Medically, a child is generally defined as being under 14 years of age. The age of female menarche is generally between 11 and 16 years old, the normal time for children to menstruate is between 11 and 14 years old, if the menstrual period has not been clean, and there are clots of blood, you can take medication under the guidance of the doctor to stop bleeding, and take short-acting contraceptives to stop bleeding if necessary.
If a child’s menstrual period is never clean, it may be due to the imperfect development of the gonadal axis, and the ovaries cannot ovulate regularly, resulting in anovulatory abnormal uterine bleeding. For this situation, the key is to stop the bleeding, and then use drugs to adjust the menstrual cycle.
1. Hemostasis. Sex hormones can be used as the drug of choice to stop bleeding, and the appropriate treatment is chosen according to the situation. If anemia has not yet occurred, you can take dextroprogesterone tablets or progesterone injections under doctor’s supervision. Estrogen can also be used to promote the repair of the uterine lining, which is mainly applicable to adolescent patients with anemia, and can be taken as estradiol valerate or combined with estrogen.
2. Adjust the menstrual cycle. Adjusting the menstrual cycle is fundamental to the treatment of anovulatory abnormal uterine bleeding. For adolescent girls, mostly due to insufficient endogenous estrogen level, estrogen and progesterone sequential therapy can be taken, and commonly used drugs include combined estrogen and progesterone.