Is functional uterine bleeding heavy?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on August 31, 2024
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Functional uterine bleeding can be classified into different types. Clinically, some functional uterine bleeding can cause a large amount of bleeding in the vagina in a short period of time. In such cases, hemostatic treatment is crucial. If the patient does not receive timely hemostatic treatment, the continued vaginal bleeding and increasing blood loss can potentially lead to hemorrhagic shock. Therefore, in clinical practice, if there is a significant amount of functional uterine bleeding, diagnostic curettage is often used as a treatment approach. This method not only serves a diagnostic purpose but also achieves immediate hemostatic effects in a short duration.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What causes functional uterine bleeding?

Dysfunctional uterine bleeding refers to the situation where a woman's uterus, ovaries, and brain do not have any actual organic lesions, such as the absence of uterine fibroids or ovarian cysts, yet there are functional changes that lead to bleeding. For example, the most common causes include excessive mental stress during schooling, emotional changes due to the death of a family member, or changes in living environment due to business trips, all of which can trigger uterine bleeding. In some cases, uterine bleeding may be a manifestation of a systemic disease; for instance, some women may experience it due to severe anemia or as a result of prolonged dieting and poor dietary habits leading to malnutrition and weight loss, especially if there is a sudden drop in weight. Additionally, some women may have metabolic diseases that can also cause uterine bleeding. Metabolic diseases include conditions such as elevated blood sugar, abnormal lipid levels, or anomalies in thyroid and adrenal gland functions.

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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 Shen Li Wen
Obstetrics and Gynecology
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What foods should be avoided with functional uterine bleeding?

When women suffer from dysfunctional uterine bleeding, they should be particularly careful with their diet. For example, most women at this time have pelvic congestion, so it is best not to eat cold or uncooked foods, as these can aggravate pelvic congestion, leading to increased bleeding or prolonged bleeding duration. Additionally, it is advisable to avoid foods that promote blood circulation and remove blood stasis, or some proprietary Chinese medicines, such as the commonly seen saffron, which can also increase menstrual flow and vaginal bleeding. Most women with dysfunctional uterine bleeding, if prolonged, can affect their immunity, leading to infections. Therefore, it is best to avoid spicy foods during this period to prevent exacerbating infections.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is there a treatment for functional uterine bleeding?

Functional uterine bleeding is not considered a complex or difficult condition in the field of obstetrics and gynecology. Therefore, when a woman suffers from functional uterine bleeding, treatment is possible. It is recommended that patients seek consultation at the gynecology clinic of their local hospital, undergo gynecological ultrasound and sex hormone tests among other related examinations, and adopt different treatments based on the results of these tests. Clinically, hormonal medications are commonly used for treatment. Many women experience significant improvement in their functional uterine bleeding after one to two treatment cycles. Most women will regain regular menstrual cycles.

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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.