B-ultrasound. Uterine's fine, but she's bleeding.

B ultrasound showed that the uterus was normal but bleeding, there may be endocrine disorders, coagulation disorders, endometrial lesions for a variety of reasons, need further comprehensive examination and comprehensive analysis to clarify the real cause of bleeding. First, endocrine disorders may be one of the factors leading to this situation. Unbalanced hormone levels in women, such as estrogen, progesterone and other abnormal secretion, may cause irregular endometrial shedding, resulting in bleeding. In this case, further examination of hormone levels is needed to clarify the specific endocrine state, and targeted conditioning and treatment according to the examination results. Second, coagulation disorders may also cause such phenomena. If the patient has coagulation problems, such as thrombocytopenia, coagulation factor deficiency, etc., it may affect blood coagulation and lead to uterine bleeding. At this time, relevant coagulation function tests should be carried out in order to accurately diagnose and formulate appropriate treatment plans. Third, local endometrial lesions may not be completely detected by conventional B-ultrasound. Some small or early lesions may need to be detected by hysteroscopy and other more sophisticated examination methods. For example, endometrial polyps may not be clearly displayed by B-ultrasound in the early stage, but they may cause bleeding. Fourth, other factors such as drug influence, strenuous exercise, and excessive mental stress may also interfere with normal menstrual cycles, resulting in uterine bleeding. It is necessary to carefully inquire about the patient's medication history, recent life status, etc., and comprehensively analyze and judge the possible causes.