What are the symptoms of functional uterine bleeding and how to treat it

Symptoms of functional uterine bleeding include irregular menstrual cycles, increased or decreased menstrual flow, prolonged menstrual periods, and intermittent bleeding. You should see a doctor as soon as possible to identify the cause to avoid worsening of the condition. Treatments include lifestyle adjustments, medication, and surgical intervention when necessary.

Symptoms and possible causes

1. Menstrual cycle disorders

Functional uterine bleeding is often manifested as anovulatory cycles, leading to irregular menstrual cycles, sometimes with intervals that are too long or too short, or even with bleeding occurring again after only a few days. This situation is usually related to hormone imbalance and endocrine abnormalities.

2. Abnormal menstrual flow or prolonged bleeding

The patient's menstrual flow may increase or decrease significantly, or even last for several weeks or months. Prolonged uterine bleeding may lead to anemia, causing the patient to experience symptoms such as dizziness, fatigue, and pale complexion.

3. Irregular intermittent vaginal bleeding

Due to ovulatory dysfunction, some patients may experience irregular vaginal bleeding during non-menstrual periods, usually without obvious pain. Intermittent bleeding may interfere with daily life, and one should also be alert to the possibility of other organic lesions.

Treatment and advice

1. Adjust your lifestyle

Excessive stress, lack of sleep and weight fluctuations may aggravate endocrine disorders. It is recommended to have a regular work and rest schedule, ensure adequate sleep, and get 7-8 hours of sleep every night. At the same time, improve the overall condition through moderate aerobic exercise (such as brisk walking or yoga, 30 minutes/day) and a healthy diet (iron-rich foods such as red meat, spinach, etc.).

2. Medication

Drugs are one of the main treatments for functional uterine bleeding. You should choose a suitable plan under the guidance of a doctor:

- Hormone therapy: Regulate the menstrual cycle and restore normal ovulation function through combined estrogen and progesterone therapy or the use of certain hormone drugs alone.

-Hemostatic drugs: such as tranexamic acid, used for short-term hemostasis.

-Medications to correct anemia: Iron supplements (such as ferrous sulfate or iron-containing supplements) can improve symptoms of iron deficiency anemia caused by long-term bleeding.

3. Surgical Intervention

For patients who do not respond well to medication or who have suspected uterine lesions, surgery may be needed to help diagnose and treat:

- Curettage: removes the endometrium to stop bleeding and exclude other organic lesions.

-Endometrial ablation: used to reduce menstrual flow in women who are hormone insensitive.

-Hysterectomy: Hysterectomy may be the final option for severe cases or for women who have completed childbearing and have no other treatment needs.

If functional uterine bleeding is not treated in time, it may induce anemia, uterine lesions and other problems. It is recommended to see a gynecologist in time to find out the cause, so as to choose the appropriate treatment method and restore normal health.