The main causes of dysfunctional uterine bleeding

The main causes of functional uterine bleeding include hormone imbalance, endometrial abnormalities, systemic diseases, etc. Treatment requires medication, surgery or lifestyle adjustments depending on the cause.

1. Hormone Imbalance

Functional uterine bleeding is often related to abnormal hormone levels in the body, especially an imbalance in the ratio of estrogen and progesterone. Adolescent and menopausal women are prone to hormone fluctuations due to unstable ovarian function, which leads to abnormal shedding of the endometrium. Endocrine diseases such as polycystic ovary syndrome and thyroid dysfunction may also cause bleeding. In terms of treatment, doctors may prescribe oral contraceptives or hormone replacement therapy to help regulate hormone levels and reduce bleeding.

2. Abnormal endometrium

Endometrial hyperplasia, polyps or inflammation may cause irregular bleeding. Endometrial hyperplasia is related to long-term estrogen stimulation, while polyps may be caused by abnormal local blood vessel proliferation. Hysteroscopy is a common method for diagnosing endometrial abnormalities. Treatment includes curettage, endometrial ablation or surgical removal of polyps, and the specific plan depends on the severity of the disease.

3. Systemic diseases

Systemic diseases such as coagulation disorders, liver and kidney dysfunction, etc. may also cause functional uterine bleeding. Abnormal coagulation leads to delayed endometrial repair, and abnormal liver and kidney function may affect hormone metabolism. Treatment should be targeted at the primary disease, such as supplementing coagulation factors, improving liver and kidney function, etc. At the same time, the doctor may prescribe hemostatic drugs, such as tranexamic acid, to help control bleeding.

4. Lifestyle factors

Lifestyle factors such as excessive stress, excessive dieting, and lack of exercise may affect the endocrine system and indirectly lead to functional uterine bleeding. It is recommended to maintain a regular schedule, a balanced diet, and appropriate exercise, such as yoga and jogging, which can help regulate hormone levels. Avoid excessive dieting and ensure adequate intake of protein, iron, and vitamins to support the health of the endometrium.

The causes of functional uterine bleeding are complex and varied, and targeted treatment is required based on the specific cause. Timely medical treatment, clear diagnosis, and selection of medication, surgery, or lifestyle adjustments according to the doctor's advice are the key to effectively controlling bleeding. Maintaining healthy living habits and regular physical examinations can help prevent and reduce the occurrence of functional uterine bleeding.