What is the best medicine for functional uterine bleeding?

Functional uterine bleeding is mainly caused by dysfunction of the neuroendocrine system, clinically referred to as functional uterine bleeding. It is a common gynecological disease. Patients mainly show irregular menstruation, prolonged menstruation, excessive menstrual flow or irregular bleeding. So, what is the best medicine for functional uterine bleeding? The following is an introduction for you.

1. Treatment with Chinese medicine

10g of Codonopsis pilosula, 10g of Atractylodes macrocephala, 15g of Astragalus membranaceus, 6g of donkey-hide gelatin (melted), 6g of dried tangerine peel, 15g of Citrus aurantium, 15g of Leonurus japonicus, 3g of Carthamus tinctorius, 10g of Scutellaria baicalensis charcoal, 15g of Sanguisorba officinalis charcoal, 15g of Cirsium sibiricum charcoal, 10g of Platycladus orientalis charcoal, 15g of Agrimoniae scabra, 6g of roasted Licorice root. 7 doses. Decoction, 1 dose per day, divided into 2 doses and taken warm before meals.

2. Western medicine treatment

1. Medical curettage: For unmarried patients, try not to consider curettage, or use medical curettage instead. Medical curettage is aimed at the pathological physiological changes caused by the lack of progesterone in patients with anovulatory dysfunctional uterine bleeding. Patients are given intramuscular injections of progesterone, 20 mg per day, for 3 days, and the endometrium changes to the secretory phase. Before using progesterone, patients must be informed that the hemostatic effect will only appear after the withdrawal bleeding stops, so as to avoid patients mistakenly believing that the treatment has failed and seeking medical treatment elsewhere or taking other hormones, resulting in medication disorders.

In order to reduce the amount of withdrawal bleeding, testosterone propionate (a male hormone preparation) can be injected at the same time as progesterone is injected intramuscularly, 25 to 50 mg per day for 3 days. If the amount of bleeding is still large, the patient should rest in bed and take general hemostatic drugs such as vitamin K, hemostatics, vitamin C, hemostatic aromatic acid orally or intramuscularly, or even glucose solution or blood transfusion. Estrogen and progesterone preparations should not be used during withdrawal bleeding.

2. Estrogen hemostasis method: If a young, unmarried patient with functional uterine bleeding suffers from severe anemia (hemoglobin <7.0 g/L) due to excessive blood loss or other problems, and curettage surgery is not available at the time, and the patient cannot accept the withdrawal bleeding caused by the "drug curettage" described above, such patients should be hospitalized.

Avoid eating raw, cold fruits and spicy foods. If an adolescent girl has functional uterine bleeding, the energy consumption is very high due to the needs of physical development, and nutrition needs to be increased to meet the needs of physical development. Protein, trace elements iron, copper, zinc, and vitamin A, B vitamins, vitamin C, vitamin E, etc. should be supplemented.