What factors are related to the occurrence of functional uterine bleeding? Normal menstruation in women depends on the regulation of the hypothalamus-pituitary-ovarian axis system. Excessive mental stress, environmental and climate changes, malnutrition or metabolic disorders and other internal and external factors can interfere with the regulation of the hypothalamus-pituitary-ovarian axis through the cerebral cortex. Abnormal secretion of sex hormones leads to acyclic shedding of the endometrium and functional blood. Clinical manifestations 1. Anovulatory dysfunctional uterine bleeding is common in adolescent or menopausal women. There is no periodic irregular vaginal bleeding. It can be intermittent bleeding, with more or less bleeding; it can also be continuous bleeding, even up to 1-2 months. Anemia. Basic body temperature is monophasic. Hormone measurement: Most of them have high estrogen and lack progesterone. 2. Ovulatory dysfunctional uterine bleeding 1. Occurs mostly in women of childbearing age, often with a history of infertility or early miscarriage. 2. The menstrual cycle has a certain regularity. Due to luteal insufficiency or incomplete luteal atrophy, there are the following manifestations: mid-term bleeding; scanty menstruation with menorrhagia; premenstrual bleeding; delayed menstruation with menorrhagia; normal cycle with menorrhagia. 3. Gynecological and B-ultrasound examination: uterus and bilateral ovaries are normal. 4. Basal body temperature is biphasic. 5. Hormone measurement: progesterone is low or normal. Diet therapy for functional uterine bleeding: According to the ovulation situation, functional uterine bleeding is usually divided into two categories: anovulation and ovulation. The former is very common, accounting for about 80% to 90%, mainly occurring during adolescence and menopause, while the latter is more common in fertile women. Several family dietary therapies are recommended: |
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