Is there a treatment for functional uterine bleeding?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 04, 2024
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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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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 Liu Jian Wei
Obstetrics and Gynecology
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How is functional uterine bleeding treated?

Functional uterine bleeding is a common endocrine disorder among women. When functional uterine bleeding occurs, it is recommended that the patient visit a local hospital to determine the type of functional uterine bleeding. Functional uterine bleeding can be divided into ovulatory and anovulatory types, and the treatment plans for different types vary. Therefore, identifying the type is key to how it is treated. Currently, oral hormonal medications are commonly used to treat functional uterine bleeding clinically.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does functional uterine bleeding cause abdominal pain?

When women experience dysfunctional uterine bleeding, if this occurs during an anovulatory period, such as in adolescent or menopausal women, they generally do not experience abdominal pain. Some women have relatively regular menstrual cycles and only exhibit irregular bleeding between periods; these women still ovulate, and they may experience painful menstruation when their period comes. Furthermore, if dysfunctional uterine bleeding persists, it can lead to a decrease in a woman's immunity. Some women may develop concurrent gynecological inflammation, such as inflammation of the endometrium or adnexa. Even if menstruation does not occur, these women may experience abdominal pain, presenting as unilateral lower abdominal pain or heaviness, and the pain may intensify during menstruation.

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

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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Is functional uterine bleeding related to a previous miscarriage?

Functional uterine bleeding in women, also known as dysfunctional uterine bleeding, occurs not due to organic lesions in the reproductive system but due to abnormalities in the function of the gonadal axis, leading to hormonal imbalances and dysfunctional uterine bleeding. This condition is generally unrelated to procedures like abortion or curettage. In some cases, it is triggered by issues such as delayed recovery of ovarian function following an abortion, excessive fatigue, or abnormalities in thyroid and adrenal gland functions, causing dysfunction of the gonadal axis. To address this issue, it is essential to first conduct tests, including a hormone panel and assessments of thyroid and adrenal gland functions, to identify the cause of the dysfunctional uterine bleeding and provide appropriate treatment.