Functional uterine bleeding is a common gynecological disease caused by the disorder of the neuroendocrine mechanism regulating the reproductive system, which causes abnormal uterine bleeding in the body. It is more common in adolescent and menopausal women. Early diagnosis and early treatment are the key. So, how should functional uterine bleeding be treated clinically? 1. Treatment principles The treatment of functional uterine bleeding in adolescent women is based on the principle of hemostasis, which is then used to adjust the menstrual cycle and restore normal ovulation; the treatment of functional uterine bleeding in menopausal women is based on safe transition through menopause, which is used to prevent recurrence of the disease while stopping bleeding. 2. Treatment methods There are two common methods for the clinical treatment of functional uterine bleeding, namely drug therapy and ultrashort wave therapy. Drug treatment is mainly suitable for women who want to have children. The focus is on stopping bleeding, relieving the patient's abnormal uterine bleeding symptoms, and then regulating the endocrine mechanism to achieve the purpose of effective treatment. Ultrashort wave treatment mainly includes the following three types: curettage, which is mainly used for married patients or first-time patients who are not well treated with general hemostatic drugs; hysterectomy, which is mainly suitable for patients with intractable diseases who have no fertility requirements and are not well treated with drugs; endoscopic electrotherapy of the endometrium, which is mainly suitable for patients who have no fertility requirements. This operation is performed without laparotomy, with less trauma, faster recovery of patients after surgery, and no adverse effects on ovarian function. |
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