What is the cause of functional uterine bleeding at the age of 47?

47-year-old Dysfunctional uterine bleeding is usually caused by hormonal imbalance, abnormal endometrial hyperplasia or organic lesions, and is common in perimenopausal women. Treatments include medication, surgical intervention and lifestyle adjustments.

1. Imbalance of hormone levels

During the perimenopausal period, the ovarian function of women gradually declines, and the secretion of estrogen and progesterone is unstable, which leads to abnormal growth and shedding of the endometrium and irregular bleeding. In this case, the doctor may prescribe oral contraceptives to regulate hormone levels, or use progesterone drugs to promote endometrial shedding.

2. Abnormal endometrial hyperplasia

Long-term estrogen stimulation may cause excessive endometrial proliferation, polyp formation or thickening, causing abnormal bleeding. Treatment includes hysteroscopic endometrial ablation or the use of progesterone drugs to inhibit endometrial hyperplasia. In severe cases, hysterectomy may need to be considered.

3. Organic lesions

Organic diseases such as uterine fibroids and endometrial cancer may also cause abnormal bleeding. After the diagnosis is clear, the treatment plan is determined according to the nature of the lesion. Uterine fibroids can be treated with myomectomy or uterine artery embolization, while endometrial cancer requires surgery, radiotherapy or chemotherapy according to the stage.

4. Lifestyle Adjustment

Maintain a regular work and rest schedule and avoid overwork. Increase iron-rich foods such as lean meat and animal liver in your diet, and supplement vitamin C to promote iron absorption. Moderate exercise such as yoga and walking can help improve pelvic blood circulation. Have regular gynecological examinations to detect and deal with potential problems in a timely manner.

A 47-year-old woman with functional uterine bleeding should seek medical attention promptly and take targeted treatment after the cause is identified. Perimenopause is a high-incidence period for female reproductive system diseases, and regular physical examinations and health management are particularly important. Through standardized treatment and lifestyle adjustments, most patients can effectively control symptoms and improve their quality of life.