The best method of hemostasis in patients with anovulatory functional uterine bleeding

Women with anovulatory functional uterine bleeding often experience anemia symptoms, which affects the patient's health. Therefore, bleeding should be stopped as soon as possible. There are three clinical methods for stopping bleeding:

Instrumental curettage

Curettage is a procedure in which the doctor inserts a small scraper into the uterine cavity to scrape the uterine cavity under sterilization, and mechanically causes the proliferating endometrium to fall off quickly, thereby achieving the purpose of stopping bleeding. This method is fast, safe, and effective in stopping bleeding. More importantly, the scraped endometrium can be collected to understand whether there are other diseases such as polyps and tumors, which has the value of clear diagnosis. For married patients with long-term irregular bleeding, especially those over 40 years old, curettage should be used to stop bleeding.

Medical curettage

Medical curettage is aimed at the pathological physiological changes caused by the lack of progesterone in patients with anovulatory dysfunctional uterine bleeding. The patient is given a progesterone injection of 20 mg per day for 3 days, and the endometrium is transformed into the secretory phase. Then the drug is stopped, causing an artificial decrease in blood progesterone levels. At this time, the endometrium is regularly exfoliated and bleeding occurs. Before using progesterone, the patient must be informed that the hemostatic effect will only appear after the withdrawal bleeding stops, so as to prevent the patient from mistakenly believing that the treatment has failed and seeking medical treatment elsewhere or taking other hormones instead, resulting in medication disorder.

Estrogen hemostasis

The estrogen hemostasis method is to intramuscularly inject a large dose of estradiol benzoate 2-3 times a day. The dose can be increased or decreased according to the change in the amount of bleeding. When the dose is appropriate, the bleeding should gradually decrease. The dosage of estradiol benzoate should be gradually reduced from 2-3 days. After about 20 days, progesterone is used again for drug curettage to stop bleeding.