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 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 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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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.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Can functional uterine bleeding be treated with Wuji Baifeng Pills?

First of all, functional uterine bleeding should not be treated blindly with medications. Wuji Baifeng Pills, though traditionally used in Chinese medicine for regulating menstruation, are not very effective for functional uterine bleeding. Therefore, if dysfunctional uterine bleeding occurs, it is necessary to go to the hospital promptly for an examination to determine the cause of the bleeding, whether it is due to endocrine disorder or other organic changes in the uterus or cervix. Treatment should be timely and based on the examination results. If there is thickening or hyperplasia of the endometrium, a dilation and curettage (D&C) for pathological examination may be necessary. Post-surgery, further medicinal treatment will be required. Additionally, it is important to maintain vulvar hygiene and avoid spicy and irritating foods.

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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.