How to treat functional uterine bleeding

The treatment of functional uterine bleeding requires an individualized plan based on the cause, severity of symptoms and age of the patient, including drug therapy, surgical treatment and lifestyle adjustments.

Functional uterine bleeding is caused by endocrine disorders that lead to menstrual cycle disorders, mainly manifested as abnormal menstrual volume or irregular bleeding. Drug treatment is a common initial measure. Oral contraceptives such as ethinyl estradiol-cyproterone acetate tablets can regulate hormone levels and shorten bleeding time. Progesterone drugs are suitable for women in menopause or with menstrual cycle disorders to help restore endometrial stability. For patients with severe anemia, iron supplements or hemostatic drugs can be used at the same time. If the drug effect is not good, or the patient is at risk of endometrial lesions, surgical treatment such as endometrial resection, hysteroscopy and curettage can be considered to achieve hemostasis by directly treating the lesion site. When adenomyosis or heavy bleeding is uncontrollable, subtotal hysterectomy may be required. Lifestyle management should not be ignored. Avoiding excessive fatigue, excessive stress and significant weight fluctuations can all help to balance endocrine.

Patients need to pay attention to the duration of abnormal bleeding and the accompanying symptoms. If the amount of bleeding is too large and it is frequent and recurring, they should seek medical attention in time to screen and exclude the possibility of uterine fibroids, polyps or malignant lesions. Regular follow-up examinations are required after treatment, and the treatment plan should be adjusted according to the treatment response to prevent recurrence while ensuring overall health. At the same time, a balanced diet and regular rest are also crucial to regulating menstruation and restoring physical condition.