What are the symptoms of functional uterine bleeding for those over 47 years old?

Dysfunctional uterine bleeding is common in women over 47 years old, and is mainly manifested by irregular menstrual cycles, excessive menstrual flow or prolonged menstrual flow, which may be accompanied by symptoms such as anemia and fatigue. Treatment requires medication, surgery or lifestyle adjustments based on the cause.

1. Irregular menstrual cycle. Women over 47 years old enter perimenopause, their ovarian function gradually declines, and hormone level fluctuations lead to irregular menstrual cycle. This manifests as early or delayed menstruation, or even no menstruation for several months. It can be regulated through hormone replacement therapy, such as oral contraceptives, progesterone, etc., but it must be used under the guidance of a doctor.

2. Excessive menstrual flow. The endometrium is stimulated by estrogen for a long time, and it proliferates excessively, causing increased bleeding during shedding. This is manifested by heavy menstrual bleeding and the need to frequently change sanitary products. You can take hemostatic drugs such as tranexamic acid, or use hysteroscopy to remove the abnormally proliferating endometrium.

3. Prolonged menstrual period. The repair ability of the endometrium decreases, resulting in prolonged bleeding time. The manifestation is that the menstrual period exceeds 7 days, or even continuous bleeding. You can take Chinese medicine such as motherwort, angelica, etc., or perform endometrial ablation to reduce bleeding.

4. Anemia and fatigue. Long-term heavy bleeding leads to iron loss, causing iron deficiency anemia. Symptoms include pale complexion, dizziness, and fatigue. Iron supplements such as ferrous sulfate are required, and iron-rich foods such as lean meat, animal liver, spinach, etc. are also required.

5. Lifestyle adjustment: Maintain a regular work and rest schedule and avoid staying up late; do moderate exercise such as yoga and walking to improve your physical fitness; eat a light diet and reduce the intake of spicy and stimulating foods; keep a good mood and avoid excessive mood swings.

Dysfunctional uterine bleeding is more common in women over 47 years old. The symptoms are varied and require prompt medical attention to identify the cause and choose the appropriate treatment plan. Medication, surgery and lifestyle adjustments can effectively control symptoms and improve quality of life.