How to treat functional uterine bleeding that has lasted for more than ten years?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 11, 2024
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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 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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home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
58sec home-news-image

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 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 Wang Jing Hua
Obstetrics and Gynecology
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Is functional uterine bleeding serious?

Dysfunctional uterine bleeding severity varies from person to person, depending on the specific bleeding situation and individual differences. Some people have mild symptoms and can improve by changing their lifestyle, such as losing weight, gaining weight if underweight, avoiding staying up late, and maintaining a regular life schedule. However, in some cases, dysfunctional uterine bleeding can lead to severe anemia, ineffective drug treatments, or endometrial changes, requiring procedures like curettage.

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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.