
After ruling out bleeding due to pregnancy, puerperal, or tumor, acupuncture/TCM treatments can provide a holistic approach to intermenstrual bleeding by applying a variety of modalities, including acupuncture, herbal medicine, dietary therapy, and lifestyle recommendations. By addressing the root cause of the imbalances and restoring control over the Chong and Ren meridians, abnormal bleeding may be stopped.
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