What are the treatments for functional uterine bleeding?

What are the treatments for functional uterine bleeding? Functional uterine bleeding is one of the common gynecological diseases, referred to as functional uterine bleeding. The main clinical symptoms are irregular menstrual cycles, excessive menstrual flow, prolonged menstruation or irregular bleeding, which affect the patient's life and health. So, what are the treatments for functional uterine bleeding?

1. Instrumental curettage: Many people have heard of the "curettage" method of stopping bleeding. Curettage is a minor operation that can be performed in an outpatient clinic, usually with local anesthesia. Under sterilization, the doctor uses a small curette to insert into the uterine cavity to scrape, and mechanically allows the proliferating endometrium to fall off quickly, thereby achieving the purpose of stopping bleeding. Although this method is somewhat painful, it stops bleeding quickly, is safe, and generally has reliable results. More importantly, the scraped endometrium can be collected and sent to the pathology department for testing to understand whether there are other diseases such as polyps and tumors, which has the value of clear diagnosis.

Therefore, for married patients with long-term irregular bleeding, especially those over 40 years old, curettage should be used to stop bleeding. However, if the uterus has been curettaged recently and no organic disease is found in pathological examination, it is not necessary to repeat the curettage. Bleeding usually decreases immediately after curettage and stops completely within about a week. Generally, you need to rest for about 7 days before going back to work.

2. 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 is transformed into a secretory phase. Then the drug is stopped, causing an artificial drop in blood progesterone levels. At this time, the endometrium is regularly exfoliated and bleeding, which is called "withdrawal bleeding". This bleeding is similar to a menstrual bleeding, lasting about 7 days, and sometimes the amount is large, which is expected and inevitable.

3. 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.

Functional uterine bleeding is mainly caused by endocrine system disorders, so in daily life, you should pay attention to increasing nutrition and eat more protein-rich foods and vegetables and fruits. During the menstrual period, the body's resistance is weak, so do not eat raw, cold, spicy and irritating foods. You should often eat foods containing protein and vitamins. In life, combine work and rest, do not participate in heavy physical work and strenuous activities, get enough sleep, and be in a good mood.