Chapter 1228: The results that made the doctor sigh
Some scholars have referred to this phenomenon as remnants of primitive sexual organ tissue remaining in the nose.
In summary, compensatory menstruation nosebleed, commonly known as “reverse menstruation,” does not mean that blood from the Uterus has flowed into the nose. It simply indicates that an organ, influenced by sex hormones, is emitting periodic signals.
If reverse menstruation occurs, is it normal? Based on the anatomy and physiology knowledge just discussed, it appears to be normal.
It can be normal, particularly during certain unique physiological stages for women. These include puberty, pregnancy, and menopause—three phases where significant fluctuations in sex hormone levels occur. During these stages, the occurrence of reverse menstruation is understandable and shouldn’t cause excessive panic. For other physiological stages, doctors must carefully rule out disease-related factors or the possibility of individual variations. After all, some individuals are naturally predisposed to this without any impact on their overall health, which does not classify it as a disease.
In detail, the first critical consideration for doctors is, of course, the volume of bleeding.
Normal cases of reverse menstruation, or occasional occurrences, will not result in massive bleeding that could lead to hypovolemic shock.
“Are you sexually active?” Xin Yanjun asked the patient.
The female patient seemed hesitant, finding it difficult to answer.
“Is she married? Is she pregnant?” Xin Yanjun turned to the patient’s friend and asked instead.
“She’s not married. She has a boyfriend,” the friend honestly answered on her behalf.
“Has she had any gynecological surgeries before?”
“What kind of surgeries?”
“Has she had an abortion or undergone a dilation and curettage procedure?”
The patient and her friend both fell silent, as if sealing their lips. Evidently, even when faced with a female doctor, patients like this still avoid discussing such matters. This reluctance is a common characteristic among these female patients.
Glancing at their expressions, the doctor instantly understood.
Xin Yanjun instructed the nurse, “Notify Gynecology to send someone down.”
“Doctor, what does this have to do with the nosebleed?” The patient’s friend, sensing the unusual tone, asked with concern.
This is why young women need to practice self-respect. If you’re not married, why engage in sexual activity? If an unplanned pregnancy occurs and you’re not ready to have a child, you resort to abortion, leading to situations like this. The doctor suspects that the dilation and curettage procedure might have caused endometrial shedding and migration to other areas, resulting in the nosebleed. This condition is known as endometriosis. Since this patient didn’t previously exhibit such symptoms, it’s unlikely to be due to individual variation.
“I’ll call her boyfriend,” the friend said, catching the doctor’s implication as she picked up her phone.
After a while, no one answered the call.
Lying on the hospital bed, the female patient stared blankly into space, as if disoriented and unable to think clearly.
As a fellow woman, the female medical staff couldn’t help but feel a mix of frustration and disappointment upon encountering situations like this.
Should we blame these women for being ignorant? Or society for not providing sufficient sexual education and awareness of its potential consequences?
During middle school, teachers surely must have talked about the importance of protecting oneself. Parents must have stressed what shouldn’t be done before marriage. Yet somehow, these warnings went unheeded. It’s only after something happens that the gravity of the situation sinks in.
You have to love and take responsibility for your body because otherwise, it will pay the price for your actions. Love is important, but health is even more crucial. Others may shed a tear or two for you, but in the end, it’s your life on the line.
Thinking about all this, Xin Yanjun, who usually wore a cheerful smile, now showed no sign of amusement. She turned, seizing the chance to head to the restroom to take care of her own biological needs before another stream of patients arrived, leaving her no time to spare.