What are the symptoms of functional uterine bleeding?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 12, 2024
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Functional uterine bleeding, clinically divided into ovulatory and anovulatory functional uterine bleeding, presents differently depending on the type. Typically, the clinical manifestation of anovulatory functional uterine bleeding includes prolonged menstrual dripping or heavy vaginal bleeding. In such cases, it is recommended that patients seek immediate medical attention at a local hospital for a clear diagnosis and timely treatment. Ovulatory uterine bleeding is often characterized by changes in the menstrual cycle; some women may experience a shortened cycle, while others may have an extended menstrual cycle.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to treat functional uterine bleeding that has lasted for more than ten years?

If a woman has been suffering from dysfunctional uterine bleeding for more than ten years, a detailed examination should first be conducted to understand the causes of the bleeding. Blood tests can be done for hormonal profiles, thyroid, and adrenal functions, as well as blood glucose levels to identify any issues, such as potential ovarian dysfunction, which can be treated with short-acting oral contraceptives. Long-term irregular vaginal bleeding can lead to anemia, requiring a blood test to assess the severity of the anemia. If the anemia is not severe, oral iron supplements can be taken to correct it. Some women might experience infections due to prolonged bleeding, in which case broad-spectrum antibiotics can be prescribed to treat the infection. (Specific medications should be taken under the guidance of a physician.)

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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 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 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 Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of functional uterine bleeding?

When women experience dysfunctional uterine bleeding, the clinical symptoms are varied. For example, some women still have a relatively regular menstrual cycle, occurring monthly, but exhibit bleeding between periods, such as the most common ovulatory bleeding. Other women experience vaginal bleeding before or after their period, such as when there is an abnormality in the function of the corpus luteum, leading to brown vaginal discharge clearly related to the menstrual cycle. Some women have irregular menstrual cycles, with no predictability of when menstruation will occur, characterized by intermittent spotting or irregular vaginal bleeding. If such conditions persist, they can lead to anemia from blood loss in women, manifesting as dizziness, fatigue, sleepiness, and loss of appetite.