What causes functional uterine bleeding?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 17, 2024
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Functional uterine bleeding is commonly seen in adolescence and menopause, primarily caused by the absence of normal ovulation. Without ovulation, there is no production of progesterone, leading to irregular vaginal bleeding or heavy bleeding under the influence of estrogen. The main treatment method is menstrual regulation. For adolescent girls, menstrual regulation and ovulation induction treatment are needed, as this is caused by abnormal development of the gonadal axis. Progesterone can be used for menstrual regulation. In menopausal women, menopausal functional uterine bleeding mostly results from abnormal ovulation, essentially due to a lack of progesterone, so treatment with progesterone can be applied. (Please use medication under the guidance of a doctor.)

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Functional uterine bleeding refers to what?

Functional uterine bleeding is a common disease in women. The main cause of functional uterine bleeding is due to hormonal imbalances in the body, leading to irregular vaginal bleeding. This condition is divided into several different categories, each of which involves different types of endocrine disorders. Therefore, when a woman experiences functional uterine bleeding, it is advisable to visit a local hospital for gynecological color ultrasound and sex hormone tests, among others, to assess the state of the female reproductive and endocrine systems and to formulate the next steps in the treatment plan based on different results.

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Written by Zou Fu Hua
Obstetrics and Gynecology
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What are the symptoms of functional uterine bleeding?

Functional uterine bleeding is primarily characterized by severe disruptions in menstrual cycle, amount, and duration. The disruptions in menstrual cycles typically manifest as an early onset of menstruation. The amount of menstruation is typically characterized as excessive, and the duration tends to be prolonged. Some women experience heavy bleeding or incomplete clearing, where they may remain unclean for half a month or even one or two months. This condition is primarily seen in adolescent girls and women going through menopause. Adolescent girls with uterine bleeding may experience anemia, and it could lead to infertility later on. Menopausal uterine bleeding may be accompanied by severe anemia, requiring some to be hospitalized for blood transfusions. Moreover, it is essential to perform an ultrasound if the uterine endometrium is thick, to rule out endometrial pathology.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Functional uterine bleeding how many days

Dysfunctional uterine bleeding can last for various durations; it varies from person to person. Some experience a shortened menstrual cycle, decreased period duration, prolonged menstrual duration, or excessive menstrual flow. Others may only have an extended cycle, and still others experience irregular, heavy, or prolonged bleeding. The duration of bleeding is not fixed and varies between individuals. When dysfunctional uterine bleeding occurs, endocrine tests are necessary, and corresponding treatment is required to address the issue. It is essential to seek treatment as early as possible.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is functional uterine bleeding serious?

Functional uterine bleeding is a disease caused by hormonal imbalances in women. Most cases of functional uterine bleeding are not serious, but being not serious does not mean it can be ignored. Generally, when a woman experiences functional uterine bleeding, it is recommended to immediately seek medical attention at the gynecology outpatient clinic of a local hospital, undergo a gynecological color ultrasound, sex hormone panel, and other relevant examinations. Identify the causes and types of functional uterine bleeding, and adopt different treatment plans based on different results. Meanwhile, it is important to note that if the bleeding is heavy, it may be necessary to perform a blood cell examination to determine whether anemia has occurred.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Functional uterine bleeding refers to abnormal bleeding from the uterus.

Dysfunctional uterine bleeding in women is when the reproductive system has no organic lesions but is caused by internal and external factors that lead to abnormal gonadal axis function, resulting in irregular vaginal bleeding. For example, it is common for women to experience large emotional fluctuations due to family changes or other events, or changes in their work and living environments, excessive fatigue, frequent staying up late, etc., all of which can cause abnormal gonadal axis function. Furthermore, some endocrine disorders in women, such as elevated blood glucose levels and abnormal thyroid or adrenal gland function, can also affect the function of the gonadal axis and cause dysfunctional uterine bleeding.