What is the cause of functional uterine bleeding at the age of 43?

43-year-old Dysfunctional uterine bleeding is usually caused by endocrine disorders, uterine structural abnormalities, or systemic diseases. Treatment includes medication, surgical intervention, and lifestyle adjustments.

1. Endocrine disorders are a common cause of functional uterine bleeding. After the age of 40, women's ovarian function gradually declines, and estrogen and progesterone levels fluctuate, leading to abnormal proliferation or shedding of the endometrium. Endocrine diseases such as polycystic ovary syndrome and thyroid dysfunction may also cause irregular bleeding. For endocrine disorders, doctors may prescribe oral contraceptives to regulate hormone levels, or use progesterone drugs to stabilize the endometrium.

2. Abnormal uterine structure such as uterine fibroids, endometrial polyps or adenomyosis may cause functional uterine bleeding. These lesions can change the intrauterine environment and cause abnormal bleeding. For uterine fibroids, you can choose drug treatment such as mifepristone, or surgical treatment such as myomectomy. Endometrial polyps are usually removed by hysteroscopy. Patients with adenomyosis may consider using gonadotropin-releasing hormone agonists or undergoing hysterectomy.

3. Systemic diseases such as coagulation disorders, liver and kidney dysfunction or certain blood diseases may cause functional uterine bleeding. These diseases affect the blood coagulation mechanism or hormone metabolism, leading to abnormal bleeding. Treatment should be targeted at the primary disease, such as using anticoagulants to regulate coagulation function or improving renal function through dialysis. At the same time, bleeding should be closely monitored and blood transfusion should be performed if necessary.

Lifestyle adjustments are essential for the management of functional uterine bleeding. Maintaining a regular schedule and avoiding overwork can help maintain endocrine balance. Eating a balanced diet and increasing iron-rich foods such as red meat and spinach can prevent anemia. Moderate exercise such as yoga and walking can improve blood circulation and relieve symptoms. Regular gynecological examinations can detect and treat potential problems in a timely manner.

A 43-year-old with functional uterine bleeding needs a comprehensive assessment of the cause and targeted treatment. Endocrine disorders, abnormal uterine structure and systemic diseases are the main causes, and medication, surgery or lifestyle intervention should be selected according to the specific situation. Patients should actively cooperate with treatment, adjust their lifestyle, and have regular checkups to control symptoms and prevent complications. For persistent or severe bleeding, medical treatment should be sought in a timely manner to avoid delaying the condition. Through scientific management and appropriate intervention, functional uterine bleeding can usually be effectively controlled and the quality of life can be improved.