How to treat dysfunctional uterine bleeding

How to treat dysfunctional uterine bleeding?

For the treatment of dysfunctional uterine bleeding, different treatment plans are adopted for different people.

The main treatment principles for anovulatory sexual function and blood during puberty and childbearing age are to stop bleeding, adjust the cycle and promote ovulation. The main treatment principles for sexual function and blood during the menopausal transition period are to stop bleeding, regulate the menstrual cycle, reduce menstrual volume and prevent endometrial lesions.

For patients with functional uterine bleeding, the cause of the functional uterine bleeding should be found out first. Six tests of blood routine, coagulation and sex hormones can be performed first to determine whether the cause of bleeding is hormone level fluctuations. B-ultrasound can be performed to check the thickness of the endometrium. According to the examination, estrogen-progesterone combination medication can be selected; oral third-generation short-acting contraceptives; such as desogestrel ethinyl estradiol tablets and other drugs, auxiliary hemostatic drugs, such as tranexamic acid. For unborn young patients with functional uterine bleeding, it is necessary to adjust the cycle treatment, and patients with anovulation need ovulation induction treatment to solve fertility problems. For functional uterine bleeding of childbearing age and menopausal transition period, oral hormone hemostasis can be used. If necessary, curettage is required, and treatment is carried out after the cause is determined. Near-menopausal patients can use progesterone treatment to adjust the menstrual cycle, prevent excessive growth of the endometrium from causing other lesions, and make a smooth transition from menopause to menopause.

Patients with functional uterine bleeding should undergo appropriate examinations based on their condition and cause, and receive appropriate treatment for different causes.