Functional uterine bleeding is manifested by irregular menstrual cycles, prolonged menstruation, or abnormally increased bleeding. Treatment requires adjusting hormone levels or performing surgical intervention according to the cause. Functional uterine bleeding is common in adolescent and menopausal women, mostly caused by fluctuations in hormone levels, and may also be related to intrauterine lesions. 1Irregular menstrual cycles are typical symptoms of functional uterine bleeding. Patients may experience early or delayed menstruation, irregular cycles, or even multiple bleeding in a month. This phenomenon is related to ovarian dysfunction and usually requires hormone therapy to regulate the cycle. 2 Prolonged menstruation is another important manifestation of functional uterine bleeding. The menstrual period may last more than 7 days, and some patients may even continue bleeding for more than 10 days. This condition can easily lead to anemia, which requires timely hemostasis and iron supplementation to correct anemia. 3. Abnormal increase in bleeding is also a common symptom of functional uterine bleeding. Patients may find that the amount of bleeding has increased significantly, and they need to use more sanitary products, or even blood clots. This situation often requires medication to stop bleeding, and in severe cases, surgery may be required. 4. Functional uterine bleeding may be related to a variety of factors. In adolescent women, it is mostly caused by the incomplete function of the gonadal axis, and in menopausal women, it is mostly caused by ovarian dysfunction. Some patients may have organic lesions such as uterine fibroids and endometrial polyps, which require B-ultrasound examination for diagnosis. 5 Treatment of functional uterine bleeding usually starts with lifestyle adjustments. Maintain a regular work and rest schedule, avoid overwork, and pay attention to balanced nutrition, especially iron supplementation. Moderate exercise helps regulate endocrine, but strenuous exercise should be avoided during menstruation. 6. Drug treatment is the main method for functional uterine bleeding. Doctors may prescribe estrogen and progesterone preparations to regulate the menstrual cycle, or use hemostatic drugs to control bleeding. Some patients need iron supplements to improve anemia. Medication should be taken according to the doctor's instructions, and the plan should be adjusted for regular follow-up visits. 7Surgical treatment is suitable for patients who are ineffective with drug treatment or have organic lesions. Endometrial resection can effectively control bleeding, and hysterectomy may be required for severe cases. The choice of surgical method should take into account factors such as the patient's age and fertility needs. Dysfunctional uterine bleeding needs to be taken seriously. See a doctor in time to find out the cause and take appropriate treatment measures according to the specific situation. During the treatment, pay attention to observe the changes in symptoms, maintain a good attitude, and avoid anxiety that aggravates the symptoms. Regular follow-up and reexamination should be performed to ensure the treatment effect. |
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