How to use endometrial shedding method to stop bleeding in anovulatory functional uterine bleeding?

Lin Yi was diagnosed with anovulatory functional uterine bleeding due to menstrual disorders, which shocked her. If she didn't get a cure for the disease, she might not be able to have children in the future. So she begged the doctor to cure her disease. The doctor patiently comforted Lin Yi and told her that to cure the disease, the most urgent thing was to stop the bleeding first. So he used the endometrial shedding method to stop the bleeding, which worked really well.

Anovulatory functional uterine bleeding is a disorder of ovulation function, which is common in adolescence and menopausal transition period, and can easily cause infertility. In clinical treatment, sex hormones are often used to stop bleeding, and endometrial shedding is one of the treatment methods:

Endometrial shedding method is to use progesterone for treatment. Obviously, the pathological basis of anovulatory functional uterine bleeding is the lack of progesterone. Therefore, progesterone is used to convert the endometrium into the secretory phase. After stopping the drug, withdrawal bleeding occurs, just like an ovulation menstruation. When the old endometrium is completely shed and the new endometrium covers the wound, the bleeding will stop. Commonly used progesterone 20mg intramuscular injection, once a day, for 3~5 days. To prevent excessive withdrawal bleeding, testosterone propionate 25~50mg can be used in combination with progesterone. Other progestins can also be used, such as metizone tablets 200mg/d, used for 6d; antenatal progesterone 8rag/d, used for 7~10d; norethindrone (Fukang tablets) 5mg/d, used for 7~10d; megestrol acetate (Funing tablets) 8mg/d; used for 7~10d. Dydrogesterone tablets 10~20mg/d, used for 10d. Withdrawal bleeding usually occurs within 1 to 7 days after drug discontinuation. Sometimes the amount of bleeding is heavy and generally lasts for 7 to 10 days. If the bleeding is heavy, other hemostatic agents can be used as an adjunct.