Treatment principles for functional uterine bleeding

The treatment principles for functional uterine bleeding include medication, surgery, and lifestyle adjustments. The specific method should be selected according to the cause and severity of symptoms. Functional uterine bleeding is common in women with abnormal menstrual cycles and may be related to hormone imbalance, endometrial abnormalities, or systemic diseases.

1. Drug treatment is the first choice for functional uterine bleeding and is suitable for patients with mild to moderate symptoms. Hormonal drugs such as oral contraceptives, progesterone and estrogen are often used to regulate the menstrual cycle and reduce bleeding. Non-hormonal drugs such as tranexamic acid and ibuprofen can also be used to control bleeding and relieve pain. For patients with abnormal hormone levels, doctors may prescribe gonadotropin-releasing hormone analogs to help restore normal hormone balance.

2. Surgical treatment is suitable for patients who are ineffective with drug treatment or have severe bleeding. Endometrial resection is a minimally invasive surgery that reduces bleeding by removing part or all of the endometrium. Uterine artery embolization controls bleeding by blocking blood flow in the uterine artery and is suitable for patients who do not want to have their uterus removed. Hysterectomy is the last choice and is suitable for patients with severe bleeding and no desire to have children.

3. Lifestyle adjustment plays an important role in the prevention and auxiliary treatment of functional uterine bleeding. Maintaining a healthy weight and avoiding excessive obesity or weight loss can help maintain hormone balance. Regular exercise such as yoga, walking and swimming can improve blood circulation and relieve symptoms. In terms of diet, increasing foods rich in iron, vitamin C and protein, such as lean meat, spinach and citrus fruits, can help prevent anemia and promote physical recovery.

The treatment of functional uterine bleeding requires a personalized plan based on individual conditions. Only by combining drug therapy, surgical treatment and lifestyle adjustments can symptoms be effectively controlled and the quality of life be improved.