Treatment of dysfunctional uterine bleeding

Treatments for functional uterine bleeding include medication, surgery, and lifestyle adjustments. Common causes include hormone imbalance, endometrial abnormalities, and coagulation disorders. Medication can include oral contraceptives, progestins, and hemostatic drugs. Surgical treatments include endometrial resection, uterine artery embolization, and hysterectomy. Lifestyle adjustments include maintaining a regular schedule, a balanced diet, and moderate exercise.

1. Drug treatment: Oral contraceptives control bleeding by regulating hormone levels and are suitable for bleeding caused by hormone imbalance; progesterone can promote endometrial repair and reduce bleeding; hemostatic drugs such as tranexamic acid reduce bleeding by inhibiting fibrinolysis.

2. Surgical treatment: Endometrial resection reduces bleeding by removing abnormal endometrium and is suitable for patients who do not respond to drug treatment; uterine artery embolization reduces bleeding by blocking uterine artery blood flow and is suitable for acute massive bleeding; hysterectomy is suitable for patients with severe bleeding and no fertility needs.

3. Lifestyle adjustment: Maintaining a regular schedule can help regulate endocrine and reduce bleeding caused by hormonal imbalance; a balanced diet can provide adequate nutrition and promote endometrial repair; moderate exercise can help improve blood circulation and reduce bleeding caused by coagulation disorders.

The treatment of functional uterine bleeding requires the selection of appropriate medications, surgeries, and lifestyle adjustments based on the specific causes. Patients are advised to receive treatment under the guidance of a doctor, undergo regular checkups to monitor the treatment effects, and adjust the treatment plan in a timely manner to ensure the best therapeutic effect.