Is functional uterine bleeding serious?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 17, 2024
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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 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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Functional uterine bleeding will be cured.

Functional uterine bleeding is not uncommon in clinical practice, and most cases of functional uterine bleeding can be cured. The cause of functional bleeding is primarily due to a disorder of various hormones in women, including estrogen and progesterone. Therefore, when a patient suspects functional uterine bleeding, it is necessary to conduct gynecological color Doppler ultrasound and sex hormone tests amongst others, to assess the levels of various hormones in the female endocrine system. Based on the different abnormal results, different treatment methods are selected. Generally, after hormonal adjustment, the hormone levels in most women will return to the normal range.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What to be aware of during a functional uterine bleeding curettage?

When women experience dysfunctional uterine bleeding, if oral medical therapy is ineffective, diagnostic curettage can be used to stop bleeding and to understand the causes of the bleeding. Before undergoing curettage surgery, women should not have sexual intercourse within five days to avoid infections in the reproductive tract. During the curettage process, it is crucial to thoroughly scrape the entire uterine wall, especially the areas around the corners of the uterus. If any abnormal scrapings, such as dirty, greyish-white substances that resemble endometrial cancer, are encountered during the scraping, the procedure should be terminated immediately to avoid causing uterine perforation. For one month after the surgery, sexual intercourse, sitz baths, and swimming should be avoided to prevent infections in the reproductive tract.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to examine functional uterine bleeding?

Dysfunctional uterine bleeding primarily requires checking for any present anemia with routine blood tests and coagulation studies. Ultrasound is needed to examine the pelvis and uterine cavity, including the thickness of the endometrium. Treatment methods should be considered based on these results. Some cases can be managed with medication; others may require another diagnostic curettage to further clarify the condition of the endometrium; some may need contraceptives or similar treatments for 3-6 months, as this is fundamentally an endocrine issue involving hormonal imbalance, where hormonal treatment tends to be quite effective.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What causes functional uterine bleeding?

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.)